Arthroscopy-The Journal of Arthroscopic and Related Surgery最新文献

{"title":"Imaging Results in Data Usefully Analyzed by Artificial Intelligence Machine Learning.","authors":"Mark P Cote, Alireza Gholipour","doi":"10.1016/j.arthro.2025.02.024","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.02.024","url":null,"abstract":"<p><p>Many artificial intelligence (AI) machine learning (ML) papers focused on clinical outcomes use registry data inadequate for predictive modeling. In contrast, diagnostic imaging is an area where available information (pixels, etc.) can result in a reliable, clinically relevant, and accurate model. The use of deep learning for image analysis can reduce interobserver variability, and highlight subtle and meaningful features. AI augments, rather than replaces, clinical expertise, allowing faster, more consistent, and potentially more accurate diagnostic information. This is especially relevant when imaging data is abundant, as continuous model training can further refine diagnostic precision. An effective 3-step approach includes: 1) an efficient \"detector\" to determine where to look; 2) computational ability to focus on key features of the image and \"blur out\" background noise (\"attention module\"); and 3) interpreted key features (\"explainability\"). Next, the larger process of developing and employing a predictive model needs to be externally validated, to determine the extent to which these results will generalize outside of a single institution. Outside this setting, i.e., external validity, needs to be determined.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary: Tension of the Repair During Rotator Cuff Surgery Appears to Matter More Than Medial-Lateral Footprint Coverage.","authors":"Michelle Xiao, Geoffrey D Abrams","doi":"10.1016/j.arthro.2025.02.022","DOIUrl":"10.1016/j.arthro.2025.02.022","url":null,"abstract":"<p><p>The ideal rotator cuff repair construct has low tension, maximizes footprint coverage, is biomechanically strong, and optimizes tendon-to-bone healing. However, these principles are not always feasible, especially with larger tear patterns and poor tendon quality, factors that are also associated with higher retear rates. There is a constant effort with often opposing priorities to achieve a tension-free rotator cuff repair while also achieving maximal footprint coverage. This is not always possible, and there are few data to guide surgeons on which factor-tension-free repair or footprint coverage-should be prioritized. Recent studies have reported that achieving a tension-free repair with incomplete medial-to-lateral footprint coverage leads to similar functional and radiographic outcomes to complete footprint coverage using a transosseous-equivalent repair with bone marrow stimulation. Many factors affect rotator cuff tendon-to-bone healing, most notably tear size and retraction, tendon quality/preoperative fatty infiltration, repair construct, patient age, and medical comorbidities. In terms of these factors, achieving a tension-free repair and achieving maximal footprint coverage are some of the only factors we can control during surgery. However, although we may be able to pull the torn tendon edge all the way over to the lateral aspect of the footprint during our reduction maneuver, we know that fixing the tendon in this location creates a significant risk of a type 2 retear due to high tension. In the end, achieving a tension-free repair is probably the most important factor during rotator cuff repair-even if it comes at the cost of a smaller amount of medial-to-lateral footprint coverage.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unhealed and healed capsules after hip arthroscopy can have similar outcomes, but the preponderance of evidence still favors closure.","authors":"Derek Ochiai","doi":"10.1016/j.arthro.2025.02.023","DOIUrl":"https://doi.org/10.1016/j.arthro.2025.02.023","url":null,"abstract":"<p><p>Routine capsular closure following hip arthroscopy remains controversial. The hip capsule is important for hip stability, but this can sometimes heal after a small periportal or intraportal capsulotomy without closure. While reliable healing of intraportal capsulotomies can be achieved with capsular closure, multiple systematic reviews show improved outcomes and less revision surgery after capsular closure. In my practice, I do an interportal capsulotomy in all patients, and I close or plicate the capsule.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Pelvic Tilt Allows for Increased Hip Motion, While Anterior Pelvic Tilt Decreases Joint Stress: A Systematic Review of Biomechanical and Motion Analyses.","authors":"Benjamin D Kuhns, Ady H Kahana-Rojkind, Ali Parsa, Tyler R McCarroll, Drashti Sikligar, Benjamin G Domb","doi":"10.1016/j.arthro.2025.02.021","DOIUrl":"10.1016/j.arthro.2025.02.021","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this systematic review was to evaluate the effect of pelvic tilt on hip joint contact forces and range of motion in patients with femoroacetabular impingement (FAI) and acetabular dysplasia.