Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine最新文献

{"title":"ChatGPT-3.5 and -4 provide mostly accurate information when answering patients’ questions relating to femoroacetabular impingement syndrome and arthroscopic hip surgery","authors":"David Slawaska-Eng ,&nbsp;Yoan Bourgeault-Gagnon ,&nbsp;Dan Cohen ,&nbsp;Thierry Pauyo ,&nbsp;Etienne L. Belzile ,&nbsp;Olufemi R. Ayeni","doi":"10.1016/j.jisako.2024.100376","DOIUrl":"10.1016/j.jisako.2024.100376","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to evaluate the accuracy of ChatGPT in answering patient questions about femoroacetabular impingement (FAI) and arthroscopic hip surgery, comparing the performance of versions ChatGPT-3.5 (free) and ChatGPT-4 (paid).</div></div><div><h3>Methods</h3><div>Twelve frequently asked questions (FAQs) relating to FAI were selected and posed to ChatGPT-3.5 and ChatGPT-4. The responses were assessed for accuracy by three hip arthroscopy surgeons using a four-tier grading system. Statistical analyses included Wilcoxon signed-rank tests and Gwet's AC2 coefficient for interrater agreement corrected for chance and employing quadratic weights.</div></div><div><h3>Results</h3><div>The median ratings for responses ranged from “excellent not requiring clarification” to “satisfactory requiring moderate clarification.” No responses were rated as “unsatisfactory requiring substantial clarification.” The median accuracy scores were 2 (range 1–3) for ChatGPT-3.5 and 1.5 (range 1–3) for ChatGPT-4, with 25 ​% of ChatGPT-3.5's responses and 50 ​% of ChatGPT-4's responses rated as “excellent.” There was no statistical difference in performance between the two versions (p ​= ​0.279) although ChatGPT-4 showed a tendency towards higher accuracy in some areas. Interrater agreement was substantial for ChatGPT-3.5 (Gwet's AC2 ​= ​0.79 [95% confidence interval (CI) ​= ​0.6–0.94]) and moderate to substantial for ChatGPT-4 (Gwet's AC2 ​= ​0.65 [95% CI ​= ​0.43–0.87]).</div></div><div><h3>Conclusion</h3><div>Both versions of ChatGPT provided mostly accurate responses to FAQs on FAI and arthroscopic surgery, with no significant difference between the versions. The findings suggest potential utility of ChatGPT in patient education, though cautious implementation and further evaluation are recommended due to variability in response accuracy and low power of the study.</div></div><div><h3>Level of evidence</h3><div>IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100376"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is bicortical femoral pin insertion safe for image-based robotic knee arthroplasty surgery ? A comparative complications analysis in 970 consecutive cases","authors":"Christos Koutserimpas ,&nbsp;Clément Favroul ,&nbsp;Cécile Batailler ,&nbsp;Elvire Servien ,&nbsp;Sébastien Lustig","doi":"10.1016/j.jisako.2024.100317","DOIUrl":"10.1016/j.jisako.2024.100317","url":null,"abstract":"<div><h3>Objectives</h3><div>Limited data exists on complications associated with robotic image-based system in knee arthroplasty. This study aims to document complications in robotic arm-assisted knee arthroplasties and evaluate the system's safety by comparing two femoral pin insertion methods: bicortical diaphyseal with additional stab wounds, and unicortical metaphyseal placement through the main incision.</div></div><div><h3>Methods</h3><div>All patients undergoing primary knee arthroplasty with the image-based robotic system (Mako, Stryker, Mako Surgical Corp., Fort Lauderdale, FL, USA) from 1st March 2021 to 31st January 2024 with a minimum follow-up of 2 months were included. Demographics, system and non-system-related complications, as well as outcomes were recorded. Complications were categorized as either major (requiring a second surgical intervention) or minor.</div></div><div><h3>Results</h3><div>A total of 970 consecutive cases (median age 69.3 years) were analyzed. The unicortical group comprised 651 cases, while the bicortical group 319. The incidence of non-system-related complications was 2.37%, with the most common being joint stiffness (10 cases; 1.03%), followed by lateral femoral condyle fracture (4; 0.41%). The overall incidence of system-specific complications was 1.03%. Pin-related femoral fractures occurred in 0.2% of cases, all postoperatively and in the unicortical group. There was no statistically significant difference between the femoral pin insertion-related complication rates among the two groups (0.3% in the unicortical, compared to 0% in the bicortical group; p-value ​= ​0.3). Complications included tibia fracture (0.1%), delayed wound healing (0.2%), superficial wound infection (0.1%), tibia osteomyelitis (0.1%), and “exostosis” (0.2%). The major complications rate was 0.3% and minor 0.7%.