Application of artificial intelligence-based three dimensional digital reconstruction technology in precision treatment of complex total hip arthroplasty.

IF 2.6 3区 医学 Q2 ORTHOPEDICS
International Orthopaedics Pub Date : 2025-08-01 Epub Date: 2025-05-10 DOI:10.1007/s00264-025-06539-8
Qiang Zheng, Hongjiang She, Yifu Zhang, Peiwen Zhao, Xingyu Liu, Bingyan Xiang
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引用次数: 0

Abstract

Purpose: To evaluate the predictive ability of AI HIP in determining the size and position of prostheses during complex total hip arthroplasty (THA). Additionally, it investigates the factors influencing the accuracy of preoperative planning predictions.

Methods: From April 2021 to December 2023, patients with complex hip joint diseases were divided into the AI preoperative planning group (n = 29) and the X-ray preoperative planning group (n = 27). Postoperative X-rays were used to measure acetabular anteversion angle, abduction angle, tip-to-sternum distance, intraoperative duration, blood loss, planning time, postoperative Harris Hip Scores (at 2 weeks, 3 months, and 6 months), and visual analogue scale (VAS) pain scores (at 2 weeks and at final follow-up) to analyze clinical outcomes.

Results: On the acetabular side, the accuracy of AI preoperative planning was higher compared to X-ray preoperative planning (75.9% vs. 44.4%, P = 0.016). On the femoral side, AI preoperative planning also showed higher accuracy compared to X-ray preoperative planning (85.2% vs. 59.3%, P = 0.033). The AI preoperative planning group showed superior outcomes in terms of reducing bilateral leg length discrepancy (LLD), decreasing operative time and intraoperative blood loss, early postoperative recovery, and pain control compared to the X-ray preoperative planning group (P < 0.05). No significant differences were observed between the groups regarding bilateral femoral offset (FO) differences, bilateral combined offset (CO) differences, abduction angle, anteversion angle, or tip-to-sternum distance. Factors such as gender, age, affected side, comorbidities, body mass index (BMI) classification, bone mineral density did not affect the prediction accuracy of AI HIP preoperative planning.

Conclusion: Artificial intelligence-based 3D planning can be effectively utilized for preoperative planning in complex THA. Compared to X-ray templating, AI demonstrates superior accuracy in prosthesis measurement and provides significant clinical benefits, particularly in early postoperative recovery.

基于人工智能的三维数字重建技术在复杂全髋关节置换术精准治疗中的应用。
目的:评价人工智能髋关节在复杂全髋关节置换术(THA)中确定假体大小和位置的预测能力。此外,研究了影响术前计划预测准确性的因素。方法:2021年4月至2023年12月,将复杂髋关节疾病患者分为AI术前计划组(n = 29)和x线术前计划组(n = 27)。术后x线测量髋臼前倾角、外展角、尖端到胸骨距离、术中持续时间、出血量、计划时间、术后Harris髋关节评分(2周、3个月和6个月)和视觉模拟评分(VAS)疼痛评分(2周和最终随访),分析临床结果。结果:在髋臼侧,人工智能术前规划准确率高于x线术前规划(75.9% vs. 44.4%, P = 0.016)。在股侧,AI术前规划准确率也高于x线术前规划(85.2% vs. 59.3%, P = 0.033)。人工智能术前规划组在减少双侧腿长差异(LLD)、减少手术时间及术中出血量、术后早期恢复、疼痛控制等方面均优于x线术前规划组(P)。结论:基于人工智能的三维规划可有效应用于复杂THA的术前规划。与x射线模板相比,人工智能在假体测量方面表现出更高的准确性,并提供了显著的临床效益,特别是在术后早期恢复方面。
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来源期刊
International Orthopaedics
International Orthopaedics 医学-整形外科
CiteScore
5.50
自引率
7.40%
发文量
360
审稿时长
1 months
期刊介绍: International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.
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