Evidence map›Paper›PMID 41474174›Full record

SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026

Mid- to long-term outcomes of capsular management in hip arthroscopy for FAIS: A multilevel meta-analysis.

Nikolai Ramadanov, Maximilian Voss, Robert Hable, Robert Prill, Roland Becker, Ingo J Banke

Abstract readMeta-AnalysisSystematic ReviewReview
In one paragraph

Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. 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
  3. Article
  4. 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

6 authors.

Nikolai RamadanovCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, Brandenburg an der Havel, Germany.ORCID https://orcid.org/0000-0003-4669-8187
Maximilian VossCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, Brandenburg an der Havel, Germany.
Robert HableFaculty of Applied Computer Science, Deggendorf Institute of Technology, Deggendorf, Germany.
Robert PrillCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, Brandenburg an der Havel, Germany.
Roland BeckerCenter of Orthopaedics and Traumatology, Brandenburg Medical School, University Hospital Brandenburg an der Havel, Brandenburg an der Havel, Germany.
Ingo J BankeClinic of Orthopaedics and Sports Orthopaedics, School of Medicine and Health, TUM University Hospital, Technical University of Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare mid- to long-term outcomes of the three major capsular management strategies-capsule preserved (CP), capsule repaired (CR) and capsule unrepaired (CU)-following hip arthroscopy (HAS) for femoroacetabular impingement syndrome (FAIS).

methodsA systematic search was conducted in PubMed, Embase, CENTRAL, and Epistemonikos for studies published up to 31 May 2025. Studies were eligible if they reported ≥2-year outcomes after HAS with clearly described capsular techniques. Outcomes included the modified Harris Hip Score (mHHS), Hip Outcome Score-Activities of Daily Living (HOS-ADL) and Sports Subscale (HOS-SSS) and Visual Analogue Scale (VAS) for pain. Multilevel meta-analyses were performed using random-effects models with Hartung-Knapp adjustment. Failure-related outcomes (complications, reoperations, total hip arthroplasty [THA] conversions) were inconsistently reported across studies and could only be summarised descriptively.

resultsSeven studies with a total of 948 patients were included. Pooled mean mHHS was 81.14 (95% confidence interval [CI]: 77.72-84.56), with CP: 84.90, CR: 80.66 and CU: 80.25 (p = 0.67). HOS-ADL pooled mean was 87.94 (95% CI: 84.79-91.09), with CP: 89.30, CR: 87.36, CU: 88.31 (p = 0.90). HOS-SSS pooled mean was 78.59 (95% CI: 72.69-84.48), with CP: 75.70, CR: 78.89, CU: 80.22 (p = 0.84). VAS pooled mean was 2.42 (95% CI: 2.08-2.77), with CP: 2.46, CR: 2.27, CU: 2.76 (p = 0.51). No statistically significant subgroup differences were detected. CR showed the highest cumulative numbers of reoperations and THA conversions, whereas CP and CU demonstrated lower but heterogeneous event counts.

conclusionCP, CR and CU demonstrated comparable mid- to long-term patient-reported outcome measure (PROM) outcomes following HAS for FAIS. Failure-related events varied descriptively across techniques, but inconsistent reporting prevented comparative survivorship assessment. LEVEL OF EVIDENCE: Level II, systematic review and multilevel meta-analysis of predominantly Level III studies, with additional contributions from Level I and II studies.

Indexed as

ArthroscopyFemoracetabular ImpingementJoint CapsuleArthroplasty, Replacement, HipHip JointHumansReoperationTreatment Outcomecapsular managementcapsule preservationcapsule repairfemoroacetabular impingement syndromehip arthroscopylong‐term

Identifiers

PMID41474174
PMCPMC12850580

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.