</p><p><strong>Methods: </strong>A literature review querying the U.S. National Library of Medicine (PubMed/MEDLINE), EMBASE, SCOPUS, and Cochrane Databases using the key words (\"Femoroacetabular Impingement\" OR \"Hip Dysplasia\") AND (((((\"Pelvic Tilt\") OR (Joint Contact) OR (Kinetics) OR (\"Pelvic Incidence\") OR (Lumbar Lordosis)))). 14 studies were included in the review with methodological quality evaluated through the Methodological Index for Non-Randomized Studies (MINORS) and Risk of Bias in Non-Randomized Studies- of Interventions (ROBINS-I) criteria.</p><p><strong>Results: </strong>There were 474 total patients (577 hips) in the 14 studies reviewed. Two studies focused on hip joint contact forces and femoral head coverage in acetabular dysplasia. These found that posterior pelvic tilt was associated with decreased hip joint contact area (range: 490-581 mm² vs 919-1094 mm²), increased joint contact pressure (range: 3.9-7.3 mPa vs 1.8-3.5 mPa), and decreased femoral head coverage (range: 30.2-43.4% vs 38.9-50.3%) in dysplastic subjects compared to control populations. Twelve studies evaluated the range of hip motion in FAI populations undergoing different functional maneuvers. Posterior pelvic tilt in FAI patients was found to increase hip range of motion to impingement on supine testing and biomechanical modeling (Internal rotation in flexion range: -6.5° to 15.5° with anterior tilt, 12.9° to 31.4° with posterior tilt). With dynamic maneuvers, FAI patients had decreased pelvic mobility (range: 7.2°-14.7° vs 12.7°-24.2°) and decreased posterior pelvic tilt (range: 3.4°-15.9° vs 9.8°-21.1°) compared to patients without FAI.</p><p><strong>Conclusions: </strong>Hip joint stress is increased with posterior pelvic tilt in dysplastic patients, while increasing posterior pelvic tilt increases hip range of motion to impingement in patients with FAI. During weight-bearing exercises, the ability for FAI patients to posteriorly tilt the pelvis is restricted compared to a control population.</p><p><strong>Clinical relevance: </strong>Spinopelvic kinematics and alignment affect composite hip motion and play a critical role in bipedal locomotion. The influence of spinopelvic parameters on treatment outcomes for acetabular dysplasia and FAI is controversial and currently limited by an imperfect understanding of the hip-spine relationship as it relates to nonarthritic hip disease. The present systematic review provides a summary of the results of biomechanical studies investigating pelvic tilt in this population.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Corticosteroid Injection After Arthroscopic Rotator Cuff Repair in Patients With Stiffness Has Similar Clinical Outcome Compared With Repair Combined With Capsular Release: A Prospective Randomized Clinical Trial.","authors":"Hyo-Jin Lee, Eun-Ji Yoon, Jung-Woo Lee, Jong-Ik Kim, Jong-Ho Kim","doi":"10.1016/j.arthro.2025.02.014","DOIUrl":"10.1016/j.arthro.2025.02.014","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether 2 months of a postoperative intra-articular corticosteroid injection after arthroscopic rotator cuff repair (ARCR) in rotator cuff tear (RCT) patients with stiffness would improve the functional scores and range of motion of the operated shoulder without capsular release during ARCR.</p><p><strong>Methods: </strong>From March 2020 to September 2021, a total of 73 patients who had RCT with stiffness and were scheduled for ARCR were enrolled prospectively and randomly allocated into 2 groups. The patients who underwent ARCR with capsular release were allocated to group 1 (n = 37). The patients who underwent ARCR without capsular release and were injected with 1 mL triamcinolone acetate (40 mg/1 cc) into the glenohumeral joint 2 months after surgery were allocated to group 2 (n = 36). Functional scores and shoulder range of motion were evaluated before surgery; 3, 6, and 12 months after surgery; and at the last follow-up. Magnetic resonance imaging was performed at 12 months postoperatively.</p><p><strong>Results: </strong>The mean follow-up period was 26.5 months. The functional and visual analog score (VAS) pain scores in both groups were significantly improved at the last follow-up (P < .001). The 3-month postoperative VAS pain score of group 2 was significantly lower than that of group 1 (group 1, 3.4 ± 1.5; group 2, 2.1 ± 1.0; P <.001). VAS pain scores at 6 months or 12 months or at the last follow-up and functional scores and ROM at 3, 6, or 12 months or at the last follow-up were not significantly different between the 2 groups (P > .05). The retear rate of repaired rotator cuff during follow-up was not significantly different between the 2 groups (P = .71).