What is OrthoGrid Hip AI®?
OrthoGrid Hip AI® is an advanced AI-powered surgical software platform used during hip replacement (total hip arthroplasty) to help surgeons achieve more precise and consistent results. It is essentially a real-time digital assistant in the operating room. It uses artificial intelligence and X-ray (fluoroscopy) images to guide surgeons while they perform hip replacement surgery.
- It is considered the first AI-powered intraoperative hip navigation system
- It works during the surgery (intraoperative) rather than only before or after
- It helps surgeons make data-driven decisions in real time
When is OrthoGrid Hip AI® Indicated?
OrthoGrid Hip AI® is indicated as a support tool during hip replacement surgery, particularly when precision in implant placement and alignment is critical. It is commonly used in the following situations:
- Total Hip Arthroplasty (THA): During primary hip replacement to ensure accurate cup positioning, leg length, and hip offset restoration.
- Revision Hip Surgery: When correcting or replacing a previous hip implant where anatomy may be altered and accuracy is more challenging.
- Leg Length Discrepancy Concerns: When maintaining or restoring equal leg length is essential to avoid postoperative complications.
- Complex Hip Anatomy: In cases of deformities, prior trauma, or abnormal pelvic alignment, requiring enhanced intraoperative guidance.
- Surgeons seeking real-time intraoperative data: When improved decision-making is needed without relying solely on visual judgment.
How Should I Prepare for Hip Replacement with OrthoGrid Hip AI®?
Preparation for hip replacement with OrthoGrid Hip AI® includes a thorough medical evaluation, including blood tests and imaging such as X-rays. Your surgeon reviews medications and may advise stopping blood thinners. You will be instructed on fasting before surgery and optimizing health (controlling diabetes, quitting smoking). Preoperative planning includes templating and understanding implant positioning with AI guidance. Arrange for post-surgery support and transportation.
What Happens During Hip Replacement with OrthoGrid Hip AI®?
The procedure for hip replacement with OrthoGrid Hip AI® follows standard total hip replacement steps, enhanced with real-time AI guidance:
- You are given spinal or general anesthesia, positioned (usually on the side), and the surgical area is cleaned and draped.
- The surgeon makes an incision over the hip and carefully exposes the joint by separating muscles and soft tissues.
- The damaged femoral head is removed, and the socket (acetabulum) is cleaned and prepared for the implant.
- Using real-time X-ray imaging, OrthoGrid Hip AI® analyzes anatomy and provides:
- Cup angle and position guidance
- Leg length measurements
- Hip offset calculations
- This helps the surgeon precisely place components without invasive trackers.
- The artificial socket (cup) is placed in the pelvis, and a femoral stem with a ball is inserted into the thigh bone.
- Finally, the surgeon verifies alignment and leg length using AI guidance, then closes the incision with sutures or staples and applies a dressing.
What Happens After Hip Replacement with OrthoGrid Hip AI®?
Postoperative care after hip replacement with OrthoGrid Hip AI® focuses on pain control, wound care, and early mobilization. Physical therapy begins soon to restore movement and strength. You will follow hip precautions to prevent dislocation, take medications for pain and blood clot prevention, and care for the surgical wound. Regular follow-ups check healing and implant position. Most people gradually return to normal activities over weeks to months, with improved mobility and reduced pain. Hospital stay is usually a few days.
What are the Risks and Benefits of Hip Replacement with OrthoGrid Hip AI®?
Benefits:
- Improved accuracy: AI analyzes real-time X-rays to guide precise implant positioning and alignment
- Better leg length and balance: Helps avoid discrepancies that can cause limping or discomfort
- Reduced complications: More accurate placement lowers the risk of dislocation and long-term issues
- Real-time decision support: Provides instant feedback on anatomy, cup position, and hip mechanics
- Shorter surgery time & efficiency: Streamlined workflow can reduce operative time
- Non-invasive technology: No need for pins, trackers, or CT-based navigation
Risks:
Hip replacement with OrthoGrid Hip AI® carries risks similar to standard hip surgery, including:
- Infection at the surgical site
- Blood clots (deep vein thrombosis or pulmonary embolism)
- Bleeding or hematoma formation
- Hip dislocation after surgery
- Leg length discrepancy (though reduced with AI guidance)
- Implant loosening or wear over time
- Nerve or blood vessel injury
- Fracture during implant placement
If you wish to be advised on the most appropriate treatment for your hip or knee condition, please call to schedule an appointment or request an appointment online.


