European Journal of Orthopaedic Surgery and Traumatology最新文献

{"title":"Possible load after initial implantation of a total hip arthroplasty (THA): comparison of minimal invasive anterolateral approach with direct lateral transgluteal approach according to Bauer.","authors":"Andrea Dörte Rösel, Jörn Bengt Seeger, Torben Harz, Samar Hamad, Markus Rickert, Gerrit Maier, Alexander Jahnke","doi":"10.1007/s00590-025-04250-3","DOIUrl":"https://doi.org/10.1007/s00590-025-04250-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether surgical approach-minimally invasive anterolateral or transgluteal-affects ground reaction force symmetry in THA patients during early rehabilitation.</p><p><strong>Methods: </strong>Data from 37 THA patients (14 transgluteal (TGL) approach, 23 minimally invasive (MIS) approach) were compared to a control group of 50 non-operated adults. Walking speed, cadence, and ground reaction force were measured with Insole sensors over a 30-m walk.</p><p><strong>Results: </strong>Significant differences in ground reaction force symmetry emerged within and between groups throughout rehabilitation. Early in rehab, MIS patients showed better symmetry, speed, stance duration, and walking ability than TGL patients. The TGL group differed more from non-operated individuals than the MIS group did.</p><p><strong>Conclusion: </strong>Individual rehabilitation concepts specific to the surgical approach with the inclusion of modern visual biofeedback systems have long been called for. And in light of such clear results they should be developed as quickly as possible.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"131"},"PeriodicalIF":1.4,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconstruction of the medical patellofemoral ligament through a double-bundle and suspension fixation of the adductor muscle tendon combined with semi-patellar ligament displacement for treating recurrent patellar dislocation in adolescents with unclosed epiphysis: a retrospective study.","authors":"Shengrui Wang, Xiao Wang, Lanbo Yang, Xiaotao Shi, Guorui Cao, Jinyang Yu, Honglue Tan","doi":"10.1007/s00590-025-04259-8","DOIUrl":"https://doi.org/10.1007/s00590-025-04259-8","url":null,"abstract":"<p><strong>Background: </strong>Reconstruction of the medial patellofemoral ligament is the core of the treatment of recurrent patellar dislocation (RPD). For adolescents with unclosed epiphysis, the surgical method is the key to the postoperative efficacy. And our study aimed to evaluate the clinical efficacy and imaging results of double-bundle and suspension fixation of the adductor muscle tendon combined with semi-patellar ligament displacement in the treatment of RPD in adolescents with tuberosity-trochlear groove (TT-TG) distance > 15 mm and unclosed epiphysis.</p><p><strong>Methods: </strong>A total of 27 patients (13 males, 14 females, 27 knees) with recurrent patellar dislocation were included according to the relevant criteria. The patients were treated with double-bundle suspension fixation of the quadriceps femoris tendon and adductor muscle tendon combined with semi-patellar ligament displacement. International Knee Documentation Committee (IKDC) score, Tegner score, Lysholm score and Kujala score were used to evaluate knee function before and after the operation. TT-TG, lateral patella displacement (LPD) and patellar tilt angle (PTA) were measured by CT scan to evaluate patellar stability.</p><p><strong>Results: </strong>All 27 patients were followed up for 30-45 months (mean 36.44 ± 4.34 months). At the last follow-up, the IKDC score, Tegner score, Lysholm score and Kujala score of the 27 patients were 89.00 ± 2.76, 3.89 ± 0.64,92.56 ± 2.03 and 91.07 ± 2.37, respectively. Compared with preoperative, the differences were statistically significant (p < 0.001). At the last follow-up, the TT-TG distance, LPD and PTA of 27 patients were 11.25 ± 0.89, 6.25 ± 0.57 mm and 9.89 ± 0.95°, respectively; compared with preoperative, the differences were statistically significant (p < 0.001). No related complications occurred in 27 patients.</p><p><strong>Conclusion: </strong>Reconstruction of the medical patellofemoral ligament through a double-bundle and suspension fixation of the adductor muscle tendon combined with semi-patellar ligament displacement for treating recurrent patella dislocation in adolescents with unclosed epiphysis reached a satisfactory mid-term efficacy, the long-term efficacy still needs to be further explored.