</div></div><div><h3>Conclusions</h3><div>Minimal system-specific overall complications indicate that robotic arm-assisted surgery is safe. The bicortical diaphyseal femoral pin insertion method does not increase the complication rates compared to the unicortical metaphyseal method.</div></div><div><h3>Level of evidence</h3><div>III.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100317"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142196801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review of Arthur E. Ellison's work on anterolateral rotatory laxity of the knee: The classic","authors":"Timothy McAleese ,&nbsp;Maxime St-Georges ,&nbsp;Darra Murphy ,&nbsp;John Bartlett ,&nbsp;Brian M. Devitt","doi":"10.1016/j.jisako.2024.100355","DOIUrl":"10.1016/j.jisako.2024.100355","url":null,"abstract":"<div><div>This classic discusses Arthur E. Ellison's (1926–2010) contributions to our understanding of anterolateral rotatory laxity of the knee. Ellison was a distinguished orthopaedic surgeon and one of the founding members of the American Orthopaedic Society for Sports Medicine (AOSSM). He served as the team physician for the United States ski team and Williamsburg football team. Ellison's publications focussed on the pathodynamics of knee stability, shedding light on the biomechanical functions of the iliotibial band. This led to the development of his lateral extra-articular procedure designed to control excessive tibial rotation in the anterior cruciate ligament (ACL) deficient knee. His work has made a significant contribution to our understanding of knee stability today, and many surgeons still use a modified version of Ellison's original technique to augment ACL reconstruction.</div><div>This article summarises Ellison's original publications and the first description of his operative technique. The impact of his work is discussed in the context of modern practice. The aim of this study is to add these valuable insights to the current discussion regarding the optimal method for lateral extra-articular tenodesis.</div></div><div><h3>Level of evidence</h3><div>V - Expert Opinion.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100355"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A biokinetic approach in primary knee osteoarthritis prevention and management–exploring movement profiles and kinetic chain interactions: Current concepts","authors":"Leonardo Metsavaht ,&nbsp;Felipe F. Gonzalez ,&nbsp;Renato Locks ,&nbsp;Braulio França ,&nbsp;Mariana Machado ,&nbsp;Eliane Celina Guadagnin ,&nbsp;Jorge Chahla ,&nbsp;Gustavo Leporace","doi":"10.1016/j.jisako.2024.100381","DOIUrl":"10.1016/j.jisako.2024.100381","url":null,"abstract":"<div><div>Knee osteoarthritis (OA) is a chronic disease characterized by increasing prevalence and significant physical, psychological, and economic burdens. Despite extensive research, the definition, risk factors, and effective cost-efficient treatments for knee OA remain unclear. This article aims to revisit primary knee OA, understanding its etiology, and focusing on prevention and individualized nonoperative treatment modalities. This study reviews various aspects of knee OA, including its global prevalence, economic impact, and current treatment strategies. It explores the role of mechanical loading pathways in the disease's onset, highlighting the importance of considering not only the knee but the entire kinetic chain in diagnosis and treatment. Also, it discusses knee anatomy and biomechanics during functional activities, emphasizing the role of neuromuscular control and the influence of proximal and distal joints on knee health. Current treatments focus mainly on symptom management, with limited success in disease prevention and curative interventions. This review underlines the importance of understanding the biomechanical risk factors contributing to knee OA and the necessity of individualized interventions based on biokinetic profile analysis. Knee OA management and prevention necessitate a paradigm shift from viewing it as a localized knee disease to recognizing related mechanical overloads of the human complex motion system. Identifying individual inductive elements is paramount for effective knee OA prevention, management, and rehabilitation. Future research should endeavor to identify movement profile subgroups to establish an early-stage prognosis and the impact of interventions for each group.</div></div><div><h3>Level of evidence v</h3><div>Expert opinion based on nonsystematic review.