How will digitalisation affect patient treatment in arthroplasty? Part I: Intraoperative aspects

Graichen, Heiko; Lekkreusuwan, Kreangsak; Scior, Wolfgang

doi:10.1016/j.jor.2019.12.013

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…There is a growing involvement of computer technology in orthopaedic surgery. 66 The use of computer assistance in TKA is an example of an initiative to augment human decision-making and surgical handicraft with artificial intelligence. The advancement of computer assistance in orthopaedic surgery should be supported.…”

Section: Resultsmentioning

confidence: 99%

Knee Prosthesis in the Computer Era

Sezer

Bohu

Hardy

et al. 2021

Orthopaedic Surgery

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Over the past two decades, computer assistance has revolutionalized surgery and has enabled enormous advancements in knee prosthesis surgery. Total knee arthroplasty (TKA) is a hot topic of orthopaedic research. Reflecting population dynamics, its use continues to increase, especially in high demand populations. Therefore, efforts to achieve the best fit and precise alignment in TKA continue. Computer assistance is valuable for knee prosthesis surgeons in this regard. This manuscript investigated the use of computer assistance in knee prosthesis surgery. The effects of computer use on important facets of knee prosthesis surgery, such as precision, clinical aspects, and costs, were examined. Moreover, an overall review of the recent literature on the navigation and personalized cutting guides was conducted.

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Section: Resultsmentioning

confidence: 99%

Knee Prosthesis in the Computer Era

Sezer

Bohu

Hardy

et al. 2021

Orthopaedic Surgery

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“…The variability of the operation was also decreased with SPM® ( 13 ). In primary total knee arthroplasty the mean surgical time could be reduced by around 10%–20% by using SPM® ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

Standardized digital solution with surgical procedure manager (SPM®)—an opportunity for maximizing patient safety and efficiency in ileostomy reversal?

Strobel,

Schineis,

Lasierra Viguri

et al. 2023

Front. Surg.

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BackgroundStandardization and digitalization are getting more and more essential in surgery. Surgical procedure manager (SPM®) is a freestanding computer serving as a digital supporter in the operating room. SPM® navigates step-by-step through surgery by providing a checklist for each individual step.MethodsThis was a single center, retrospective study at the Department for General and Visceral Surgery at Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin. Patients who underwent ileostomy reversal without SPM® in the period of January 2017 until December 2017 were compared to patients who were operated with SPM® in the period of June 2018 until July 2020. Explorative analysis and multiple logistic regression were performed.ResultsOverall, 214 patients underwent ileostomy reversal: 95 patients without SPM® vs. 119 patients with SPM®. Ileostomy reversal was performed by head of department/attendings in 34.1%, by fellows in 28.5% and by residents in 37.4%; p = 0.91. Postoperative intraabdominal abscess emerged more often in patients without SPM®: ten (10.5%) patients vs. four (3.4%) patients; p = 0.035. Multiple logistic regression showed a risk reduction for intraabdominal abscess {Odds ratio (OR) 0.19 [95% confidence interval (CI) 0.05–0.71]; p = 0.014} and for bowel perforation [OR 0.09 (95% CI 0.01–0.93); p = 0.043] in the group with use of SPM® in ileostomy reversal.ConclusionsSPM® may reduce postoperative complications in ileostomy reversal such as intraabdominal abscess and bowel perforation. SPM® may contribute to patient safety.

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“…Haptic navigation systems are passive, synergistic, surgeon-guided, and augment manual movement along a planned trajectory using “virtual fixtures” to improve outcomes. For example, quantitative TKA surgery is performed with advanced soft tissue balancing in real-time with the use of a navigation system to visualize, plan and control all the cutting steps and their effects on soft tissue ( 50 ).…”

Section: Methodsmentioning

confidence: 99%

Digitalization in orthopaedics: a narrative review

Youssef,

De Wet,

Back

et al. 2024

Front. Surg.

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Advances in technology and digital tools like the Internet of Things (IoT), artificial intelligence (AI), and sensors are shaping the field of orthopaedic surgery on all levels, from patient care to research and facilitation of logistic processes. Especially the COVID-19 pandemic, with the associated contact restrictions was an accelerator for the development and introduction of telemedical applications and digital alternatives to classical in-person patient care. Digital applications already used in orthopaedic surgery include telemedical support, online video consultations, monitoring of patients using wearables, smart devices, surgical navigation, robotic-assisted surgery, and applications of artificial intelligence in forms of medical image processing, three-dimensional (3D)-modelling, and simulations. In addition to that immersive technologies like virtual, augmented, and mixed reality are increasingly used in training but also rehabilitative and surgical settings. Digital advances can therefore increase the accessibility, efficiency and capabilities of orthopaedic services and facilitate more data-driven, personalized patient care, strengthening the self-responsibility of patients and supporting interdisciplinary healthcare providers to offer for the optimal care for their patients.

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How will digitalisation affect patient treatment in arthroplasty? Part I: Intraoperative aspects

Cited by 8 publications

References 23 publications

Knee Prosthesis in the Computer Era

Knee Prosthesis in the Computer Era

Standardized digital solution with surgical procedure manager (SPM®)—an opportunity for maximizing patient safety and efficiency in ileostomy reversal?

Digitalization in orthopaedics: a narrative review

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