</p><p><strong>Conclusions: </strong>Corticosteroid injection in the glenohumeral joint performed 2 months after ARCR in RCT patients with stiffness is as effective as capsular release during ARCR for improving the clinical outcome of the operated shoulder.</p><p><strong>Level of evidence: </strong>Level I, prospective randomized clinical trial.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Impact of Graft Tensioning and Leg Positioning in Medial Patellofemoral Ligament Reconstruction on Patellofemoral Pressure Profile: A Systematic Review and Meta-analysis.","authors":"Yosef Sourougeon, Gilad Nesher, Hesham Younis, Asaf Bloch, Sharif Garra, Dan Prat, Ran Thein","doi":"10.1016/j.arthro.2025.01.066","DOIUrl":"10.1016/j.arthro.2025.01.066","url":null,"abstract":"<p><strong>Purpose: </strong>To systematically review the effects of pretension on patellofemoral pressure distribution and determine which flexion angle at fixation allows for the most reliable restoration of patellofemoral kinematics and mechanics.</p><p><strong>Methods: </strong>This systematic review and meta-analysis adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and included studies from PubMed, EMBASE, and Scopus from January 2000 to July 2024. We focused on cadaveric studies measuring patellofemoral pressure after medial patellofemoral ligament (MPFL) reconstruction. Two authors extracted data independently, and the risk of bias was assessed using the Quality Appraisal for Cadaveric Studies scale. Statistical analyses used fixed- and random-effect models to compare patellofemoral pressure at various flexion angles (30°, 60°, 90°) and pretension levels (2 N, 10 N, 10+ N).</p><p><strong>Results: </strong>Thirteen studies met the inclusion criteria, with 8 qualifying for quantitative analysis. No significant difference in patellofemoral pressure was found between native and reconstructed knees across all flexion angles and pretension levels. Increased medial patellofemoral pressure was shown in the 10+ N pretension group, particularly at 90° of flexion; however, no statistically significant differences were found. Most studies reported graft fixation at 30° of knee flexion, effectively restoring native patellofemoral mechanics.</p><p><strong>Conclusions: </strong>MPFL reconstruction at various angles of knee flexion and pretension levels showed no statistically significant differences in patellofemoral pressure compared to the native state. CLINICAL RELEVANCE: Understanding the optimal graft pretension and knee flexion angle for MPFL reconstruction can help surgeons more accurately and reliably restore native patellofemoral biomechanics and kinematics.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two-Year Patient-Reported Outcomes Are Predictive of Mid- and Long-term Outcomes After Meniscal Allograft Transplantation.","authors":"Andrew S Bi, Yusuf Mufti, Jared Sachs, Chloe Franzia, Nicholas J Lemme, Brian J Cole","doi":"10.1016/j.arthro.2025.02.020","DOIUrl":"10.1016/j.arthro.2025.02.020","url":null,"abstract":"<p><strong>Purpose: </strong>To determine whether short-term patient-reported outcomes (PROs) after meniscal allograft transplantation (MAT) correlate with mid- to long-term PROs at a minimum of 5-year follow-up.</p><p><strong>Methods: </strong>A retrospective review was performed of MATs performed between 2001 and 2019 that had preoperative, 2-year, and minimum 5-year postoperative PROs. PROs of interest assessed included International Knee Documentation Committee Score, all subscales of the Knee Injury and Osteoarthritis Outcome Score, and Lysholm score. Short-term, midterm, and long-term PROs were defined as 2 years, 5 to 10 years, and ≥10 years respectively. Midterm and long-term outcomes were analyzed separately. Patients were evaluated for the achievement of previously reported thresholds for minimally clinically important difference, patient acceptable symptomatic state, and substantial clinical benefit. Logistic regression was used to compare improvements in PROs with respect to reoperation. Linear regression was used to analyze the correlation between short-term and mid- to long-term improvements in PROs.</p><p><strong>Results: </strong>In total, 54 patients (48.1% male, 51.9% female) with a mean age of 30.0 ± 10.5 years and body mass index of 26.2 ± 4.2 were included. Mean follow-up for the entire cohort was 10.4 ± 4.4 years. Minimally clinically important difference achievement ranged from 70.0% to 95%, patient acceptable symptomatic state from 55.6% to 78.6%, and substantial clinical benefit from 38.5% to 69.2%. We found significant positive correlations between short-term and midterm as well as short-term and long-term improvements in all outcomes, with the exception of Lysholm scores in the ≥10 years group. 