Femoroasetabular sıkışma hastalarının çevrimiçi aramalarının analizi

Year 2025, , 132 - 137, 12.01.2025

Cihangir Türemiş , Mahmud Aydın , Atahan Eryılmaz , Necati Bahadır Eravşar Serkan Sürücü

https://doi.org/10.32322/jhsm.1592936

Abstract

Amaçlar: Bu çalışma, femoroasetabular sıkışma (FAI) cerrahisi hakkında Google'da sıkça sorulan soruları derlemektedir. Çalışmanın amacı, FAI hakkında Google'da sorulan soruları değerlendirmek ve hastaların bu konu hakkında merak ettikleri sorulara dikkat çekerek ortopedi cerrahlarını bilgilendirmektir.
Yöntemler: Temiz bir şekilde yüklenmiş bir Google Chrome tarayıcısı kullanılarak Google Web Arama'ya bir dizi arama terimi girildi. Sık sorulan sorular ve web sayfaları bir veri madenciliği uzantısı aracılığıyla bir veritabanına çıkarıldı. Sorular kalça sıkışma onarımı ile ilgili konulara göre kategorize edildi. Web siteleri, JAMA Benchmark Kriterleri kullanılarak kalite açısından puanlandı.
Sonuçlar: İlk aramadan toplam 540 soru üretildi. Yinelenenler kaldırıldıktan sonra 364 orijinal soru çıkarıldı ve her soru kategorize edildi. En popüler soru konuları aktiviteler/kısıtlamalar (%17,5), ağrı (%16,7) ve endikasyonlar/yönetim (%14,5) idi. En sık aranan 2 web sitesi akademik (%34) ve tıbbi uygulama (%29,4) idi. Hükümet web sitelerinin İyileşme süresiyle ilişkilendirilme olasılığı daha yüksekti (%24 tüm hükümet web sitelerinin). Web sitelerinin ortalama JAMA puanı 2,51 idi. Ticari ve Akademik web siteleri en yüksek JAMA puanlarına sahipti (sırasıyla 2,9 ve 2,7).
Sonuç: Bu çalışma hastaların FAI cerrahisi ile ilgili en sık sorduğu soruları ele aldı. Hastaların en çok merak ettiği konular ameliyat sonrası aktiviteler, ağrı yönetimi ve cerrahi endikasyonlardı. En sık ziyaret edilen siteler akademik ve tıbbi uygulama içerikleriydi ve JAMA puanları orta düzeydeydi. Bu sonuçlar hastaların bilgi ihtiyaçlarını karşılamak için hasta eğitimine daha fazla vurgu yapılması gerektiğini göstermektedir. Ortopedi cerrahlarının hastalara tavsiyelerde bulunması için sık sorulan sorular adlı bir rehber oluşturulabilir. Hastalar bu soruların yanıtlarına web sitesinden kolayca ulaşabilirler.

Keywords

Artroskopi, femoroasetabular sıkışma, FAI, Google, JAMA skoru, çevrimiçi arama

Project Number

1

An analysis of online searches of femoroacetabular impingement patients

Abstract

Aims: This study compiles frequently asked questions on Google about femoroacetabular impingement (FAI) surgery. The purpose of the study was to evaluate the questions asked to google about FAI and to inform orthopaedic surgeons by drawing attention to the questions that patients are curious about this subject.
Methods: A set of search terms was entered into Google Web Search using a cleanly installed Google Chrome browser. Frequently asked questions and web pages were extracted into a database through a data mining extension. Questions were categorized according to topics related to hip impingement repair. Websites were scored for quality using the JAMA Benchmark Criteria.
Results: A total of 540 questions were generated from the initial search. After duplicates were removed 364 original questions were extracted and each question was categorized. The most popular question topics were activities/restrictions (17.5%), pain (16.7%), and indications/management (14.5%). The 2 most common websites searched were academic (34%) and medical practice (29.4%). Government websites were more likely to be associated with Recovery time (24% of all Government websites). The average JAMA score of websites was 2.51. Commercial and Academic websites had the highest JAMA scores (2.9 and 2.7 respectively).
Conclusion: This study the most frequently asked questions by patients regarding FAI surgery. The topics that patients were most curious about were postoperative activities, pain management, and surgical indications. The most frequently visited sites were academic and medical practice content, with JAMA scores of moderate qualities. These results suggest that more emphasis should be placed on patient education to meet patients’ information needs. A guide called frequently asked questions can be created for orthopedic surgeons to advise patients. Patients can easily access the answers to these questions on the website.