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"130"},"PeriodicalIF":1.4,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical dislocation of the hip without trochanteric osteotomy for the treatment of bone tumors around the hip.","authors":"Tomas Zamora, Antonia Gehrung, Ianiv Klaber, Maximiliano Carmona, Daniel Schweitzer, Eduardo Botello","doi":"10.1007/s00590-025-04258-9","DOIUrl":"https://doi.org/10.1007/s00590-025-04258-9","url":null,"abstract":"<p><strong>Purpose: </strong>Bone tumors around the hip pose significant surgical challenges. While surgical dislocation with a trochanteric flip osteotomy through a posterior approach is commonly used, it is associated with known complications. This study is the first to report outcomes using surgical hip dislocation without a trochanteric osteotomy for this purpose. We evaluated early to long-term outcomes of this approach and compared results between patients undergoing extensive curettage with adjuvants and those undergoing simple excision.</p><p><strong>Methods: </strong>Sixteen patients (18 hips) with benign or intermediate bone and synovial tumors were treated using surgical dislocation without a trochanteric flip osteotomy. Patients had a minimum follow-up of 12 months (median 3.6 years, range 1-11 years). Outcomes included local recurrence, complications, functionality, and quality of life (QoL) assessed with SF-12 (mental and physical components), HOOS, TESS, and MSTS scores. Comparative analysis was performed between extensive curettage with adjuvancy and simple excision. Results All procedures were completed successfully without any local recurrences or significant complications. Patients had a median hospital stay of 3 days (ranging from 1 to 4 days), and the median follow-up duration was 3.6 years (ranging from 1 to 13 years). The mean SF-12 physical and mental health scores were 51 and 42, respectively. Additionally, the scores for HOOS, MSTS, and TESS were 74, 77%, and 86%, respectively. One patient (6%) developed osteoarthritis, while three (17%) experienced lateral hip pain managed conservatively. No significant differences were found in complications, functionality, or QoL between the extensive curettage and simple excision groups.</p><p><strong>Conclusion: </strong>Surgical dislocation of the hip without trochanteric osteotomy is a safe and effective alternative for excising tumors around the hip. It provides excellent exposure and achieves successful oncologic and functional outcomes. Patients requiring extensive curettage with adjuvants achieve comparable results to those treated with simple excision, offering a viable and novel surgical option for challenging cases.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"129"},"PeriodicalIF":1.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of outcomes and revision free survival of early arthrofibrosis management after total knee replacement: a national cohort analysis.","authors":"Parshva A Sanghvi, Crystal Xu, Jumaa Baker, Christian Hecht, Atul F Kamath","doi":"10.1007/s00590-025-04245-0","DOIUrl":"https://doi.org/10.1007/s00590-025-04245-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined three common treatment options for arthrofibrosis treatment after total knee arthroplasty (TKA)-manipulation under anesthesia (MUA), arthroscopic lysis of adhesions (LOA), and revision TKA (rTKA)-and evaluated differences in medical outcomes, orthopedic outcomes, and revision free survivorship.</p><p><strong>Methods: </strong>The TriNetX platform was queried to identify patients with arthrofibrosis after TKA. Cohorts were stratified by treatment and matched based on demographics and comorbidities. Differences in short-term medical complications, long-term orthopedic complications, and revision free survivorship were assessed. Odds ratios were used to compare outcomes, and Kaplan-Meier analysis was conducted to determine survivorship.</p><p><strong>Results: </strong>30,142 patients were identified with arthrofibrosis after TKA (3.61%). Within one year of diagnoses, 3,617 patients were treated with MUA, 2,022 with rTKA, 489 with LOA, and 635 patients with rTKA after MUA/LOA. At 90 days, rTKA had a higher risk of acute kidney injury, pulmonary embolism, wound dehiscence, emergency department visits, and readmission compared to MUA, and lower risk of readmission compared to patients with prior MUA/LOA (P < 0.05). At 2 years, rTKA had a higher risk of periprosthetic fracture, prosthetic dislocation, periprosthetic joint infection, and aseptic loosening compared to MUA but a lower risk of prosthetic dislocation and periprosthetic joint infection compared to patients with prior MUA/LOA (P < 0.05). Survivorship with rTKA was markedly lower than with MUA at 2-and 10-years but was comparable with prior MUA/LOA.