From algorithms to answers: a comparative analysis of popular search engines and large language models on clubfoot patient education.

This study evaluates Chat Generative Pre-Trained Transformer 4o's (ChatGPT-4o's) utility in clinical relevance and accuracy compared with Google for pediatric clubfoot treatment questions. Both were queried for the 15 most frequently asked questions related to pediatric clubfoot treatment, with Google as control. Questions were classified using the modified Rothwell criteria for online sources.

Health Disparities in Adolescent Idiopathic Scoliosis: Utilizing COI and ICE as Predictors of Initial Curve Magnitude and Risk for Progression 1 Year Later.

Background: Adolescent idiopathic scoliosis (AIS) is a common pediatric spinal deformity, with disparities in care often linked to socioeconomic status (SES). The Childhood Opportunity Index (COI) and Index of Concentration at the Extremes (ICE) are SES markers that have been used to evaluate health disparities in orthopaedic care. The utility of these SES markers in identifying differences in AIS presentation remains unclear.

Impact of Hip Versus Knee Pain as the Presenting Symptom of Slipped Capital Femoral Epiphysis on Time to Imaging, Surgery, and Complications.

Background: Slipped capital femoral epiphysis (SCFE) is a pediatric hip disorder affecting roughly 1 in 10,000 children and adolescents, with delayed diagnosis and treatment leading to poor outcomes. This study compares the association between presenting hip or knee pain symptomatology and its effects on time to diagnosis and treatment of SCFE, mid- to long-term complications, and risk of requiring hip reconstructive surgeries.

Methods: A retrospective cohort study was conducted comparing SCFE presentations with chief complaints of either hip or knee pain that led to SCFE surgery.

Early Patient-Reported Outcomes Following Calcaneal Lengthening Osteotomy for Symptomatic Flexible Flatfoot.

Background: Calcaneal lengthening osteotomy (CLO) is frequently utilized to treat painful flexible flatfoot (FF) in children. The purpose of this investigation is to analyze the impact of CLO on patient reported pain and mobility using Patient Reported Outcome Measurement Information System (PROMIS) scores in a cohort of pediatric patients treated for painful FF.

Methods: Children aged 8-18 who underwent CLO for painful FF correction were included.

Prevalence and Risk Factors for Leg Length Discrepancy in Children With Idiopathic Clubfoot Treated With Ponseti Method.

Introduction: Clubfoot is at times associated with other lower extremity abnormalities, such as leg length discrepancy (LLD). Initial studies in patients treated with extensive soft tissue release (STR) have estimated that LLD is prevalent in 9% to 11% of children with idiopathic clubfoot. However, Ponseti-style serial casting has since replaced STR as the preferred clubfoot treatment method.

Sex Disparities Affecting Postoperative Outcomes After Total Elbow Arthroplasty.

Purpose: To investigate sex disparities in 30-day postoperative outcomes of total elbow arthroplasty.

Methods: The American College of Surgeons-National Surgical Quality Improvement Program files were queried for all patients who underwent a total elbow arthroplasty (TEA) between 2006 and 2020. Sex disparities in preoperative variables were studied using Fisher exact tests.