Evidence map›Paper›PMID 35122108›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022

A higher proportion of patients may reach the MCID with capsular closure in patients undergoing arthroscopic surgery for femoroacetabular impingement: a systematic review and meta-analysis.

Dan Cohen, Marianne Comeau-Gauthier, Abdullah Khan, Jeffrey Kay, David Slawaska-Eng, Nicole Simunovic, Olufemi R Ayeni

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Mid- to long-term outcomes of capsular management in hip arthroscopy for FAIS: A multilevel meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Pooled it
  2. Capsular management strategies in hip arthroscopy for femoroacetabular impingement syndrome: A multilevel meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Capsular Management During Hip Arthroscopy.Current reviews in musculoskeletal medicine · 2023
    Review
  9. Review
  10. Superior outcomes after arthroscopic treatment of femoroacetabular impingement and labral tears with closed versus open capsule.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Dan CohenDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, McMaster University, 1200 Main St West, Hamilton, ON, 4E15L8N 3Z5, Canada.
Marianne Comeau-GauthierDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, McMaster University, 1200 Main St West, Hamilton, ON, 4E15L8N 3Z5, Canada.
Abdullah KhanFaculty of Science, McMaster University, Hamilton, ON, Canada.
Jeffrey KayDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, McMaster University, 1200 Main St West, Hamilton, ON, 4E15L8N 3Z5, Canada.
David Slawaska-EngDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, McMaster University, 1200 Main St West, Hamilton, ON, 4E15L8N 3Z5, Canada.
Nicole SimunovicDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Olufemi R AyeniDivision of Orthopaedic Surgery, Department of Surgery, McMaster University Medical Centre, McMaster University, 1200 Main St West, Hamilton, ON, 4E15L8N 3Z5, Canada. ayenif@mcmaster.ca.ORCID http://orcid.org/0000-0003-4219-8564

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this review is to provide a summary of the techniques and outcomes of various capsular management strategies in patients undergoing hip arthroscopy for femoroacetabular impingement (FAI). The information this review provides on capsular management strategies will provide surgeons with operative guidance and decision-making when managing patients with FAI lesions arthroscopically.

methodsThree databases MEDLINE, EMBASE, and PubMed were searched from database inception to November 2nd 2021, for literature addressing capsular management of patients undergoing hip arthroscopy for FAI. All level I-IV data on capsular management strategy as well as postoperative functional outcomes were recorded. A meta-analysis was used to combine the mean postoperative functional outcomes using a random-effects model.

resultsOverall, there were a total of 36 studies and 4744 patients included in this review. The mean MINORS score was 10.7 (range 8-13) for non-comparative studies and 17.6 (range 15-20) for comparative studies. Three comparative studies in 1302 patients examining the proportion of patients reaching the MCID for the mHHS score in patients undergoing interportal capsulotomy with either capsular repair or no repair found that the capsular repair group had a higher odds ratio of reaching the MCID at 1.46 (95% CI 0.61-3.45, I

conclusionThis review may demonstrate improved postoperative outcomes in patients undergoing complete capsular closure regardless of capsulotomy type based on postoperative mHHS score. Furthermore, this review may suggest improved postoperative outcomes after closure of an interportal capsulotomy. There are limited published outcome data regarding T-type capsulotomy without closure. This review provides surgeons with operative guidance on capsular management strategies when treating patients with FAI lesions arthroscopically. LEVEL OF EVIDENCE: IV.

Indexed as

Femoracetabular ImpingementActivities of Daily LivingArthroscopyHip JointHumansReoperationTreatment OutcomeCapsuleFemoroacetabular impingementHip arthroscopyManagementOutcomes

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.