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U.S. Surgeon Performs First Total Knee Replacement with NexSight Augmented Reality System

Dr. Safa Kassab performed the first U.S. total knee replacement using Pixee Medical’s NexSight™ AR system, underscoring OSOC’s commitment to surgical innovation.

-- Dr. Safa Kassab, a board‑certified orthopedic surgeon at Orthopedic Specialists of Oakland County (OSOC), has become the first surgeon in the United States to perform a total knee replacement using Pixee Medical’s NexSight™ augmented reality (AR) system. This landmark procedure, conducted at Trintiy Health Oakland, marks a pivotal moment in orthopedic surgery and highlights the growing role of immersive technology in improving patient outcomes.

NexSight™ employs AR‑enabled smart glasses to project a real‑time, three‑dimensional roadmap of the patient’s unique knee anatomy directly into the surgeon’s field of view. By overlaying virtual guidance onto the surgical site, the system eliminates reliance on traditional mechanical alignment rods and preoperative imaging such as MRI. Preliminary clinical data indicate that NexSight™ achieves implant alignment accuracy within one degree—a level of precision that may translate into improved implant longevity and faster postoperative recovery.

Dr. Kassab has long been recognized for pioneering AR‑assisted joint replacement. Having already performed more than 1,000 augmented reality total knee replacements—more than any other surgeon in the country—his adoption of NexSight™ underscores a sustained commitment to surgical innovation and evidence‑based care. “Augmented reality has transformed how we approach knee replacement surgery,” says Dr. Kassab. “With NexSight™, we’re bringing the future of joint replacement into today’s operating room—combining accuracy, efficiency, and improved outcomes.” He adds, “This is the future of knee replacement.”

Founded as a physician‑led orthopedic group, OSOC offers a comprehensive spectrum of musculoskeletal care, from non‑surgical treatments to complex joint reconstruction. The introduction of AR‑guided total knee arthroplasty complements the practice’s emphasis on precision‑based techniques and personalized rehabilitation plans. Patients benefit from minimally invasive approaches that can reduce tissue trauma, decrease operative times, and support a more rapid return to daily activities.

Beyond technical innovation, OSOC maintains a collaborative model of care. A multidisciplinary team—including fellowship‑trained surgeons and certified physician assistants—works closely with physical therapists and care coordinators to tailor treatment pathways. This integrated framework ensures that each patient receives continuous support at every stage, from preoperative education through long‑term follow‑up.

Early feedback from patients and surgical staff has been overwhelmingly positive. Participants have noted enhanced confidence in implant positioning and appreciated the ability to verify critical steps without removing focus from the surgical field. As AR platforms like NexSight™ continue to evolve, OSOC anticipates expanding their use to other joint replacement procedures, cementing the practice’s role as a national leader in technology‑driven orthopedics.

For more information, visit www.osoc.com.

About Orthopedic Specialists of Oakland County

Orthopedic Specialists of Oakland County (OSOC) is a physician‑led orthopedic group committed to delivering advanced, patient‑centered musculoskeletal care across Oakland County, Michigan. Founded more than two decades ago, OSOC has grown its network of fellowship‑trained surgeons and skilled physician assistants to offer both surgical and non‑surgical treatments across joint replacement, sports medicine, spine care, and general orthopedics. Guided by evidence‑based practices and a collaborative approach, the practice leverages cutting‑edge technology—including augmented reality‑assisted joint replacement—to help patients return to active, pain‑free lives.

Contact Info:
Name: Kelsey Krych
Email: Send Email
Organization: Orthopedic Specialists of Oakland County
Phone: 248‑335‑2977
Website: https://www.osoc.com/

Release ID: 89160065

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