Applications of Natural Language Processing for Automated Clinical Data Analysis in Orthopaedics.

Natural language processing is an exciting and emerging field in health care that can transform the field of orthopaedics. It can aid in the process of automated clinical data analysis, changing the way we extract data for various purposes including research and registry formation, diagnosis, and medical billing. This scoping review will look at the various applications of NLP in orthopaedics. Specific examples of NLP applications include identification of essential data elements from surgical and imaging reports, patient feedback analysis, and use of AI conversational agents for patient engagement. We will demonstrate how NLP has proven itself to be a powerful and valuable tool. Despite these potential advantages, there are drawbacks we must consider. Concerns with data quality, bias, privacy, and accessibility may stand as barriers in the way of widespread implementation of NLP technology. As natural language processing technology continues to develop, it has the potential to revolutionize orthopaedic research and clinical practices and enhance patient outcomes.

Longstanding Nonunion of Metatarsal Fractures in an Adult Patient with Autosomal Dominant Osteopetrosis: A Case Report.

CASE: Osteopetrosis is a genetic condition that impairs bone turnover as the result of defects in osteoclast function and abnormal ossification of bone. Autosomal dominant osteopetrosis is often mild; however, the impaired fracture healing, increased density, and hardness of osteopetrotic bone present technical challenges for surgeons leading to complications with both nonoperative and operative treatment modalities. In this case report, we describe a patient treated empirically with ultrasonic bone stimulation for nonunion of fractures of multiple metatarsals after a failure of conventional therapy. CONCLUSION: Ultrasonic bone stimulation may have a role in optimizing nonoperative management of osteopetrosis-related fractures in adults.

Total Hip Replacements in Patients with Rare Pathologic Conditions Affecting Bone.

➤: As a result of the advances in surgical technique and implant design, total hip arthroplasty (THA) is increasingly offered for the management of osteoarthritis of the hip in patients with fragile or pathologic bone. ➤: Posttraumatic or congenital deformities associated with fragile or pathologic bone are frequently encountered and necessitate diligent preoperative planning. ➤: Surgeons should be prepared to evaluate and manage intraoperative iatrogenic fracture. ➤: While there is limited evidence to date, components made with computer-assisted design can be considered, given the unique and highly variable patient population.