Keywords

Arthroscopy, femoroacetabular impingement, FAI, Google, JAMA score, online search

Project Number

1

References

• Langhout R, Weir A, Litjes W, et al. Hip and groin injury is the most common non-time-loss injury in female amateur football. Knee Surg Sports Traumatol Arthrosc. 2019;27(10):3133-3141. doi:10.1007/s00167-018-4996-1
• Nunley RM, Prather H, Hunt D, Schoenecker PL, Clohisy JC. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011;93(Suppl 2):17-21. doi:10.2106/JBJS. J.01735
• Smith-Petersen MN. The classic: treatment of malum coxae senilis, old slipped upper femoral epiphysis, intrapelvic protrusion of the acetabulum, and coxa plana by means of acetabuloplasty. Clin Orthop Relat Res. 1936;467(3):608-615. doi:10.1007/s11999-008-0670-0
• Ganz R, Gill TJ, Gautier E, Ganz K, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br. 2001;83(8):1119-1124. doi:10.1302/0301-620x.83b8. 11964
• Sankar WN, Nevitt M, Parvizi J, Felson DT, Agricola R, Leunig M. Femoroacetabular impingement: defining the condition and its role in the pathophysiology of osteoarthritis. J Am Acad Orthop Surg. 2013; 21(Suppl 1):S7-S15. doi:10.5435/JAAOS-21-07-S7
• Mansell NS, Rhon DI, Marchant BG, Slevin JM, Meyer JL. Two-year outcomes after arthroscopic surgery compared to physical therapy for femoracetabular impingement: a protocol for a randomized clinical trial. BMC Musculoskelet Disord. 2016;17:60. doi:10.1186/s12891-016-0914-1
• Krishnamoorthy VP, Kunze KN, Beck EC, et al. Radiographic prevalence of symphysis pubis abnormalities and clinical outcomes in patients with femoroacetabular impingement syndrome. Am J Sports Med. 2019;47(6):1467-1472. doi:10.1177/0363546519837203
• Gartenberg A, Nessim A, Cho W. Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment. Eur Spine J. 2021;30(10):2936-2943. doi:10.1007/s00586-021-06927-9
• Phillips E, Khoury V, Wilmot A, Kelly JD 4th. Correlation between cam-type femoroacetabular impingement and radiographic osteitis pubis. Orthopedics. 2016;39(3):e417-e422. doi:10.3928/01477447-20160404-03
• Lynch TS, Bedi A, Larson CM. Athletic hip injuries. J Am Acad Orthop Surg. 2017;25(4):269-279. doi:10.5435/JAAOS-D-16-00171
• Rothwell JD. In mixed company: communication in small groups. Wadsworth Cengage Learning. 2013.
• Nassiri M, Bruce-Brand RA, O’Neill F, Chenouri S, Curtin PT. Surfing for hip replacements: has the “internet tidal wave” led to better quality information. J Arthroplasty. 2014;29(7):1339-1344. doi:10.1016/j.arth.2014. 01.009
• Saithna A, Ajayi OO, Davis ET. The quality of internet sites providing information relating to hip resurfacing. Surgeon. 2008;6(2):85-87. doi: 10.1016/s1479-666x(08)80070-4
• Lerch TD, Boschung A, Todorski IAS, et al. Femoroacetabular impingement patients with decreased femoral version have different impingement locations and intra- and extraarticular anterior subspine FAI on 3D-CT-based impingement simulation: implications for hip arthroscopy. Am J Sports Med. 2019;47(13):3120-3132. doi:10.1177/03635 46519873666
• Ratzlaff C, Simatovic J, Wong H, et al. Reliability of hip examination tests for femoroacetabular impingement. Arthritis Care Res (Hoboken). 2013;65(10):1690-1696. doi:10.1002/acr.22036
• Burrus MT, Werner BC, Starman JS, et al. Patient perceptions and current trends in internet use by orthopedic outpatients. HSS J. 2017; 13(3):271-275. doi:10.1007/s11420-017-9568-2