</p><p><strong>Conclusion: </strong>This study found that manipulation under anesthesia may be preferred as the first-line treatment in the management of early postoperative arthrofibrosis over rTKA due to decreased short-term and long-term complication risk and increased survival rate.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"128"},"PeriodicalIF":1.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of treatment for isolated greater trochanteric fractures with occult intertrochanteric extension: a retrospective cohort of 118 patients.","authors":"Victor Manuel Alvarez, Juan Ignacio Perez Abdala, Gonzalo Garcia Barreiro, Guido Carabelli, Carlos Sancineto, Danilo Taype Zamboni, Juan Barla","doi":"10.1007/s00590-025-04216-5","DOIUrl":"https://doi.org/10.1007/s00590-025-04216-5","url":null,"abstract":"<p><strong>Introduction: </strong>Isolated greater trochanteric fractures are uncommon among the pertrochanteric femoral fractures. Magnetic resonance imaging (MRI) is recommended to confirm occult intertrochanteric extension fractures and prevent potential displacement. While treatment guidelines lack consensus, surgical intervention is suggested for intertrochanteric extension (IE) beyond the medial third portion. Our primary aim was to assess complications and functional outcomes of conservative treatment in patients with IE.</p><p><strong>Methods: </strong>In this retrospective study, all patients aged 65 years and above with isolated greater trochanteric fractures diagnosed by X-ray were included. Subsequently, MRI divided the intertrochanteric area into lateral, medium, or medial portions based on extension proposed by Park. A minimum three-month follow-up was required. Treatment decisions, surgical or conservative, were based on surgeon criteria. Rehabilitation allowed weight-bearing as tolerated for both treatments. Analysis included demographic variables, complications, pre- and posttreatment functional status using the Parker mobility score, and overall mortality rate.</p><p><strong>Results: </strong>From 2010 to 2022, 118 IGTF patients were analyzed, with a mean age of 79.8 years (SD: 11.3) and 69.5% female. Conservative treatment was performed in 93 patients (78.8%), with Park I: 8 (8.6%), Park II: 52 (55.9%), and Park III: 33 (35.5%). Surgical treatment was performed in 25 patients (21.2%), with Park I: 3 (12%), Park II: 7 (28%), and Park III: 15 (60%). The complication rate was 4.8% (n = 4) for conservative treatment (all due to secondary displacement, resolved surgically) and 4% (n = 1) for surgical treatment (deep infection). Radiological extension differed significantly by Park classification (p = 0.042). Functional outcomes (Parker scores) showed no significant changes at three months posttreatment (p = 0.177). Overall survival was 94% at three months and 90% at one year.</p><p><strong>Conclusion: </strong>This study suggests that conservative treatment is a viable option for patients with isolated greater trochanter fractures and IE, including cases involving the medial third. Decisions regarding treatment should take into account not only the location and extent of IE as identified by MRI, but also individual clinical factors.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"127"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metal-on-metal disease in wrist arthroplasty: a systematic review and proposed management algorithm.","authors":"Brahman Sivakumar, Antony Rapisarda, Heidi Freeman, Joshua Xu, David Graham","doi":"10.1007/s00590-025-04242-3","DOIUrl":"https://doi.org/10.1007/s00590-025-04242-3","url":null,"abstract":"<p><strong>Background: </strong>Wrist arthroplasty is becoming increasingly popular. Metal-on-metal (MOM) articulations have been offered to diminish wear and increase range of motion. This systematic review aims to survey the literature for reports of MOM disease in the setting of wrist arthroplasty, identify patient characteristics that may predispose to its incidence and offer an algorithm for management of such patients.</p><p><strong>Methods: </strong>An electronic database search of PubMed, Ovid Medline, Embase and CENTRAL was performed. Studies were included if they were published in English; reported original data following the implantation of a wrist replacement device; and commented on the presence of either intra-capsular metallosis or raised systemic metal ion levels. Studies were graded by the QUADAS-2 tool.</p><p><strong>Results: </strong>Nine studies with 124 patients were identified for inclusion. The mean age was 63 years (range 29-87). Complications included neurological symptoms, wrist pain, loss of range of motion and swelling. Time to revision surgery ranged from 12.5 to 72 months. The arc range of motion ranged from 112 to 140 degrees.