Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy

Hernigou, Philippe; Scarlat, Marius M.

doi:10.1007/s00264-021-05191-2

Cited by 7 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The use of artificial intelligence (AI) methodologies for various applications in orthopaedic foot and ankle surgery is growing. 3,[7][8][9][10]24 ChatGPT (Generative Pretrained Transformer) (Open AI, San Francisco, CA) was launched by OpenAI on November 30, 2022, and is a generative language model tool with the capacity to enable the public to converse with an AI network utilizing a text-based platform. Early in 2023, ChatGPT was the fastest-growing consumer application to date, reaching more than 100 million users.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Quality and Usability of Artificial Intelligence–Generated Responses to Common Patient Questions in Foot and Ankle Surgery

Anastasio,

Mills,

Karavan

et al. 2023

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

Background: Artificial intelligence (AI) platforms, such as ChatGPT, have become increasingly popular outlets for the consumption and distribution of health care–related advice. Because of a lack of regulation and oversight, the reliability of health care–related responses has become a topic of controversy in the medical community. To date, no study has explored the quality of AI-derived information as it relates to common foot and ankle pathologies. This study aims to assess the quality and educational benefit of ChatGPT responses to common foot and ankle–related questions. Methods: ChatGPT was asked a series of 5 questions, including “What is the optimal treatment for ankle arthritis?” “How should I decide on ankle arthroplasty versus ankle arthrodesis?” “Do I need surgery for Jones fracture?” “How can I prevent Charcot arthropathy?” and “Do I need to see a doctor for my ankle sprain?” Five responses (1 per each question) were included after applying the exclusion criteria. The content was graded using DISCERN (a well-validated informational analysis tool) and AIRM (a self-designed tool for exercise evaluation). Results: Health care professionals graded the ChatGPT-generated responses as bottom tier 4.5% of the time, middle tier 27.3% of the time, and top tier 68.2% of the time. Conclusion: Although ChatGPT and other related AI platforms have become a popular means for medical information distribution, the educational value of the AI-generated responses related to foot and ankle pathologies was variable. With 4.5% of responses receiving a bottom-tier rating, 27.3% of responses receiving a middle-tier rating, and 68.2% of responses receiving a top-tier rating, health care professionals should be aware of the high viewership of variable-quality content easily accessible on ChatGPT. Level of Evidence: Level III, cross sectional study.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluating the Quality and Usability of Artificial Intelligence–Generated Responses to Common Patient Questions in Foot and Ankle Surgery

Anastasio,

Mills,

Karavan

et al. 2023

Foot & Ankle Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Medical images are important for surgical robots as the surgery planning and intraoperative registration all depend on the medical images of the patient. Digital twin is the virtual analogy of the physical object, which can be used to simulate [16], analyze [17], and monitor the physical object [18]. It can be used in surgeries so as to facilitate the surgeons in preoperative planning or intraoperative surgery [19].…”

Section: Introduction 1background and Significancementioning

confidence: 99%

Virtual and Real Bidirectional Driving System for the Synchronization of Manipulations in Robotic Joint Surgeries

Qin

Lin

et al. 2022

Machines

View full text Add to dashboard Cite

Surgical robots are increasingly important in orthopedic surgeries to assist or replace surgeons in completing operations. During joint surgeries, the patient’s joint needs to be adjusted several times by the surgeon. Therefore, the virtual model, built on the preoperative medical images, cannot match the actual variation of the patient’s joint during the surgery. Conventional virtual reality techniques cannot fully satisfy the requirements of the joint surgeries. This paper proposes a real and virtual bidirectional driving method to synchronize the manipulations in both the real operation site and the virtual scene. The dynamic digital twin of the patient’s joint is obtained by decoupling the joint and dynamically updating its pose via the intraoperative measurements. During surgery, the surgeon can intuitively monitor the real-time position of the patient and the surgical tool through the system and can also manipulate the surgical robot in the virtual scene. In addition, the system can provide visual guidance to the surgeon when the patient’s joint is adjusted. A prototype system is developed for orthopedic surgeries. Proof-of-concept joint surgery demo is carried out to verify the effectiveness of the proposed method. Experimental results show that the proposed system can synchronize the manipulations in both the real operation site and the virtual scene, thus realizing the bidirectional driving.

show abstract

“…Total ankle arthroplasty (TAA) and ankle arthrodesis are the two primary surgical options for end‐stage ankle OA. The first TAA was performed in 1970 by Lord and Marrott in France, 11 and the results of the primary implantation are still unsatisfactory; it has a high failure and revision rate. The overhaul failure rate has been reported to be as high as 32.9%–42%, with a 5‐year revision rate of more than 20% and a 10‐year revision rate of more than 40% 12,13 .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Ilizarov Ankle Arthrodesis in the Treatment of End‐Stage Varus Ankle Osteoarthritis: A Retrospective Study

Wang

et al. 2022

Orthopaedic Surgery

View full text Add to dashboard Cite

Objective: To evaluate the outcomes of Ilizarov ankle arthrodesis in the treatment of end-stage varus ankle osteoarthritis (OA).Methods: This was a retrospective study of 63 patients with varus ankle OA who underwent Ilizarov ankle arthrodesis between June 2013 and December 2018. There were 24 males and 39 females with an average age of 56.57 AE 4.45 years (range, 47-64 years). Thirty-six cases were affected on the left side, and 27 were affected on the right side. The patients' mean body mass index (BMI) was 25.18 AE 2.93 kg/m 2 . According to the modified Takakura staging criteria, there were 18 cases of stage 3b (28.57%) and 45 cases of stage 4 (71.43%). Nine patients were primary (14.29%), 48 were traumatic (76.19%), and six were caused by rheumatoid OA (9.52%). Functional assessments were performed according to the American Orthopedic Foot and Ankle Society (AOFAS) ankle-hindfoot score, Ankle Osteoarthritis Scale (AOS), and visual analogue scale (VAS). The tibial anterior surface angle (TAS), coronal plane tibial-talar angle (CPT), talar tilt angle (TT), deformity angle (DA), and tibial lateral surface angle (TLS) were assessed on X-ray films. Results:The average operation time was 147.84 AE 13.67 min (range, 135-168 min). The average follow-up time was 34.24 AE 8.72 months (range, 24-61 months). Bony fusion was achieved in all ankles, and the fusion time was 12.43 AE 1.99 weeks on average. The average AOFAS score at the final follow-up increased from 42.14 AE 8.66 to 80.90 AE 6.80. The average VAS score and AOS pain and disability scores at the final follow-up decreased from 7.29

show abstract

Ankle and foot surgery: from arthrodesis to arthroplasty, three dimensional printing, sensors, artificial intelligence, machine learning technology, digital twins, and cell therapy

Cited by 7 publications

References 40 publications

Evaluating the Quality and Usability of Artificial Intelligence–Generated Responses to Common Patient Questions in Foot and Ankle Surgery

Evaluating the Quality and Usability of Artificial Intelligence–Generated Responses to Common Patient Questions in Foot and Ankle Surgery

Virtual and Real Bidirectional Driving System for the Synchronization of Manipulations in Robotic Joint Surgeries

Effectiveness of Ilizarov Ankle Arthrodesis in the Treatment of End‐Stage Varus Ankle Osteoarthritis: A Retrospective Study

Contact Info

Product

Resources

About