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Artificial intelligence awareness and perceptions among pediatric orthopedic surgeons:A cross-sectional observational study

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World Journal of orthopedics 2024年第11期15卷 1023-1035页

作者： Ammar K Alomran Mohammed F Alomar Ali A Akhdher Ali R Al Qanber Ahmad K Albik Arwa Alumran Ahmed H Abdulwahab Department of Orthopedic College of MedicineImam Abdulrahman Bin Faisal UniversityDammam 31441EasternSaudi Arabia College of Medicine Imam Abdulrahman Bin Faisal UniversityDammam 31441EasternSaudi Arabia Department of Health Information Management and Technology Imam Abdulrahman Bin Faisal UniversityDammam 34212EasternSaudi Arabia

BACKGROUND Artificial intelligence(AI)is a branch of computer science that allows machines to analyze large datasets,learn from patterns,and perform tasks that would otherwise require human intelligence and *** is an emerging tool in pediatric orthopedic surgery,with various promising *** evaluation of the current awareness and perceptions among pediatric orthopedic surgeons is necessary to facilitate AI utilization and highlight possible areas of *** To assess the awareness and perceptions of AI among pediatric orthopedic *** This cross-sectional observational study was conducted using a structured questionnaire designed using QuestionPro online survey software to collect quantitative and qualitative *** hundred and twenty-eight pediatric orthopedic surgeons affiliated with two groups:pediatric Orthopedic Chapter of Saudi orthopedics Association and Middle East pediatric Orthopedic Society in Gulf Cooperation Council Countries were *** The pediatric orthopedic surgeons surveyed had a low level of familiarity with AI,with more than 60%of respondents rating themselves as being slightly familiar or not at all *** most positively rated aspect of AI applications for pediatric orthopedic surgery was their ability to save time and enhance productivity,with 61.97%agreeing or strongly agreeing,and only 4.23%disagreeing or strongly *** participants also placed a high priority on patient privacy and data security,with over 90%rating them as quite important or highly *** bivariate analyses suggested that physicians with a higher awareness of AI also have a more positive *** Our study highlights a lack of familiarity among pediatric orthopedic surgeons towards AI,and suggests a need for enhanced education and regulatory frameworks to ensure the safe adoption of AI.

关键词： Artificial intelligence pediatric orthopedics Surgeon awareness Data security Patient privacy Healthcare technology Medical education Orthopedic surgery

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Neglected congenital bilateral knee dislocation treated by quadricepsplasty with semitendinosus and sartorius transfer:A case report

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World Journal of orthopedics 2024年第8期15卷 807-812页

作者： Osama M Qasim Abdulaziz A Abdulaziz Nibras K Aljabri Khalid S Albaqami Rayan M Suqaty College of Medicine Umm Al-Qura UniversityMecca 21955Makkah al MukarramahSaudi Arabia Department of Orthopedic King Faisal Medical Complex TaifTaif 26514TaifSaudi Arabia Department of Orthopedic Alnoor Specialist HospitalMecca 24241Makkah al MukarramahSaudi Arabia

BACKGROUND Congenital knee dislocation(CKD)is a rare condition,which accounts for 1%of congenital hip *** can present as an isolated condition or coexist with other genetic *** options include serial casting,percutaneous quadriceps recession,and V-Y quadricepsplasty(VYQ).The pathogenesis and hereditary patterns of CKD are not fully understood,with most cases being *** is usually managed immediately after ***,in this report,the patient was neglected for 2 *** SUMMARY A 2-year-old girl with bilateral CKD after birth presented to our hospital after failed serial casting;the patient had seizures and limited access to healthcare because of her family’s low socioeconomic *** birth was noted for a breech presentation accompanied by *** delivery took a long time,requiring immediate medical *** an infant,she had chronic diseases,including a small patent ductus arteriole,multicystic dysplastic kidney disease,and *** was found to have a bilateral knee dislocation of approximately-90°on hyperextension.A multidisciplinary team was involved,and medical care was *** underwent VYQ plus semitendinosus and sartorius *** four postoperative follow-ups,her knees were regaining mobility,and she could walk for 2-3 steps without *** This report highlights the importance of early intervention and recommends extensive studies of the management in similar cases.

关键词： Knee dislocation Congenital knee dislocation V-Y quadricepsplasty Neglect Neglected knee dislocation pediatric orthopedics Case report

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Newborn Hip Screenings at 4 to 8 Weeks Are Optimal in Predicting Referral and Treatment Outcomes: A Retrospective Review

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Open Journal of pediatrics 2020年第2期10卷 332-346页

作者： Eric C. Lussier Wei-Te Lei Yi-Ting Sun Hui-Wen Chen Tung-Yao Chang Chia-Hsieh Chang Taiji Clinic Taiwan Department of pediatrics Hsinchu MacKay Memorial Hospital Taiwan Graduate Institute of Clinical Medical Sciences College of Medicine Chang Gung University Taiwan Taipei Tzu Chi Hospital Buddhist Tzu Chi Medical Foundation Taiwan Taiwan Adventist Hospital Taiwan Chang Gung Memorial Hospital Taiwan

Optimal DDH screening timing and whether adding risk profiles could aid in detecting treatment outcome were investigated. Risk factors were employed to supplement ultrasound findings in flagging cases for follow-up. Initial screening results and harness treatment outcomes concordance were compared at different screening ages and screening protocols. Using clinical decision to supplement ultrasound screening allowed to accurately flag all 12 DDH treated cases upon initial visit. Clinical decision correctly identified cases that would have otherwise been missed (n = 2). However, doing so increased the rate of false positive cases at all time points of initial screening. Initial screens were more accurate for predicting treatment outcomes when using ultrasound only if done after 28 days [≤28 days (88.1%) vs. 29 - 56 days (98.5%), OR = 7.16, p < 0.001] or ultrasound with clinical decision [≤28 days (86.4%) vs. 29 - 56 days (95.7%), OR = 3.00, p < 0.001]. In contrast, screening after 56 days failed to marginally improve accuracy compared to screens done between 29 - 56 days, regardless of the screening protocol employed. Two important trade-offs emerged. First, when choosing timing of initial screening, optimal accuracy and harness treatment schedule should both be considered. Second, when considering whether to use a more conservative risk profile to supplement ultrasound findings, treatment accuracy and the ability to efficiently detect cases requiring harness treatment should both be considered. We provide evidence for performing an initial DDH ultrasound screen between 4 and 8 weeks (29 - 56 days), while employing clinical decision to aid in determining cases that require further follow-up evaluation.

关键词： DDH Graf Classification pediatric orthopedics Ultrasound Screening

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