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. 2023 Aug 8;31(11):5190–5198. doi: 10.1007/s00167-023-07529-2

Table 3.

Detailed information on responses to questions for target group “patient, young athlete”

Label Num questions % questions Mean correctness Correctness grading Example question ChatGPT response
Fully correct 4 20.0 2.0 2,2,2,2 What strategies should be used to counteract kinesophobia? To counteract kinesophobia (fear of movement or re-injury), patients should gradually expose themselves to activities under professional guidance, such as physical therapy. Setting realistic goals, receiving education about the injury and recovery process, and using psychological techniques like relaxation or visualization can also help manage fear and build confidence.
Majority correct 9 45.0 1.75 2,2,2,1

What are the most important risk factors for postoperative

knee stiffness following anterior cruciate ligament reconstruction?

Key risk factors for postoperative knee stiffness after ACL reconstruction include preoperative knee stiffness, prolonged immobilization, incorrect graft placement, and inadequate rehabilitation Additionally, factors like infection, bleeding, or an individual's natural healing response can contribute to stiffness. Proper surgical technique and a well-designed rehabilitation plan can help minimize these risks.
Correct/partial 4 20.0 1.5 2,2,1,1 What are the risks and benefits of stump preservation in
anterior cruciate ligament reconstruction? Stump preservation in ACL reconstruction aims to maintain the remaining ACL tissue to potentially improve stability and healing. Benefits include better knee proprioception and faster recovery. However, risks involve possible graft impingement, inadequate tunnel placement, or complications in revision surgeries. A surgeon will weigh these factors when deciding on the best approach.
Correct/diverging 1 5.0 1.5 2,2,2,0 When should a lateral augmentation procedure be added to an anterior cruciate ligament reconstruction? A lateral augmentation procedure, like a lateral extra-articular tenodesis, should be considered in ACL reconstruction when there is significant rotational knee instability, a high risk of graft failure (e.g., young athletes in pivoting sports), or a history of failed primary ACL reconstruction. It can help improve overall knee stability and reduce the risk of re-injury
Partially correct/diverging 2 10.0 1.25 2,2,1,0 What are the indications for anterior cruciate ligament injuries in children and when should they be treated? Indications for treating ACL injuries in children include significant knee instability, a desire to return to high-level sports, or associated injuries like meniscus or other ligament tears. Treatment options range from conservative management with bracing and physical therapy to surgical intervention, such as ACL reconstruction. The timing of treatment depends on the severity of the injury, the child's skeletal maturity, and individual factors discussed with the surgeon.