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Record W4416223809 · doi:10.1302/1358-992x.2025.13.076

LIVE SURGERY BROADCAST USING MIXED REALITY: WHAT ARE THE ADVANTAGES AND CHALLENGES?

2025· article· en· W4416223809 on OpenAlexaff
Ernest Chan, Sarah Remedios, Ivan Wong

Bibliographic record

VenueOrthopaedic Proceedings · 2025
Typearticle
Languageen
FieldMedicine
TopicSurgical Simulation and Training
Canadian institutionsDalhousie University
Fundersnot available
KeywordsComplicationRetrospective cohort studyInvasive surgerySalvage surgerySpinal surgery

Abstract

fetched live from OpenAlex

Live surgery broadcast is an innovative method of introducing new operative techniques to surgeons around the world. However, due to the potential impact on patient outcomes, its use remains somewhat controversial. The objective of this study was to determine the effect of live surgery on operative time and complication rate in patients undergoing AAGR for shoulder instability. We hypothesized that live surgery would maintain a similar surgical time and intra- and post-operative complication profile. This was a retrospective review of 94 patients who underwent AAGR between 2013-2023. A 1:1 ratio was used to match patients who had AAGR during a live surgery demonstration (Broadcast group) to patients who underwent AAGR without live surgery (No Broadcast group), based on sex, BMI (+ 3), and age (+ 3). The primary outcome for the study was surgical time, defined as the time from initial incision to final closure. Secondarily, we compared the intra-operative and early post-operative complications (< 1 month) between the groups. The Broadcast group had a significantly greater procedure time compared to the No Broadcast group (86.90 + 13.1 vs. 80.70 +14.0 minutes, p 0.0.5). One patient (2.4%) in the Broadcast group developed a post-operative hematoma, while one patient (2.4%) in the No Broadcast group developed a wound infection. This study demonstrated that live surgeries are on average 6 minutes longer but are not associated with increased complications in patients undergoing AAGR.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.676
Threshold uncertainty score0.486

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.084
GPT teacher head0.316
Teacher spread0.232 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

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