{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T16:20:33Z","timestamp":1783009233866,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004826","name":"natural science foundation of beijing municipality","doi-asserted-by":"publisher","award":["7244429"],"award-info":[{"award-number":["7244429"]}],"id":[{"id":"10.13039\/501100004826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Postless traction has been developed to avoid perineal post-related complications in hip arthroscopy. While it is reported to reduce groin-related issues, its effect on overall nerve injury rates, as well as potential new complications such as lumbosacral discomfort, remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis:<\/jats:title>\n                    <jats:p>Postless traction may be linked to improved clinical outcomes but may carry an increased risk of lumbosacral discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Cohort study; Level of evidence, 3.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Patients who underwent postless hip arthroscopy were compared with matched patients who underwent conventional post-assisted traction. Patient-reported outcomes, including the Hip Outcome Score\u2013Activities of Daily Living and Sports subscales (HOS-ADL and HOS-SS), the International Hip Outcome Tool\u201312 (iHOT-12), and the modified Harris Hip Score (mHHS), were collected via follow-up over a mean period of 476 days, ranging from 404 to 560 days. Complications including sensory deficits, perineal injury, and lumbosacral discomfort were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 32 patients who underwent postless hip arthroscopy were compared with 64 patients in the control group undergoing post-assisted traction. There was no significant difference in the overall rate of sensory nerve injury between the 2 groups (31.3% vs 32.8%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .88). No perineal soft tissue injuries occurred in the postless group, compared with 1 case (1.6%) in the control group (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; .05). However, the incidence of lumbosacral discomfort was significantly higher in the postless group (28.1% vs 6.3%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .008). The postless group showed significantly better scores on the HOS-SS (76.81 \u00b1 21.07 vs 66.78 \u00b1 21.30;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .009) and iHOT-12 (80.57 \u00b1 14.03 vs 65.65 \u00b1 18.00;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001), while no differences were found in HOS-ADL or mHHS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Postless hip arthroscopy is associated with superior patient-reported functional outcomes. However, it shows no reduction in the overall rate of sensory nerve injury and is linked to a significantly higher risk of postoperative lumbosacral discomfort.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259671261440203","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T09:27:10Z","timestamp":1782811630000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Postless Hip Arthroscopy on Functional Outcomes, Perineal Complications, and Lumbosacral Complications"],"prefix":"10.1177","volume":"14","author":[{"given":"Guanying","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yize","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianquan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2735-9542","authenticated-orcid":false,"given":"Yan","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Institute of Sports Medicine of Peking University, Peking University Third Hospital, Beijing, China"},{"name":"Beijing Key Laboratory of Sports Injuries, Beijing, China"},{"name":"Engineering Research Center of Sports Trauma Treatment Technology and Devices, Ministry of Education, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.03.062"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-8063(95)90193-0"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118797306"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200301000-00014"},{"issue":"1","key":"e_1_3_3_6_2","first-page":"54","article-title":"Traction-related problems after hip arthroscopy","volume":"4","author":"Frandsen L","year":"2017","unstructured":"Frandsen L, Lund B, Gr\u00f8nbech Nielsen T, Lind M. 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