Technology and Health Care,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 9, 2024
Background
Although
artificial
hip
and
knee
arthroplasty
has
been
widely
used,
the
incidence
of
perioperative
complications
remains
relatively
high
due
to
factors
such
as
long
operation
time
large
surgical
incisions.
However,
Hospital
Frailty
Risk
Score
(HFRS)
clinical
value
for
patients
undergoing
in
China
is
not
yet
clear.
This
study
aims
explore
its
this
population.
Objective
To
predictive
HFRS
elderly
patients.
Methods
Elderly
who
underwent
our
hospital
from
March
2020
2022
were
selected
subjects.
The
divided
into
non-frail
risk
group
(HFRS
<5
points)
frail
≥5
on
basis
literature
grading
method.
5-factor
modified
frailty
index
(mFI-5)
Charlson
Comorbidity
Index
(CCI)
scores
assessed.
General
data
including
age,
sex,
ASA
classification,
preoperative
course,
collected
through
electronic
medical
record
system.
occurrence
postoperative
deep
venous
thrombosis,
periprosthetic
infection,
hematoma,
anemia,
overall
was
recorded.
Hospitalization
days,
costs,
total
treatment
costs
also
calculated
all
Results
There
no
significant
differences
or
between
two
groups
(
p
>
0.05).
had
significantly
higher
mFI-5
CCI
<
a
thrombosis
0.05),
but
similar
rates
anemia
ROC
analysis
showed
highest
(AUC
=
0.851)
compared
(0.786)
(0.739).
Surgical
longer
stays
Conclusion
better
scores,
it
can
be
used
predicting
with
surgery.
Until
recently,
innovations
in
surgery
were
largely
represented
by
extensions
or
augmentations
of
the
surgeon's
perception.
This
includes
advancements
such
as
operating
microscope,
tumor
fluorescence,
intraoperative
ultrasound,
and
minimally
invasive
surgical
instrumentation.
However,
introducing
artificial
intelligence
(AI)
into
disciplines
represents
a
transformational
event.
Not
only
does
AI
contribute
substantively
to
enhancing
perception
with
methodologies
three-dimensional
anatomic
overlays
augmented
reality,
AI-improved
visualization
for
resection,
AI-formatted
endoscopic
robotic
guidance.
What
truly
makes
so
different
is
that
it
also
provides
ways
augment
cognition.
By
analyzing
enormous
databases,
can
offer
new
insights
transform
operative
environment
several
ways.
It
enable
preoperative
risk
assessment
allow
better
selection
candidates
procedures
organ
transplantation.
increase
efficiency
throughput
rooms
staff
coordinate
utilization
critical
resources
intensive
care
unit
beds
ventilators.
Furthermore,
revolutionizing
guidance,
improving
detection
cancers,
permitting
endovascular
navigation,
ensuring
reduction
collateral
damage
adjacent
tissues
during
(e.g.,
identification
parathyroid
glands
thyroidectomy).
transforming
how
we
evaluate
assess
proficiency
trainees
postgraduate
programs.
offers
potential
multiple,
serial
evaluations,
using
various
scoring
systems
while
remaining
free
from
biases
plague
human
supervisors.
The
future
AI-driven
holds
promising
trends,
including
globalization
education,
miniaturization
instrumentation,
increasing
success
autonomous
robots.
These
raise
prospect
deploying
fully
robots
near
challenging
environments
battlefield,
disaster
areas,
even
extraplanetary
exploration.
In
light
these
transformative
developments,
clear
will
belong
those
who
most
readily
embrace
harness
power
AI.
Sensors,
Год журнала:
2023,
Номер
23(20), С. 8503 - 8503
Опубликована: Окт. 16, 2023
Microsurgical
techniques
have
been
widely
utilized
in
various
surgical
specialties,
such
as
ophthalmology,
neurosurgery,
and
otolaryngology,
which
require
intricate
precise
tool
manipulation
on
a
small
scale.