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100381"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patellofemoral instability part 2 (Bony procedure for patellar surgical stabilization): State of the art","authors":"Betina B. Hinckel ,&nbsp;Michael Liebensteiner ,&nbsp;Justin T. Smith ,&nbsp;Riccardo Gomes Gobbi ,&nbsp;Elizabeth A. Arendt","doi":"10.1016/j.jisako.2024.100347","DOIUrl":"10.1016/j.jisako.2024.100347","url":null,"abstract":"<div><div>Surgery for patellofemoral instability is usually considered in patients with recurrent patellar dislocation and after a first-time patellar dislocation in the presence of either an associated osteochondral fracture or high risk of recurrence due to the presence of several risk factors. Risk factors include demographics such as age, contralateral dislocation, as well as anatomic risk factors (ARF) such as abnormal coronal and rotational alignment, trochlear dysplasia, lateral quadriceps vector, and patella alta. Surgery with soft tissue procedures includes restoring the medial patellar restraints and balancing the lateral side of the joint, which can be successful in most patients. However, patients that have excessive and/or several ARFs have a high risk of failure with isolated soft tissue stabilization procedures; associated surgical correction of select ARFs is recommended. This article will discuss an approach to evaluate the risk-benefit of adding bony procedures which may decrease the chances of recurrence of patellar instability but can increase surgery-related complications. Approaching patellofemoral instability in a patient-specific approach and combining corrective osteotomies and trochleoplasties with a shared decision with the patient/family, guides surgeons to deliver optimal care for the patellar instability patient.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100347"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142509744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Coraco-Gleno-Scapular line: A simple tool for assessing glenoid bone defects","authors":"K.N. Subramanian ,&nbsp;Saseendar Shanmugasundaram ,&nbsp;K.S. Jeash Narayan ,&nbsp;M.J. Krishna Kumar ,&nbsp;B. Easwar ,&nbsp;Dheepan Kumar ,&nbsp;G. Iyyapan ,&nbsp;Aravind Ravichandran","doi":"10.1016/j.jisako.2024.100374","DOIUrl":"10.1016/j.jisako.2024.100374","url":null,"abstract":"<div><h3>Background</h3><div>The treatment decisions for shoulder instability often necessitate surgical intervention, with glenoid bone loss being a key factor. Currently, various techniques exist to identify glenoid bone loss, each with its own advantages and disadvantages. This study introduces the Coraco-Gleno-Scapular (CGS) line as a tool for assessing critical glenoid bone defects. The objective is to define the CGS line and evaluate its utility in guiding clinical decisions regarding bone loss, proposing that defects extending posterior to this line indicate critical bone involvement requiring surgical intervention.</div></div><div><h3>Methods</h3><div>The study analyzed 50 normal right shoulders from individuals aged 18–40 years. Using 3D en face views of the glenoid, the CGS line was defined from the anteroinferior base of the coracoid process, crossing the anterior glenoid, to the anteroinferior pole of the scapula. The best-fit circle area method and the glenoid index linear method were used to calculate the percentage of the bone area located anterior to the CGS line.</div></div><div><h3>Results</h3><div>The best fit circle area method revealed a mean glenoid surface area anterior to the CGS line of 22.19%, while the glenoid index linear method indicated a mean area of 27.2% anterior to the CGS line. Of the 50 shoulders, 14 had a glenoid surface area &lt;20% anterior to the CGS line using the best-fit circle method, with no cases below 17.5%, while 36 individuals had a glenoid surface area &gt;20%.</div></div><div><h3>Conclusion</h3><div>The Coraco-Gleno-Scapular line is a reliable and simple tool for assessing glenoid bone loss, providing valuable guidance in managing shoulder instability. Its ease of use makes it a promising candidate for standard application in clinical practice.</div></div><div><h3>Level of evidence</h3><div>Prospective observational study, Level III.