• Fraval A, Ming Chong Y, Holcdorf D, Plunkett V, Tran P. Internet use by orthopaedic outpatients-current trends and practices. Australas Med J. 2012;5(12):633-638. doi:10.4066/AMJ.2012.1530
• Kirsch JM, Khan M, Bedi A. Does hip arthroscopy have a role in the treatment of developmental hip dysplasia? J Arthroplasty. 2017;32(9S): S28-S31. doi:10.1016/j.arth.2017.02.022
• Menge TJ, Briggs KK, Dornan GJ, McNamara SC, Philippon MJ. Survivorship and outcomes 10 years following hip arthroscopy for femoroacetabular impingement: labral debridement compared with labral repair. J Bone Joint Surg Am. 2017;99(12):997-1004. doi:10.2106/JBJS.16.01060
• Skendzel JG, Philippon MJ, Briggs KK, Goljan P. The effect of joint space on midterm outcomes after arthroscopic hip surgery for femoroacetabular impingement. Am J Sports Med. 2014;42(5):1127-1133. doi:10.1177/0363546514526357
• Akpinar B, Lin LJ, Bloom DA, Youm T. Hip arthroscopy for femoroacetabular impingement: minimal clinically important difference rates decline from 1- to 5-year outcomes. Arthrosc Sports Med Rehabil. 2021;3(2):e351-e358. doi:10.1016/j.asmr.2020.09.025
• Cvetanovich GL, Weber AE, Kuhns BD, et al. Hip arthroscopic surgery for femoroacetabular impingement with capsular management: factors associated with achieving clinically significant outcomes. Am J Sports Med. 2018;46(2):288-296. doi:10.1177/0363546517739824
• Di Benedetto P, Vidi D, Buttironi MM, Mancuso F, Ricciarelli M, Causero A. Outcomes in arthroscopic surgery and proposal rehabilitative treatment in femoral acetabular impingement syndrome. Acta Biomed. 2022; 92(S3):e2021575. doi:10.23750/abm.v92iS3.12710
• Munsch MA, Via GG, Roebke AJ, Everhart JS, Ryan JM, Vasileff WK. Patient-specific factors, but neither regional anesthesia nor hip-specific cryotherapy, predict postoperative opioid requirements after hip arthroscopy for femoroacetabular impingement (FAI) syndrome. J Clin Orthop Trauma. 2022;28:101848. doi:10.1016/j.jcot.2022.101848
• Domb BG, Martin TJ, Gui C, Chandrasekaran S, Suarez-Ahedo C, Lodhia P. Predictors of clinical outcomes after hip arthroscopy: a prospective analysis of 1038 patients with 2-year follow-up. Am J Sports Med. 2018;46(6):1324-1330. doi:10.1177/0363546518763362
• Hale RF, Melugin HP, Zhou J, et al. Incidence of femoroacetabular impingement and surgical management trends over time. Am J Sports Med. 2021;49(1):35-41. doi:10.1177/0363546520970914
• Maradit Kremers H, Schilz SR, Van Houten HK, et al. Trends in utilization and outcomes of hip arthroscopy in the united states between 2005 and 2013. J Arthroplasty. 2017;32(3):750-755. doi:10.1016/j.arth. 2016.09.004
• Stone AV, Beck EC, Malloy P, et al. preoperative predictors of achieving clinically significant athletic functional status after hip arthroscopy for femoroacetabular impingement at minimum 2-year follow-up. Arthroscopy. 2019;35(11):3049-3056. doi:10.1016/j.arthro.2019.05.022
• Chambers CC, Zhang AL. Outcomes for surgical treatment of femoroacetabular impingement in adults. Curr Rev Musculoskelet Med. 2019;12(3):271-280. doi:10.1007/s12178-019-09567-1
• Chahla J, Beck EC, Nwachukwu BU, Alter T, Harris JD, Nho SJ. Is there an association between preoperative expectations and patient-reported outcome after hip arthroscopy for femoroacetabular impingement syndrome? Arthroscopy. 2019;35(12):3250-3258. doi:10.1016/j.arthro. 2019.06.018