In
microsurgery,
operations
delicate
vessels
or
tissues
high
standards
surgeons’
skills.
This
exceptionally
requirement
skills
leads
to
steep
learning
curve
lengthy
training
before
the
surgeons
can
perform
microsurgical
procedures
with
quality
outcomes.
The
microsurgery
robot
(MSR),
improve
operation
through
functions,
has
received
extensive
research
attention
past
three
decades.
There
many
review
papers
summarizing
MSR
for
specific
specialties.
However,
an
in-depth
of
relevant
technologies
used
systems
is
limited
literature.
details
technical
challenges
systematically
summarizes
key
developmental
perspective
from
basic
structural
mechanism
design,
perception
human–machine
interaction
methods,
further
ability
achieving
certain
level
autonomy.
By
presenting
comparing
methods
this
cutting-edge
research,
paper
aims
provide
readers
comprehensive
understanding
current
state
identify
potential
directions
future
development
MSR.
Journal of Orthopaedic Surgery and Research,
Год журнала:
2023,
Номер
18(1)
Опубликована: Дек. 2, 2023
Extended
reality
(XR),
including
virtual
reality,
augmented
(AR),
and
mixed
has
been
used
to
help
achieve
accurate
acetabular
cup
placement
in
total
hip
arthroplasty
(THA).
This
study
aimed
compare
the
differences
between
XR-assisted
conventional
THA.In
this
systematic
review
meta-analysis,
electronic
databases
PubMed,
Embase,
Web
of
Science,
Cochrane
Central
Register
Controlled
Trials
(CENTRAL),
clinicaltrials.gov
were
searched
for
studies
from
inception
September
10,
2023.
The
outcomes
accuracy
inclination
anteversion,
duration
surgery,
intraoperative
blood
loss.
Meta-analysis
was
performed
using
Review
Manager
5.4
software.A
five
with
396
patients
included
our
study.
pooled
results
indicated
AR-assisted
THA
had
better
anteversion
than
(SMD
=
-
0.51,
95%
CI
[-
0.96
0.07],
P
0.02;
SMD
0.96,
1.19
0.72],
<
0.00001),
but
surgery
loss
similar
two
groups.This
meta-analysis
found
that
THA,
groups.
Based
on
results,
we
suggested
AR
can
provide
more
precise
methods
THA.
Total
hip
arthroplasty
(THA)
is
a
widely
practiced
surgical
intervention
to
alleviate
pain
and
reinstate
functionality
in
individuals
afflicted
with
joint
pathology.
The
positioning
of
the
acetabulum
assumes
paramount
significance
determining
efficacy
THA,
exerting
profound
influences
on
biomechanical
dynamics,
stability,
durability
outcomes
over
time.
This
comprehensive
review
meticulously
evaluates
contemporary
methodologies
for
optimizing
acetabular
encompassing
advanced
technologies
such
as
computer-assisted
navigation
systems,
patient-specific
instrumentation,
robotic-assisted
approaches,
image-based
planning
techniques,
intraoperative
fluoroscopy.
Crucially,
key
discoveries
underscore
pivotal
role
precise
alignment
mitigating
complications
dislocation,
component
wear,
impingement.
Moreover,
implications
clinical
practice
accentuate
imperative
continuous
education
training
ensure
effective
deployment
sophisticated
methodologies.
Recommendations
furthering
research
enhancing
development
necessity
scrutinizing
long-term
prognoses,
assessing
cost-effectiveness,
embracing
technological
innovations
perpetually
refining
THA
outcomes.
Collaborative
endeavors
among
researchers,
practitioners,
industry
stakeholders
emerge
indispensable
drivers
advancement
this
domain,
fostering
an
environment
conducive
elevating
standard
care
undergoing
THA.
Prosthesis,
Год журнала:
2024,
Номер
6(4), С. 913 - 922
Опубликована: Авг. 13, 2024
Robotic-assisted
hip
and
knee
arthroplasty
represents
significant
advancements
in
orthopedic
surgery.