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100374"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The diagnostic value of an upright chest radiograph in diagnosing acromioclavicular joint dislocation","authors":"Warunyoo Puntu ,&nbsp;Tanakorn Chaichana ,&nbsp;Adinun Apivatgaroon","doi":"10.1016/j.jisako.2024.100375","DOIUrl":"10.1016/j.jisako.2024.100375","url":null,"abstract":"<div><h3>Introduction</h3><div>A chest radiograph (CXR), whether supine or upright, is the primary tool for assessing blunt thoracic and abdominal trauma. Thoracic injuries often come with shoulder girdle injuries such as scapular or clavicular fractures, and acromioclavicular joint (ACJ) dislocations. The Zanca view is standard for diagnosing ACJ dislocation. While upright CXR can screen for high-grade ACJ dislocation, its diagnostic value in these cases remains unreported.</div></div><div><h3>Objective</h3><div>This study aimed to determine the diagnostic value of upright CXR, compared to the standard Zanca view in diagnosing ACJ dislocation.</div></div><div><h3>Methods</h3><div>Upright CXRs from 70 patients with ACJ dislocation were matched 1:1 by age and gender with 70 control CXRs from individuals with no shoulder disorders. A total of 140 CXRs were randomized and blinded to clinical information, then assessed for coracoclavicular distance (CCD) differences by two independent evaluators. The study compared the diagnostic accuracy of the upright CXR against the Zanca view, the gold standard. Interobserver and intraobserver agreements on ACJ dislocation categorization using upright CXRs were also measured.</div></div><div><h3>Results</h3><div>There were 55 male and 15 female patients, with an average age of 46 in both cases and controls. In the disease group, the percentage of CCD difference compared to the unaffected side (DCCD) was not statistically significantly different (p value ​= ​0.052) between the upright CXR and Zanca view. The median of DCCD was 121.64 (interquartile range ​= ​69.45, 159.76) and 135.57 (interquartile range ​= ​88.64, 200.18) in upright CXR and Zanca view, respectively. Totally, 140 CXRs, Zanca as the gold standard, the upright CXRs with the definition of an abnormal CCD difference of ≥25%, revealed 95.71% sensitivity, 85.71% specificity, 6.7 of the positive likelihood ratio, and 0.05 of the negative likelihood ratio. The accuracy was 90.71%. The intraobserver reliability was 94.29% agreement and 0.94 of weighted kappa coefficient (95% confidence interval [CI] ​= ​0.89–0.98). The interobserver reliability was 95.7% agreement and 0.95 with a weighted kappa coefficient (95% CI ​= ​0.92–0.99).</div></div><div><h3>Conclusion</h3><div>Upright CXR is a reliable diagnostic screening tool for ACJ dislocation, particularly for displacements of ≥25%. It provides high sensitivity and specificity compared to the Zanca view, with nearly perfect interobserver and intraobserver reliabilities.</div></div><div><h3>Level of evidence</h3><div>3. This was a retrospective matched case-control study.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100375"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patellofemoral instability part 1 (When to operate and soft tissue procedures): State of the art","authors":"Betina Hinckel ,&nbsp;Justin Smith ,&nbsp;Miho J. Tanaka ,&nbsp;Takehiko Matsushita ,&nbsp;Juan Pablo Martinez-Cano","doi":"10.1016/j.jisako.2024.05.013","DOIUrl":"10.1016/j.jisako.2024.05.013","url":null,"abstract":"<div><div>Patellofemoral instability is usually initially treated non-operatively. Surgery is considered in patients with recurrent patellar dislocation and after a first-time patellar dislocation in the presence of either an associated osteochondral fracture or high risk of recurrence. Stratifying the risk of recurrence includes evaluating risk factors such as age, trochlear dysplasia, contralateral dislocation, and patellar height. Surgery with soft tissue procedures includes restoring the medial patellar restraints and balancing the lateral side of the joint. Reconstruction of the medial patellofemoral ligament is the most frequent way of addressing the medial soft tissues in patients with patellofemoral instability. Meanwhile, lateral tightness can be achieved by lateral retinaculum lengthening or release. Approaching patellofemoral instability in a patient-specific approach, combined with a shared decision-making process with the patient/family, will guide surgeons to the deliver optimal care for the patellar instability patient.