{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:17:35Z","timestamp":1787019455707,"version":"build-2736575974"},"reference-count":41,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hip arthroscopy with a perineal post (ie, post assisted) may contribute to postoperative nerve and soft tissue complications. Postless hip arthroscopy has been increasingly used as an alternative to limit these postoperative nerve-related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare the complication rates, such as pudendal nerve injury and perineal numbness, as well as any potentially reported clinical outcomes in patients undergoing postless versus perineal post-assisted hip arthroscopy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Systematic review; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>PubMed, MEDLINE, and Embase databases were searched until November 2024 according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, which yielded 2171 studies. Methodological quality was assessed using the methodological index for non-randomized studies (MINORS) criteria, and postoperative complications (ie, visual analog scale [VAS], modified Harris Hip Score, the Hip Outcome Score\u2013Sports Specific Subscale), and outcomes were compiled in a meta-analysis where appropriate. Continuous outcomes were obtained using the mean difference (MD) while dichotomous outcomes were reported as odds ratios (ORs) that were calculated using the Cochran-Mantel-Haenzel method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Five studies, from 4 patient cohorts, were included that comprised a total of 707 patients (60% female) with a frequency-weighted mean age of 29.9 years (range, 26.1-34 years). The mean MINORS score was 19.4 \u00b1 1.1 (range, 18-21) with studies ranging from low to moderate quality. The pooled incidence of nerve or soft tissue injury from 2 studies was 48.1% (74\/154 patients) for post-assisted and 31.3% (40\/128 patients) for postless groups. Meta-analysis indicated a significantly lower incidence of nerve or soft tissue injury associated with postless hip arthroscopy (OR, 0.50; 95% CI, 0.31 to 0.82;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .006). The pooled incidence of perineal numbness from 2 studies was 22.7% (35\/154 patients) and 0.8% (1\/128 patients) in the post-assisted and postless group, respectively. Meta-analysis demonstrated a significantly lower incidence of perineal numbness associated with postless hip arthroscopy (OR, 0.04; 95% CI, 0.01 to 0.21;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .0002). Postless hip arthroscopy required lower traction time (MD, \u22126.15 minutes; 95% CI, \u22128.23 to \u22124.07 minutes;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .00001) and holding traction force (MD, \u221212.12 kg; 95% CI, \u221215.32 to \u22128.93 kg;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .00001) compared with post-assisted hip arthroscopy. Two studies reported VAS, with both studies indicating no significant difference between groups at either the postanesthesia care unit period or at 2 years\u2019 follow-up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our review showed that postless hip arthroscopy was associated with a significantly lower incidence of nerve or soft tissue injuries and perineal numbness, as well as reduced traction time and force, compared with the conventional post-assisted technique. However, the current paucity of comparative data in assessing complication rates and hip-related patient-reported outcome measures between post-assisted and postless hip arthroscopy techniques warrants further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671251407659","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:00:10Z","timestamp":1773414010000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Comparison of Postoperative Complications and Clinical Outcomes in Postless Versus Post-Assisted Hip Arthroscopy: A Systematic Review and Meta-analysis of Nonrandomized Comparative Studies"],"prefix":"10.1177","volume":"14","author":[{"given":"Prabjit","family":"Ajrawat","sequence":"first","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Nikolopoulos","sequence":"additional","affiliation":[{"name":"Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Dwyer","sequence":"additional","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"},{"name":"Department of Surgery, Division of Orthopaedics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme","family":"Hoit","sequence":"additional","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"},{"name":"Department of Surgery, Division of Orthopaedics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel B.","family":"Whelan","sequence":"additional","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"},{"name":"Department of Surgery, Division of Orthopaedics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananya","family":"Pathak","sequence":"additional","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaskarndip","family":"Chahal","sequence":"additional","affiliation":[{"name":"University of Toronto Orthopaedic Sports Medicine (UTOSM), Women's College Hospital, Toronto, Ontario, Canada"},{"name":"Department of Surgery, Division of Orthopaedics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/jhps\/hnad007"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.062"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(05)80111-2"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118797306"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-024-04704-0"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1503\/cjs.025020"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.11.014"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.07.025"},{"issue":"1","key":"e_1_3_2_10_2","first-page":"54","article-title":"Traction-related problems after hip arthroscopy","volume":"4","author":"Frandsen L","year":"2017","unstructured":"Frandsen L, Lund B, Gronbech Nielsen T, Lind M. 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