Predictive value of the hospital frailty risk score in perioperative complications of artificial hip and knee arthroplasty in elderly patients DOI
Li Yang, Yujie Li, Chuanchuan Zhuo

и другие.

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.

Язык: Английский

The Future of Artificial Intelligence in Surgery DOI Open Access

Allan J. Hamilton

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Июль 2, 2024

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.

Язык: Английский

Процитировано

6

Microsurgery Robots: Applications, Design, and Development DOI Creative Commons
Tiexin Wang, Haoyu Li,

Tanhong Pu

и другие.

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.

Язык: Английский

Процитировано

15

Augmented reality-assisted versus conventional total hip arthroplasty: a systematic review and meta-analysis DOI Creative Commons
Shilong Su, Ruideng Wang, Zhengyang Chen

и другие.

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.

Язык: Английский

Процитировано

12

Artificial Intelligence in Commercial Industry: Serving the End-to-End Patient Experience Across the Digital Ecosystem DOI

Michael J. Ormond,

Eric H Garling,

J. Woo

и другие.

Arthroscopy The Journal of Arthroscopic and Related Surgery, Год журнала: 2025, Номер unknown

Опубликована: Фев. 1, 2025

Язык: Английский

Процитировано

0

Optimizing Acetabular Positioning: A Comprehensive Review of Contemporary Strategies in Total Hip Arthroplasty DOI Open Access

Tarun Teja,

Sandeep Shrivastava, Abhishek Choudhary

и другие.

Cureus, Год журнала: 2024, Номер unknown

Опубликована: Апрель 26, 2024

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.

Язык: Английский

Процитировано

1

Evaluation of the Quality of ChatGPT’s Responses to Top 20 Questions about Robotic Hip and Knee Arthroplasty: Findings, Perspectives and Critical Remarks on Healthcare Education DOI Open Access
Michele Venosa, Vittorio Calvisi,

Giulio Iademarco

и другие.

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.

Язык: Английский

Процитировано

1

Deep Learning: Orthopaedic Research Evolves for the Future DOI
Michael J. Taunton,

Steve S. Liu,

Michael A. Mont

и другие.

The Journal of Arthroplasty, Год журнала: 2023, Номер 38(10), С. 1919 - 1920

Опубликована: Сен. 19, 2023

Язык: Английский

Процитировано

2

Mixed Reality and Artificial Intelligence: A Holistic Approach to Multimodal Visualization and Extended Interaction in Knee Osteotomy DOI Creative Commons
Andrea Moglia, Luca Marsilio, Matteo Rossi

и другие.

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.

Язык: Английский

Процитировано

2

Integration of Mixed Reality Technologies into the Hip Joint Arthroplasty Technique DOI Creative Commons
Oleksandr Zubkov,

Victor Torchynskyi

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.

Язык: Английский

Процитировано

0

Evaluation of the Quality of ChatGPT’s Responses to Top 20 Questions about Robotic Hip and Knee Arthroplasty: Findings, Perspectives and Critical Remark on Healthcare Education DOI Open Access
Michele Venosa, Vittorio Calvisi,

Giulio Iademarco

и другие.

Опубликована: Июнь 24, 2024

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.

Язык: Английский

Процитировано

0