</p><p><strong>Conclusions: </strong>MOM disease is seen in patients with a retained arc of motion, particularly in females. A MOM articulation is not recommended when implanting a wrist arthroplasty. Close surveillance utilizing regular clinical, haematological and radiological review should be performed in patients who have previously undergone wrist arthroplasty with MOM articulation.</p><p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"126"},"PeriodicalIF":1.4,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reverse shoulder arthroplasty for proximal humerus fracture: does tuberosity reinsertion improve the functional outcomes more than 5 years after surgery?","authors":"Noémie Allio, Thomas Amouyel, Marc Saab, Christophe Chantelot","doi":"10.1007/s00590-025-04227-2","DOIUrl":"10.1007/s00590-025-04227-2","url":null,"abstract":"<p><strong>Introduction: </strong>While tuberosity reinsertion significantly improves the short-term functional outcomes of reverse shoulder arthroplasty done for proximal humerus fracture, we do not know how well these results hold over the long term. The objective of this study was to analyze the effect of tuberosity reinsertion on the quality of life of patients and the functional outcomes of the operated limb after a minimum follow-up of 5 years.</p><p><strong>Methods: </strong>Sixty-two patients were included. Their mean age at the final review was 79 ± 10 years. The Katz and Lawton scales, Constant score, DASH and SSV were collected. Radiographs were made at the final assessment to analyze the position of the tuberosities and to look for radiological signs of implant loosening.</p><p><strong>Results: </strong>The mean follow-up was 6.7 ± 1.5 years. The tuberosities had been reinserted in 35 patients (56%). There were no statistically significant differences between groups in the Katz (p = 0.60) and Lawton (p = 0.49) scales, nor the DASH (p = 0.45) or SSV (p = 0.49) at the final review. The Constant score was significantly better in the patients who had their tuberosities reinserted (p = 0.01), also the active forward flexion (p = 0.02), the internal rotation (p = 0.01), and the external rotation arm abduction (p = 0.02), but there was no significant difference for external rotation elbow at side (p = 0.14). None of the patients underwent revision surgery for implant loosening.</p><p><strong>Conclusion: </strong>Tuberosity reinsertion has a functional benefit beyond 5 years postoperative, although it does not appear to have a significant effect on the geriatric outcomes or the subjective clinical scores. The patients regained satisfactory independence for an orthogeriatric population.</p><p><strong>Level of evidence: </strong>Level IV-Retrospective study.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"125"},"PeriodicalIF":1.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665031","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":"Nail-plate combination versus single construct for the management of distal femoral fractures: a meta-analysis.","authors":"Mohammad Daher, Alexander Parsons, Cyril Mauffrey, Raveesh Richard","doi":"10.1007/s00590-025-04239-y","DOIUrl":"https://doi.org/10.1007/s00590-025-04239-y","url":null,"abstract":"<p><strong>Background: </strong>The management of distal femoral fractures (DFFs) can be challenging, with a historically high rate of non-union and reoperations. While lateral locked plating and intramedullary nailing were shown to have similar rates of non-union, nail-plate combinations (NPC) have been shown to have higher rates of union and improved clinical outcomes compared to single constructs (SC). The purpose of this meta-analysis was to compare NPC and SC in the treatment of DFFs.</p><p><strong>Methods: </strong>PubMed, Cochrane, and Google Scholar databases (pages 1-20) were queried through October 2024. Studies that compared NPC to SC in patients with DFF were included. Outcomes including overall complications, specific complications (implant failure, heterotopic ossification (HO), nonunion, malunion, and surgical site infection (SSI)), reoperations, immediate post-operative weight-bearing status, and surgery-related parameters (operative room (OR) time, estimated blood loss (EBL), and length of stay (LOS)) were compared between the two groups.</p><p><strong>Results: </strong>Five retrospective studies including 637 patients met the inclusion criteria (146 patients in the NPC group and 491 patients in the SC group). The NPC group had a lower rate of overall complications (OR 0.21, p < 0.001), reoperations (OR 0.29, p < 0.001), implant failure (OR 0.15, p = 0.01), non-unions (OR 0.12, p < 0.001), and malunion (OR 0.29, p = 0.03). Furthermore, the NPC group had a lower rate of patients instructed to be non-weightbearing post-operatively (OR 0.06; p < 0.001). There was no difference in HO, SSI, OR time, EBL or LOS between the 2 groups.