18 patients (33.3%) had any subsequent reoperation on the same knee, 5 of which (9.2%) included conversion to arthroplasty.</p><p><strong>Conclusions: </strong>Two-year improvements in PROs after MAT are predictive of sustained success at midterm and long-term follow-up, with significant correlations observed between 2-year outcomes and those at 5 to 10 and ≥10 years.</p><p><strong>Level of evidence: </strong>Level IV, retrospective case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior Cruciate Ligament Reconstruction With Lateral Extra-articular Tenodesis Is Associated With Reduced Risk for Revision Anterior Cruciate Ligament Reconstruction in an Insurance Claims Database.","authors":"Juan Serna, Natalie Kucirek, Kirk Terada-Herzer, Drew Lansdown, C Benjamin Ma, Alan L Zhang","doi":"10.1016/j.arthro.2025.02.015","DOIUrl":"10.1016/j.arthro.2025.02.015","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze a large, cross-sectional sample of patients from an administrative database for trends in the yearly utilization of either isolated anterior cruciate ligament (ACL) reconstruction or concomitant ACL reconstruction with lateral extra-articular tenodesis (ACLR/LET) for the treatment of ACL injury and to compare the cumulative incidence of 5-year reoperations and 90-day emergency visits for each treatment modality.</p><p><strong>Methods: </strong>International Classification of Diseases, Tenth Revision and Current Procedural Terminology codes were used to query the PearlDiver database between October 2015 and October 2022 to identify patients with a diagnosis of ACL injury undergoing either isolated ACLR or ACLR/LET. Propensity score matching was performed on the basis of age, sex, Charlson Comorbidity Index, overweight or obesity (body mass index >25.0), and tobacco use. Kaplan-Meier survival analysis was used to estimate the 5-year cumulative incidence of reoperations (revision ACLR, meniscus debridement/repair, adhesion lysis, knee joint manipulation, total knee arthroplasty) for each group.</p><p><strong>Results: </strong>In total, 1,022 patients underwent ACLR/LET, and 64,504 patients underwent ACLR for a diagnosis of ACL injury; following 1:1 propensity matching, 1,022 patients remained in each group. Patient counts for ACLR/LET increased yearly during the study period for every year except 2020, with greater than 20% increases annually after 2017. Kaplan-Meier analysis of revision ACLR in propensity-matched groups showed a 5-year cumulative incidence of 2.6% for patients undergoing ACLR/LET and 4.9% for ACLR (hazard ratio, 0.37; 95% confidence interval, 0.18-0.74; P = .005). There were no significant differences between groups and any other secondary event or postoperative complications.</p><p><strong>Conclusions: </strong>ACLR/LET is increasingly utilized to treat patients with ACL tears and shows a decreased risk for revision ACLR without an increased risk for complications compared to patients treated with isolated ACLR.</p><p><strong>Level of evidence: </strong>Level III, retrospective matched comparative series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Female Sex Increases Susceptibility for the Negative Impacts of Advanced Age and Obesity on Patient-Reported Functional Outcomes 10 Years after Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome.","authors":"Garrett Ruff, Ekenedilichukwu Nwakoby, Kevin Lehane, Michael Moore, Daniel J Kaplan, Thomas Youm","doi":"10.1016/j.arthro.2025.02.016","DOIUrl":"10.1016/j.arthro.2025.02.016","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to evaluate patient-reported outcomes (PROs) and reoperation rates in patients undergoing primary hip arthroscopy for femoroacetabular impingement syndrome (FAIS) over a minimum 10-year follow-up stratified by sex, age, and body mass index (BMI).</p><p><strong>Methods: </strong>Primary hip arthroscopies performed for FAIS between 2010 and 2013, with a minimum 10-year follow-up, were reviewed. Procedures consisting of microfracture, or labral debridement without repair, were excluded. Ten-year PROs were assessed using the modified Harris Hip Score (mHHS) and Non-Arthritic Hip Score (NAHS). Patients were categorized into three groups by age (<30, 30-44, >45 years) and BMI (<25.0, 25.0-29.9, ≥ 30). Minimum clinically important difference (MCID) was set to half the preoperative standard deviation of the cohort. Reoperation rates and PROs were compared, and regression analysis identified independent predictors of PROs.