Artificial
intelligence
(AI)-driven
chatbots,
such
as
ChatGPT,
could
play
a
role
healthcare
education.
This
study
aims
to
evaluate
the
quality
of
responses
provided
by
ChatGPT
top
20
questions
concerning
robotic-assisted
arthroplasty.
We
have
asked
select
on
Google
robotic
provide
detailed
answer
each
them.
The
accuracy
completeness
information
were
examined
three
surgeons
with
scientific
clinical
experience
hip-
knee-replacement
was
assessed
through
5-point
Likert
scale
(from
1—completely
incorrect
5—correct);
4-point
0—comprehensiveness
not
assessable
for
completely
answers
3—exhaustive
information)
two
different
occasions
ensure
consistency
assessment.
Our
analysis
reveals
that
provides
relatively
high
degree
accuracy;
moreover,
explanations
can
be
considered
satisfying,
especially
factual
questions.
findings
suggest
serve
valuable
initial
resource
general
but
integration
human
expertise
remains
essential.
IEEE Journal of Translational Engineering in Health and Medicine,
Год журнала:
2023,
Номер
12, С. 279 - 290
Опубликована: Ноя. 21, 2023
Recent
advancements
in
augmented
reality
led
to
planning
and
navigation
systems
for
orthopedic
surgery.
However
little
is
known
about
mixed
(MR)
orthopedics.
Furthermore,
artificial
intelligence
(AI)
has
the
potential
boost
capabilities
of
MR
by
enabling
automation
personalization.
The
purpose
this
work
assess
Holoknee
prototype,
based
on
AI
multimodal
data
visualization
surgical
knee
osteotomy,
developed
run
HoloLens
2
headset.
TERRA ORTHOPAEDICA,
Год журнала:
2024,
Номер
1(120), С. 27 - 33
Опубликована: Июнь 21, 2024
Summary.
Background.
This
article
is
dedicated
to
analyzing
the
application
of
a
mixed
reality
technology
in
total
hip
arthroplasty.
The
relevance
study
determined
by
increasing
need
enhance
accuracy
and
safety
surgical
interventions,
which
ensure
restoration
joint
functions
improvement
patients'
quality
life.
Objective.
focuses
on
development
clinical
testing
reality-based
navigation
system
for
positioning
acetabular
component
endoprosthesis.
Materials
Methods.
research
includes
simulation
modeling
preclinical
trials
demonstrating
significant
advantages
developed
compared
traditional
methods.
Results.
main
findings
showed
reduction
average
maximum
deviations
implant
angles,
indicating
increased
potential
ability
reduce
risk
postoperative
complications.
Conclusions.
emphasizes
integrating
technologies
into
orthopedic
surgery,
particularly
arthroplasty
procedures,
contributing
more
efficient
safe
techniques.
Robotic-assisted
hip
and
knee
arthroplasty
represents
significant
advancements
in
orthopedic
surgery.
Artificial
intelligence
(AI)
-
driven
chatbots,
such
ChatGP,
plays
a
role
healthcare
education.
This
study
aims
to
evaluate
the
quality
of
responses
provided
by
ChatGPT
top
20
questions
concerning
robotic-assisted
arthroplasty.We
have
asked
select
on
Google
robotic
provide
detailed
answer
each
them.
The
accuracy
information
were
examined
three
surgeons
with
scientific
clinical
experience
replacement
was
assessed
through
5-point
Likert
scale
(from
1
–
completely
incorrect
5
correct);
completeness
4-point
0
comprehensiveness
not
assessable
for
answers
3
exhaustive
information)
two
different
occasions
ensure
consistency
assessment.
Our
analysis
reveals
that
provides
relatively
high
degree
accuracy,
moreover
explanations
can
be
considered
satisfy,
especially
factual
questions.
findings
suggest
serve
as
valuable
initial
resource
general
but
integration
human
expertise
remains
essential.