Can artificial intelligence provide reliable patient education in minimally invasive bunion surgery? A comparative study of ChatGPT 5.2 and Gemini.

IF 2.4 3区医学 Q2 ORTHOPEDICS

Foot and Ankle Surgery Pub Date : 2026-06-16 DOI:10.1016/j.fas.2026.06.006

Berat Yüksel, Saliha B Uçar, Erdi Özdemir, Gökhan Ayık, Mehmet Kaymakoğlu, Gazi Huri

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引用次数: 0

Abstract

Background: Patients use artificial intelligence-based large language models (AI-LLMs) to research minimally invasive surgery (MIS) for hallux valgus; however, their reliability remains uninvestigated.

Purpose: To compare the quality and readability of ChatGPT and Gemini responses regarding MIS bunion surgery.

Methods: Ten frequently asked questions reflecting diverse clinical and procedural inquiries were submitted to ChatGPT and Gemini. Quality was assessed via DISCERN and 5-point Likert scales. Readability and actionability were evaluated using the Patient Education Materials Assessment Tool (PEMAT) and Flesch-Kincaid Reading Ease (FKRE).

Results: No significant differences existed between models (p > 0.05). Both exceeded sufficiency thresholds for DISCERN (49.7; 49) and Likert (5.0; 4.9). While understandability (85.9%; 83.3%) and FKRE (32.9; 33.5) met requirements, both failed actionability (38.3%; 34%).

Conclusion: Both AI models offer reliable, high-quality theoretical information regarding MIS hallux valgus surgery. However, they are insufficient in providing actionable guidance and exceed ideal reading complexity for general patient populations.

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人工智能能否在微创拇外翻手术中提供可靠的患者教育？ChatGPT 5.2与Gemini的比较研究。

背景：患者利用基于人工智能的大语言模型（AI-LLMs）研究拇外翻的微创手术；然而，它们的可靠性仍未得到调查。目的：比较ChatGPT和Gemini对MIS拇囊炎手术反应的质量和可读性。方法：向ChatGPT和Gemini提交反映不同临床和程序询问的10个常见问题。质量通过DISCERN和5分李克特量表进行评估。使用患者教育材料评估工具（PEMAT）和Flesch-Kincaid Reading Ease （FKRE）评估可读性和可操作性。结果：模型间差异无统计学意义（p > 0.05）。两者都超过了DISCERN（49.7; 49）和Likert（5.0; 4.9）的充分性阈值。虽然可理解性（85.9%;83.3%）和FKRE（32.9; 33.5）符合要求，但可操作性（38.3%;34%）均不合格。结论：两种人工智能模型均可为MIS拇外翻手术提供可靠、高质量的理论信息。然而，它们在提供可操作的指导方面是不够的，并且超出了一般患者群体的理想阅读复杂性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Foot and Ankle Surgery ORTHOPEDICS-

CiteScore

4.60

自引率

16.00%

发文量

202

期刊介绍： Foot and Ankle Surgery is essential reading for everyone interested in the foot and ankle and its disorders. The approach is broad and includes all aspects of the subject from basic science to clinical management. Problems of both children and adults are included, as is trauma and chronic disease. Foot and Ankle Surgery is the official journal of European Foot and Ankle Society. The aims of this journal are to promote the art and science of ankle and foot surgery, to publish peer-reviewed research articles, to provide regular reviews by acknowledged experts on common problems, and to provide a forum for discussion with letters to the Editors. Reviews of books are also published. Papers are invited for possible publication in Foot and Ankle Surgery on the understanding that the material has not been published elsewhere or accepted for publication in another journal and does not infringe prior copyright.