Publications by authors named "Yasunori Toki"

Introduction: Surgical site infection (SSI) is one of the most serious postoperative complications following instrumented spinal surgery. We previously reported the potential of continuous local antibiotic perfusion (CLAP) to retain implants for patients with SSI following instrumented spinal surgery. We conducted a retrospective multicenter study to elucidate the efficacy and limitations of CLAP for patients with SSI following instrumented spinal surgery.

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Article Synopsis
  • This study evaluates how integrating Retrieval Augmented Generation (RAG) with large language models (LLMs), like OpenAI's GPT-3.5, can improve the triage process in emergency medical care.
  • Researchers created 100 simulated emergency scenarios to test the triage accuracy of RAG-enhanced LLMs against emergency medical technicians (EMTs) and physicians, finding the LLMs achieved a 70% correct triage rate compared to 35% and 50%, respectively.
  • The results suggest that using RAG with LLMs can significantly reduce under-triage rates and improve the consistency of emergency medical assessments, indicating the need for further testing in real-life settings.
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Background: Precise implant alignment is a crucial prognostic factor in total knee arthroplasty (TKA). Portable navigation systems (PN-TKA) were reported to be better than the conventional technique (CON-TKA). We hypothesized that PN-TKA offered greater radiologic precision than CON-TKA in mechanically aligning components.

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Background: Several studies have reported regarding total hip arthroplasty (THA) for osteonecrosis of the femoral head after failed transtrochanteric rotational osteotomy (TRO). However, to our knowledge, no formal systematic review and meta-analysis have been published yet summarizing the clinical results of a THA after failed TRO. Therefore, we conducted a systematic review and meta-analysis of the THA outcomes after failed TRO.

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  • An 11-year-old boy experienced a traumatic rupture at the tibial tuberosity without any accompanying fracture, leading to a specific surgical approach.
  • The surgery involved primary repair with stainless steel wires, and after three months of recovery, the boy had satisfactory knee function, suggesting this technique could be a viable treatment option.
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