ArticleJournal of orthopaedic surgery and research2025
AI-assisted 3D versus conventional 2D preoperative planning in total hip arthroplasty for Crowe type II-IV high hip dislocation: a two-year retrospective study.
Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Artificial Intelligence in Arthroplasty: A Comprehensive Structured Critical Review and Descriptive Evidence Map of Validation, Uncertainty, and Workflow Integration.Bioengineering (Basel, Switzerland) · 2026Review
- Accuracy and risk factors for poor cup orientation in total hip arthroplasty: a comparison between supine and lateral registration using a portable navigation system.Archives of orthopaedic and trauma surgery · 2026Article
- Three-dimensional and artificial intelligence-assisted preoperative templating in total hip arthroplasty: a systematic review and meta-analysis.Arthroplasty (London, England) · 2026Review
- Development and Application of Automated Preoperative Planning System for Developmental Dysplasia of the Hip via Keypoint Selective Integration.Journal of imaging informatics in medicine · 2026Article
- A two-stage deep-learning model using MobileNetV2 and U-Net for CT-based muscle volume assessment in total hip arthroplasty.Scientific reports · 2026Article
- AI-assisted preoperative planning improves component sizing accuracy in Oxford unicompartmental knee arthroplasty: a retrospective cohort study with 24-month follow-up.Journal of orthopaedic surgery and research · 2026Article
- Robot-assisted total hip arthroplasty (THA) was associated with a shorter learning curve, greater implant accuracy, and reduced team stress than conventional THA when performed by a junior surgeon: a comparative study.Journal of robotic surgery · 2026Article
- Artificial Intelligence Applications in Implant Positioning, Dislocation Risk Prediction, and Surgical Indications in Orthopaedic Surgery.Bioengineering (Basel, Switzerland) · 2026Review
- CT-based 3D planning-supported stem-free screw-cement augmentation versus 2D radiograph-planned short-stem reconstruction for AORI type I-II medial tibial defects in TKA: a two-year retrospective study.Journal of orthopaedic surgery and research · 2026Article
- Research Trends on Perioperative Complications of Knee Replacement: A Bibliometric Analysis.Clinics in orthopedic surgery · 2026Review
- Artificial Intelligence in Orthopaedics: Clinical Performance, Limitations, and Translational Readiness-A Review.Journal of clinical medicine · 2026Review
- [Advances in application of digital orthopedic technology in total hip arthroplasty for developmental dysplasia of hip].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Review
- From de-skilling to up-skilling: How artificial intelligence will augment the modern physician.Journal of experimental orthopaedics · 2026Review
- AI-assisted 3D preoperative planning in primary total hip arthroplasty for secondary hip osteoarthritis: etiology-specific perioperative burden and early recovery in DDH versus post-septic sequelae.Frontiers in medicine · 2026Article
- Development of a Deep Learning Model for Hip Arthroplasty Templating Using Anteroposterior Hip Radiograph.Journal of clinical medicine · 2025Article
- Severity-dependent benefits of AI-assisted 3D planning in total hip arthroplasty: a Crowe I-IV subgroup and trend analysis.BMC musculoskeletal disorders · 2025Article
- 3D-printed hip prostheses with regenerative integration: a state-of-the-art comprehensive review.Frontiers in bioengineering and biotechnology · 2025Review
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundWith the growing complexity of total hip arthroplasty (THA) for high hip dislocation (HHD), artificial intelligence (AI)-assisted three-dimensional (3D) preoperative planning has emerged as a promising tool to enhance surgical accuracy. This study compared clinical outcomes of AI-assisted 3D versus conventional two-dimensional (2D) X-ray preoperative planning in such cases.
methodsA retrospective cohort of 92 patients with Crowe type II-IV HHD who underwent THA between May 2020 and January 2023 was analyzed. Patients received either AI-assisted 3D preoperative planning (n = 49) or 2D X-ray preoperative planning (n = 43). The primary outcome was the accuracy of implant size prediction. Secondary outcomes included operative time, blood loss, leg length discrepancy (LLD), implant positioning, functional scores (Harris Hip Score [HHS], WOMAC, VAS), complications, and implant survival at 24 months.
resultsAt 24 months, both groups demonstrated significant improvements in functional outcomes. Compared to the 2D X-ray group, the AI-3D group showed higher accuracy in implant size prediction (acetabular cup: 59.18% vs. 30.23%; femoral stem: 65.31% vs. 41.86%; both p < 0.05), a greater proportion of cups placed within the Lewinnek and Callanan safe zones (p < 0.05), shorter operative time, reduced intraoperative blood loss, and more effective correction of leg length discrepancy (all p < 0.05). No significant differences were observed in HHS, WOMAC, or VAS scores between groups at 24 months (all p > 0.05). Implant survivorship was also comparable (100% vs. 97.7%; p = 0.283), with one revision noted in the 2D X-ray group.
conclusionAI-assisted 3D preoperative planning improves prosthesis selection accuracy, implant positioning, and perioperative outcomes in Crowe type II-IV HHD THA, although 2-year functional and survival outcomes were comparable to 2D X-ray preoperative planning. Considering the higher cost, radiation exposure, and workflow complexity, its broader application warrants further investigation, particularly in identifying patients who may benefit most.
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