</p><p><strong>Results: </strong>At minimum 10-year follow-up (mean: 11.6 [10.0-13.9] years), 59.2% follow-up was achieved, representing 154 hips (141 patients). The cohort had a mean age of 38.5 years, BMI of 24.4, and was 68.2% female. At follow-up, 91.6% of the cohort achieved MCID with a 9.7% reoperation rate. In the middle-aged group, males had higher mHHS (mean: 92.8 vs 85.2; P = .015) and NAHS (mean: 91.6 vs 83.4; P = .008) scores compared to females. In the BMI ≥30 group, males had higher mHHS (mean: 83.3 vs 66.4; P = .030) and NAHS scores (mean: 83.0 vs 58.5; P = .035). Only 72.7% of females with BMI ≥30 achieved MCID for mHHS and NAHS, compared to BMI <25 (96.6% and 94.9%, respectively) and 25-29.9 (87.5% and 83.3%) (mHHS: P = .016; NAHS: P = .038). Similarly, 78.8% of females aged ≥45 achieved MCID for NAHS, compared to 92.9% of those aged <30 and 97.1% of those 30-44 (P = .040). Multivariable regression identified older age (mHHS: P = .019; NAHS: P = .042) and higher BMI (mHHS: P = .007; NAHS: P < .001) as independently predictive of worse 10-year PROs.</p><p><strong>Conclusion: </strong>Older age and greater BMI independently predicted poorer long-term functional outcomes after hip arthroscopy for FAIS. Female sex, while not independently predictive, may make patients more susceptible to the negative effects of older age and BMI. No significant association was observed for reoperation rates.</p><p><strong>Level of evidence: </strong>Level IV, retrospective therapeutic case series.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence Research Receives Similar Online Attention but Increased Citation Rates Compared With Control Articles.","authors":"Evan M Polce, Cory J Call, Tessa C Griffin, Kyle N Kunze, Eric J Cotter, Brian F Grogan","doi":"10.1016/j.arthro.2025.02.018","DOIUrl":"10.1016/j.arthro.2025.02.018","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the social media attention and citation rates between artificial intelligence (AI) and non-AI research in the orthopaedic surgery literature.</p><p><strong>Methods: </strong>Research articles using AI for the purpose of statistical analysis or evaluating the use of AI for specific clinical use cases were included. Articles selected from 6 high-impact orthopaedic surgery journals between January 2018 and December 2023 were selected by month of publication in a 1:4 ratio within the same journal issue. The primary outcomes were the Altmetric Attention Score (AAS), an aggregate score comprising the degree of social media attention received on multiple online platforms (with higher scores indicating more attention), and cumulative citation rates. Multivariate linear regression analyses were conducted to assess the relationship (1) between article type and the AAS and (2) between article type and the citation rate. A subanalysis comparing the AAS and citation rates between articles using AI for the purpose of statistical analysis versus evaluating the use of AI for a specific clinical use case was performed.</p><p><strong>Results: </strong>A total of 540 articles (110 AI-related articles [20.0%] and 440 control articles [80.0%]) were included. The median AAS was 2.0 (interquartile range [IQR], 1-6) for AI-related articles and 1.0 (IQR, 0-5) for control articles (P = .006). However, when controlling for covariates in the multivariate regression, article type (AI vs control) was not significantly associated with the AAS (β = -1.1, P = .602). The median number of citations was significantly greater among AI-related articles (median, 18 [IQR, 9-35]) compared with control articles (median, 9 [IQR, 4-16]) (P < .001). Multivariate linear regression showed an additional average increase of 13.4 citations (95% confidence interval, 9.4-17.5; P < .001) per article for AI articles compared with control articles.</p><p><strong>Conclusions: </strong>AI research published in 6 orthopaedic surgery journals received approximately 13 additional citations on average compared with control articles published during a similar period. AI research did not receive greater social media attention on average after controlling for confounding variables.</p><p><strong>Clinical relevance: </strong>AI research in orthopaedic surgery did not receive greater online attention but was cited more frequently relative to control articles. Given the increasing academic impact of these articles, orthopaedic surgeons should become familiarized with AI research as clinical applications and AI solutions derived from such research become increasingly relevant and implemented within clinical practice workflows.</p>","PeriodicalId":55459,"journal":{"name":"Arthroscopy-The Journal of Arthroscopic and Related Surgery","volume":" ","pages":""},"PeriodicalIF":4.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}