1. Efficacy of an artificial intelligence preoperative planning system for assisting in revision surgery after artificial total hip arthroplasty
- Author
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Jiaqing Zhu, Shanbin Zheng, Jiahao Sun, Bowen Ma, Chiyu Zhang, Chao Zhang, Jirong Shen, and Tianwei Xia
- Subjects
Artificial intelligence ,Preoperative planning ,Total hip arthroplasty ,Revision surgery ,Surgery ,RD1-811 - Abstract
Abstract Objective To explore the early efficacy of an artificial intelligence preoperative planning system (AIHIP system) for assisting in hip revision surgery. Methods The clinical data of 25 patients (26 hips) who underwent hip revision between June 2019 and December 2023 and who met the selection criteria were retrospectively analyzed. There were 13 males and 12 females; the ages ranged from 44 to 90 years, with a mean of 69.1 years. The patients' replacement of prosthesis model, operation time, hospitalization time, postoperative time out of bed, etc., as well as the occurrence of adverse events such as postoperative infection, fracture, and loosening of the prosthesis were recorded. The Harris Hip score (HHS) was used to evaluate the function of the affected limbs preoperatively, and 1 week and 6 months postoperatively, and hip mobility was compared preoperatively and 6 months postoperatively. Results All 25 patients were followed up for 6 to 59 months, with an average of 25.3 months. Except for one patient who developed a thigh hematoma (treated with incision and drainage and decompression) and hip dislocation in one hip (repaired), the remaining patients experienced no adverse events such as loosening of the prosthesis or infection. The postoperative acetabular cup type matching degree completely matched 25 hips, not matching 1 hip (+ 2 number), for a matching rate of 96.15%; the femoral stem type matching degree completely matched 25 hips, generally matching 1 hip (-1 number), for a matching rate of 100%. The Harris scores were 54.7 ± 9.6 and 89.6 ± 7.0 at 1 week and 6 months after surgery, respectively, which were significantly improved (P
- Published
- 2025
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