Anterior Percutaneous-Assisted Total Hip Arthroplasty: Surgical Technique and Early Outcomes

Lawson, Kevin A.; Ayala, Alfonso E.; Larkin, Kevin; Seidel, Matthew J

doi:10.1016/j.artd.2020.07.030

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…The chatbot correctly identified the typical duration of a THA procedure as well as the possible variance as a result of surgical techniques [5][6][7][8][9] , surgeon experience [10][11][12][13][14] , and patient characteristics. For instance, operative time is significantly affected by patient body mass index [13][14][15][16] .…”

Section: Analysis: Unsatisfactory Requiring Substantial Clarificationmentioning

confidence: 99%

Assessing ChatGPT Responses to Common Patient Questions Regarding Total Hip Arthroplasty

Mika

Martin

Engstrom

et al. 2023

Journal of Bone and Joint Surgery

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Background: The contemporary patient has access to numerous resources on common orthopaedic procedures before ever presenting for a clinical evaluation. Recently, artificial intelligence (AI)-driven chatbots have become mainstream, allowing patients to engage with interfaces that supply convincing, human-like responses to prompts. ChatGPT (OpenAI), a recently developed AI-based chat technology, is one such application that has garnered rapid growth in popularity. Given the likelihood that patients may soon call on this technology for preoperative education, we sought to determine whether ChatGPT could appropriately answer frequently asked questions regarding total hip arthroplasty (THA). Methods: Ten frequently asked questions regarding total hip arthroplasty were posed to the chatbot during a conversation thread, with no follow-up questions or repetition. Each response was analyzed for accuracy with use of an evidence-based approach. Responses were rated as “excellent response not requiring clarification,” “satisfactory requiring minimal clarification,” “satisfactory requiring moderate clarification,” or “unsatisfactory requiring substantial clarification.” Results: Of the responses given by the chatbot, only 1 received an “unsatisfactory” rating; 2 did not require any correction, and the majority required either minimal (4 of 10) or moderate (3 of 10) clarification. Although several responses required nuanced clarification, the chatbot’s responses were generally unbiased and evidence-based, even for controversial topics. Conclusions: The chatbot effectively provided evidence-based responses to questions commonly asked by patients prior to THA. The chatbot presented information in a way that most patients would be able to understand. This resource may serve as a valuable clinical tool for patient education and understanding prior to orthopaedic consultation in the future.

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Section: Analysis: Unsatisfactory Requiring Substantial Clarificationmentioning

confidence: 99%

Assessing ChatGPT Responses to Common Patient Questions Regarding Total Hip Arthroplasty

Mika

Martin

Engstrom

et al. 2023

Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

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“…In addition, the challenging access to the acetabulum and femur requires special retractors, radiography, and offset reamers, leading to inconsistent outcomes among surgeons. 1,3,5,6…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the challenging access to the acetabulum and femur requires special retractors, radiography, and offset reamers, leading to inconsistent outcomes among surgeons. 1,3,5,6 The direct superior approach (DSA) is a muscle-sparing MIS hip posterior approach that spares the iliotibial band and diminishes the damage to short external rotators (SER). 1 It offers an excellent view of the acetabulum and femur, even for dysplastic hips or obese patients.…”

Section: Introductionmentioning

confidence: 99%

Earlier functional recovery and discharge from hospital for THA patients operated on via direct superior compared to standard posterior approach: a retrospective frequency-matched case-control study

et al. 2022

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Background: The direct superior hip approach (DSA) has been less researched than other approaches in the literature. We retrospectively compared the early postoperative and functional outcomes of patients with hip osteoarthritis undergoing total hip arthroplasty (THA) via DSA with a matched control group using a standard posterior approach (SPA). Methods: The DSA group comprised 100 THAs performed via DSA by a senior surgeon between January 2018 and May 2019. Patients with primary osteoarthritis and ASA score ⩽3 who were eligible for surgery were included. The DSA group was compared to a matched cohort of 100 patients operated on with a SPA in the same period by another chief surgeon. Patients were matched for age, sex, and ASA score. All patients received the same postoperative chemoprophylaxis, pain management and physiotherapy. 2 independent attending arthroplasty surgeons assessed the incision length, operative time, blood loss, hospital stay, and complications. VAS, HHS, and HOOS scores were also evaluated for a year postoperatively. Results: Mean incision length and hospital stay were significantly lower in the DSA group. DSA patients had non-significantly lower intraoperative blood loss, transfusion needs, and postoperative pain than SPA patients. Mean operation time and complication rate did not differ between groups. The DSA group demonstrated significantly greater functional scores than the SPA group at the first postoperative month. No differences in scores were recorded following the third month. Conclusions: The DSA approach may provide earlier functional recovery and hospital discharge for THA patients compared with SPA. DSA was equivalent to SPA concerning pain and blood loss, showing minimal complication rates.

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Anterior Percutaneous-Assisted Total Hip Arthroplasty: Surgical Technique and Early Outcomes

Cited by 2 publications

References 28 publications

Assessing ChatGPT Responses to Common Patient Questions Regarding Total Hip Arthroplasty

Assessing ChatGPT Responses to Common Patient Questions Regarding Total Hip Arthroplasty

Earlier functional recovery and discharge from hospital for THA patients operated on via direct superior compared to standard posterior approach: a retrospective frequency-matched case-control study

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