</p><p><strong>Conclusion: </strong>The present meta-analysis demonstrates a reduced rate of complications, reoperations, implant failure, nonunions and malunions in patients undergoing NPC for DFFs.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"124"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of preoperative radiographic measurements for femoral shaft fractures: a study on canal diameter measurement methods.","authors":"Hyeon Joon Lee, Hyun Bai Choi, Ba Woo Ko, Jong Jin Moon, Gwang Chul Lee","doi":"10.1007/s00590-025-04246-z","DOIUrl":"10.1007/s00590-025-04246-z","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to determine the most reliable preoperative method for measuring canal diameter in femoral shaft fractures to optimize intramedullary nailing outcomes.</p><p><strong>Methods: </strong>We retrospectively analyzed 164 patients treated with intramedullary nailing at University Hospital from October 2017 to December 2019. Each patient's canal diameter was measured using five techniques: simple anteroposterior (AP) radiography, simple lateral radiography, AP scanogram with a scano rod, lateral scanogram with a scano rod, and computed tomography (CT). Error was calculated as preoperative measurement minus actual nail diameter. Interobserver reliability was assessed with Cohen's Kappa coefficient and paired t tests, with subgroup analyses for isthmus fractures and osteoporosis.</p><p><strong>Results: </strong>CT yielded the smallest error (-0.34 ± 0.87 mm and 0.25 ± 1.39 mm across observers), with Kappa values of 0.61-0.85 indicating substantial reliability. Only CT showed significant error differences for isthmus fractures (p < 0.05). No method differed significantly with osteoporosis (p > 0.05). Preoperative plans adjusted in 18% of scano rod cases due to discrepancies exceeding 2 mm.</p><p><strong>Conclusion: </strong>CT offers the highest reliability, particularly for isthmus fractures, while scanograms outperform simple radiography, with AP views superior to lateral views. Further investigation is needed into osteoporosis effects on measurement accuracy.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"122"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the reliability, usefulness, quality and readability of ChatGPT's responses on Scoliosis.","authors":"Ayşe Merve Çıracıoğlu, Suheyla Dal Erdoğan","doi":"10.1007/s00590-025-04198-4","DOIUrl":"https://doi.org/10.1007/s00590-025-04198-4","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the reliability, usefulness, quality, and readability of ChatGPT's responses to frequently asked questions about scoliosis.</p><p><strong>Methods: </strong>Sixteen frequently asked questions, identified through an analysis of Google Trends data and clinical feedback, were presented to ChatGPT for evaluation. Two independent experts assessed the responses using a 7-point Likert scale for reliability and usefulness. Additionally, the overall quality was also rated using the Global Quality Scale (GQS). To assess readability, various established metrics were employed, including the Flesch Reading Ease score (FRE), the Simple Measure of Gobbledygook (SMOG) Index, the Coleman-Liau Index (CLI), the Gunning Fog Index (GFI), the Flesch-Kinkaid Grade Level (FKGL), the FORCAST Grade Level, and the Automated Readability Index (ARI).</p><p><strong>Results: </strong>The mean reliability scores were 4.68 ± 0.73 (Median: 5, IQR 4-5), while the mean usefulness scores were 4.84 ± 0.84 (Median: 5, IQR 4-5). Additionally the mean GQS scores were 4.28 ± 0.58 (Median: 4, IQR 4-5). Inter-rater reliability analysis using the Intraclass correlation coefficient showed excellent agreement: 0.942 for reliability, 0.935 for usefulness, and 0.868 for GQS. While general informational questions received high scores, responses to treatment-specific and personalized inquiries required greater depth and comprehensiveness. Readability analysis indicated that ChatGPT's responses required at least a high school senior to college-level reading ability.</p><p><strong>Conclusion: </strong>ChatGPT provides reliable, useful, and moderate quality information on scoliosis but has limitations in addressing treatment-specific and personalized inquiries. Caution is essential when using Artificial Intelligence (AI) in patient education and medical decision-making.</p>","PeriodicalId":50484,"journal":{"name":"European Journal of Orthopaedic Surgery and Traumatology","volume":"35 1","pages":"123"},"PeriodicalIF":1.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}