The Impact of Cultural Dimensions of Clinicians on the Adoption of Artificial Intelligence in Healthcare.

Introduction: Healthcare is probably the last frontier that Artificial Intelligence (AI) has not conquered. Cultural factors significantly impact the way healthcare is accessed and delivered. Affordability, educational and social status, physician training, lack of physician talent in difficult to serve areas all contribute to this.

Medial patellofemoral ligament reconstruction in patellar instability.

Background: Medial patellofemoral ligament (MPFL) is one of the major static medial stabilising structures of the patella. MPFL is most often damaged in patients with patellar instability. Reconstruction of MPFL is becoming a common surgical procedure in treating patellar instability.

Clinical anatomy of vertebrae in scoliosis: global analysis in four different diseases by multiplanar reconstructive computed tomography.

Background Context: Few accurate analyses of clinically useful vertebral anatomy have been conducted, and most have focused on thoracic idiopathic scoliosis.

Purpose: To evaluate the different anatomic characteristics in scoliosis by disease type and level.

Study Design: Observational cohort study.

Complications and outcome of tibial lengthening using the Ilizarov method with or without a supplementary intramedullary nail: a case-matched comparative study.

We compared the complications and outcome of tibial lengthening using the Ilizarov method with and without the use of a supplementary intramedullary nail. In a retrospective case-matched series assembled from 176 patients with tibial lengthening, we matched 52 patients (26 pairs, group A with nail and group B without) according to the following criteria in order of importance: 1) difference in amount of lengthening (± 2 cm); 2) percentage difference in lengthening (± 5%); 3) difference in patient's age (± seven years); 4) aetiology of the shortening, and 5) level of difficulty in obtaining the correction. The outcome was evaluated using the external fixator index, the healing index and an outcome score according to the criteria of Paley.

Comparative study of callus progression in limb lengthening with or without intramedullary nail with reference to the pixel value ratio and the Ru Li's classification.

Introduction: Callus progression is a great concern during limb lengthening. In this study, we investigated the difference in callus progression between tibial lengthenings with and without intramedullary nail.

Method: Seventy tibiae in 38 patients with an average age of 24 years were lengthened with Ilizarov external fixator and nail; 56 tibiae in 40 patients with an average age of 28.

Evaluation of the three-dimensional deformities in scoliosis surgery with computed tomography: efficacy and relationship with clinical outcomes.

Study Design: Prospective radiological and clinical study with scoliosis patients.

Objective: To determine the pre- and postoperative differences in the three-dimensional (3D) parameters and relationships with the outcome in scoliosis surgery.

Summary Of Background Data: Despite a proven important role of the 3D deformities in scoliosis, it is warranted to confirm the efficacy of these measurements, which carry a cost burden and radiation hazard.

Does lateral vertebral translation correspond to Cobb angle and relate in the same way to axial vertebral rotation and rib hump index? A radiographic analysis on idiopathic scoliosis.

The deformity in idiopathic scoliosis (IS) is three dimensional in nature and effective correction involves all three planes. Even though the vertebral translation (VT) is an accepted element in the deformity along with vertebral rotation(VR) as reported by Asher and Cook (Spine (Phila Pa 1976) 20(12):1386-1391, 1995), Kotwicki et al. (Study Health Technol Inf 123:164-168, 2006) and Kotwicki and Napiontek (Pediatr Orthop 28(2):225-229, 2008), rib hump (rib hump index (RI)) and Cobb angle as reported by Aaro and Dahlborn (Spine (Phila Pa 1976) 6(6):567-572, 1981), it was assumed that VT was represented by adequately by Cobb angle and it was not analysed individually.

Comparison of bone age delay and recovery in Meyer dysplasia and Legg-Calvé-Perthes disease: a pilot study.

Background: Meyer dysplasia (MD) is a rare disease but readily mistaken for Legg-Calvé-Perthes disease (LCPD). Although most published studies on MD have characterized and differentiated it from LCPD radiologically and clinically, differences with regard to bone age delay and recovery have not been sought. We deemed it necessary to distinguish bone age delay and recovery patterns between the two entities for better differentiation, prognostication, and parental advice.