Background: The optimal management of distal radius fractures remains a challenge for orthopaedic surgeons. The emergence of Artificial Intelligence (AI) and Large Language Models (LLMs), especially ChatGPT, affords significant potential in improving healthcare and research. This study aims to assess the accuracy and consistency of ChatGPT's knowledge in managing distal radius fractures, with a focus on its capability to provide information for patients and assist in the decision-making processes of orthopaedic clinicians.
Methods: We presented ChatGPT with seven questions on distal radius fracture management over two sessions, resulting in 14 responses. These questions covered a range of topics, including patient inquiries and orthopaedic clinical decision-making. We requested references for each response and involved two orthopaedic registrars and two senior orthopaedic surgeons to evaluate response accuracy and consistency.
Results: All 14 responses contained a mix of both correct and incorrect information. Among the 47 cited references, 13% were accurate, 28% appeared to be fabricated, 57% were incorrect, and 2% were correct but deemed inappropriate. Consistency was observed in 71% of the responses.
Conclusion: ChatGPT demonstrates significant limitations in accuracy and consistency when providing information on distal radius fractures. In its current format, it offers limited utility for patient education and clinical decision-making.
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http://dx.doi.org/10.1111/ans.19143 | DOI Listing |
Cureus
November 2024
Trauma and Orthopaedics, Hull Royal Infirmary, Hull, GBR.
Introduction Paediatric forearm fractures are common, but isolated radial diaphyseal fractures are rare, representing a small subset. Unlike fractures involving both the radius and ulna, these fractures lack well-established management guidelines. The potential for alignment loss during treatment underscores the need for specific protocols.
View Article and Find Full Text PDFWorld Neurosurg
December 2024
Department of Neurosurgery, The Jikei University School of Medicine, Tokyo, Japan.
Background: Severe vessel tortuosity may prevent a microcatheter from reaching a distal vessel. However, the Double-Wire Technique (DWT) may facilitate the procedure. The present study evaluated the feasibility and safety of guiding a 0.
View Article and Find Full Text PDFInjury
December 2024
Department of Orthopaedics, Larnaca General Hospital, State Health Services Organisation, Larnaca, Cyprus.
The purpose of this study was to establish typical dose values at orthopaedic operating rooms of the Larnaca General Hospital (LGH). Kerma area product (KAP), fluoroscopy time (FT) and cumulative air-kerma (K) measurements were collected for 821 patients who underwent common and reproducible trauma surgery over a five-year period, with three mobile C-arm systems; two equipped with an image-intensifier and one with a flat-panel detector. Dose indices were automatically extracted from radiation dose structured reports or DICOM meta-data files archived in the PACS, using custom-made software.
View Article and Find Full Text PDFJ Vet Med Sci
December 2024
The University Museum, The University of Tokyo.
The significance of forelimb morphology has been discussed with a focus on specific morphological aspects; nonetheless, the correlation of overall morphology, including various linear measurements, with respect to ecological preference and adaptation has not been extensively explored, particularly using multiple taxa. We investigated the morphological characteristics of the long bones in the forelimbs of mammalian species and their relationship with specific functional adaptations using 20 linear measurements and 22 terrestrial species from 7 orders. Principal component analysis and canonical discriminant analysis showed that the lengths of the humerus, radius, and ulna as well as the distance from the smallest width to the proximal and distal ends, and the deltoid tuberosity length distinguished four adaptations: arboreal, terrestrial, fossorial, and semi-aquatic.
View Article and Find Full Text PDFHand (N Y)
December 2024
NYU Langone Health, New York, USA.
Introduction: Managing open distal radius fractures (DRFs) poses challenges. While preventing surgical site infection (SSI) involves prompt antibiotic administration and thorough irrigation and debridement, the impact of urgent intervention on reducing postoperative infection rates is debated. We hypothesize that timing of surgery does not significantly affect the incidence of SSI in open DRF treated within or after 24 hours from time of injury.
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