Severity-dependent benefits of AI-assisted 3D planning in total hip arthroplasty: a Crowe I–IV subgroup and trend analysis
AI-3D preoperative planning provides measurable gains in implant sizing and acetabular cup positioning for THA, with benefits most evident in mild-to-moderate deformities (Crowe I-II). In severe deformities (Crowe III-IV), anatomical and reconstructive challenges appear to limit these advantages, emphasizing the continued importance of surgical expertise. Functional outcomes were comparable between AI-3D and conventional 2D planning. Overall, AI-3D may serve as a useful adjunct in complex cases, pending confirmation in larger multicentre and long-term studies.
Authors
- Cuihua Yuan
- Q. Wang (ORCID: https://orcid.org/0000-0001-6978-653X)
- Jianfu Zhu
- Tihui Wang
- Qingshan Xu (ORCID: https://orcid.org/0000-0002-4526-9973)
- Xu Wang (ORCID: https://orcid.org/0000-0003-0114-8376)
- Yuhua Feng
- Zhenbao Lu (ORCID: https://orcid.org/0009-0000-5589-4679)
- Qiujin Xia
- Xiaohong Fan (ORCID: https://orcid.org/0000-0003-2557-6826)
- Jiliang Chen (ORCID: https://orcid.org/0000-0002-3957-6491)
- Jinqing Wu (ORCID: https://orcid.org/0000-0001-5870-3188)
- Xiaolu Wang (ORCID: https://orcid.org/0000-0001-5749-1152)
Institutions
- Fujian Medical University (CN)
- Ningde Normal University (CN)
- First Affiliated Hospital of Fujian Medical University (CN)
Publication Details
- Journal
- BMC Musculoskeletal Disorders
- Published
- 2025-12-04
- DOI
- https://doi.org/10.1186/s12891-025-09348-7
- Primary Topic
- Orthopaedic implants and arthroplasty
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Natural Science Foundation of Fujian Province