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100278"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141135897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medial meniscus ramp tears: State of the art","authors":"Luke V. Tollefson ,&nbsp;Maria Jesus Tuca ,&nbsp;Sachin Tapasvi ,&nbsp;Robert F. LaPrade","doi":"10.1016/j.jisako.2024.100380","DOIUrl":"10.1016/j.jisako.2024.100380","url":null,"abstract":"<div><div>Medial meniscus ramp tears are tears of the posteromedial capsule or peripheral rim of the posteromedial meniscus that frequently occur with anterior cruciate ligament (ACL) tears. The incidence and prevalence of medial meniscus ramp tears has been increasing in the recent literature due to the increased understanding of the anatomy and diagnosis of these tears. When a patient presents with an ACL tear, a medial meniscus ramp tear should be suspected if the patient has a grade 3+ Lachman or pivot-shift exam, a vertical line of increased signal intensity in the posterior capsule or peripheral meniscus on magnetic resonance imaging (MRI), or posteromedial tibial plateau bone bruising on MRI. When a ramp tear is suspected, proper arthroscopic probing, including utilizing the transnotch view (or potentially an accessory posteromedial portal) or performing a medial collateral ligament trephination should be considered as part of the diagnostic workup. Once a tear is identified, a surgical repair depends on the location and stability of the tear and the surgeon's preference. The most frequently utilized techniques include the all-inside device, an all-inside suture hook, and an inside-out repair. Studies reporting on clinical outcomes for patients with ramp tears generally report no difference in outcomes compared to isolated ACL reconstruction patients. No consensus has been made on the best repair technique; however, it is generally accepted that repair is superior to leaving a ramp tear in situ as ramp tears have the potential to progress into bucket-handle tears. Further studies should work to establish a surgically and anatomically relevant classification system that clearly defines tear locations and stability to better study patient outcomes for those with a medial meniscus ramp tear. The purpose of this article is to review the anatomy, diagnosis, and treatment of medial meniscus ramp tears.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100380"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical outcomes of arthroscopic surgical intervention in femoroacetabular impingement amongst the Asian population: A meta-analysis","authors":"Teddy Cheong ,&nbsp;Xinyu Tao ,&nbsp;Danyal H. Nawabi ,&nbsp;Hamid Rahmatullah Bin Abd Razak ,&nbsp;Merrill Lee","doi":"10.1016/j.jisako.2024.100362","DOIUrl":"10.1016/j.jisako.2024.100362","url":null,"abstract":"<div><h3>Importance</h3><div>In Asian populations, increased prevalence of hip dysplasia as well as activities of daily living which require increased hip range of motion, such as squatting, may impact outcomes of arthroscopic surgery for femoroacetabular impingement (FAI) when compared to their Western counterparts. Existing literature lacks a comprehensive review and synthesis of knowledge focusing on outcomes of arthroscopic intervention for FAI in the Asian population.</div></div><div><h3>Objective</h3><div>To conduct the first systematic review and meta-analysis that examines outcomes of arthroscopic intervention in Asian patients with FAI.</div></div><div><h3>Evidence review</h3><div>PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Cochrane Library databases were reviewed. Case series or cohort studies assessing outcomes of arthroscopic intervention in FAI were included. Pooled analysis of modified Harris Hip Score (mHHS), Visual Analogue Scale (VAS), and adverse events were conducted. Rate of revision surgery and conversion to total hip arthroplasty (THA) were analysed as well.</div></div><div><h3>Findings</h3><div>Six studies (5 case series, 1 cohort study) of high methodological quality involving 498 patients were included. Age of patients ranged from 20s to 70s, with a balanced gender ratio. Pooled patient-reported outcomes improved significantly postoperatively. VAS at the last follow-up mark improved by −4.28 (95 ​% CI, −4.49 to −4.08, P ​&lt; ​0.00001), and VAS at the 12-month post-operation mark improved by −4.11 (95 ​% CI, −4.34 to −3.88, P ​&lt; ​0.00001). The mHHS at the last follow-up mark improved by 23.37 (95 ​% CI, 20.29–26.45, P ​&lt; ​0.00001). Revision surgery rate was low at 2.8 ​% and conversion to THA rate was 0.3 ​%.</div></div><div><h3>Conclusions and relevance</h3><div>Arthroscopic intervention in FAI provides favorable outcomes in the Asian population that is comparable with outcomes seen in the Western population.</div></div><div><h3>Level of evidence</h3><div>Meta-analysis; Level of evidence, IV.</div></div>","PeriodicalId":36847,"journal":{"name":"Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine","volume":"10 ","pages":"Article 100362"},"PeriodicalIF":2.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142628483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}