High Rate of Return to Running for Athletes After Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Capsular Plication

Levy, David M.; Kuhns, Benjamin D.; Frank, Rachel M.; Grzybowski, Jeffrey S.; Campbell, Kirk A.; Brown, Sara D.; Nho, Shane J.

doi:10.1177/0363546516664883

Cited by 82 publications

(81 citation statements)

References 42 publications

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“…Five (14%) studies26 32 35 39 43 reported on preinjury and postsurgery athletic performance in football (soccer),35 running,39 ice hockey,32 golf43 and multiple sports 26. Performance measurements included the average number of starts in professional football players,35 decreased running mileage in non-professional athletes (p=0.013),39 decreased performance data (p=0.024) in professional hockey players32 and reaching the greens in regulation for professional golfers (no difference between presurgery and postsurgery; p=0.227) 43.…”

Section: Resultsmentioning

confidence: 99%

“…Performance measurements included the average number of starts in professional football players,35 decreased running mileage in non-professional athletes (p=0.013),39 decreased performance data (p=0.024) in professional hockey players32 and reaching the greens in regulation for professional golfers (no difference between presurgery and postsurgery; p=0.227) 43. A study of 80 athletes in various sports with a mean follow-up of 17 months found an improvement in the time/week in sport competition from a mean of 2.5 hours before surgery to 5.2 hours 6 months after surgery (p=0.02) and 7.9 hours 1 year after surgery (p<0.001) 26.…”

Section: Resultsmentioning

confidence: 99%

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Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Reiman

Peters²,

Sylvain

et al. 2018

Br J Sports Med

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Reiman

Peters²,

Sylvain

et al. 2018

Br J Sports Med

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“…13 We believe that labral repair is the gold standard for labral tear treatment, as studies have shown excellent outcomes and high rates of return to sport after labral repair. 19,24,31,33,34,40 However, in cases of irreparable, nonviable, or calcified labra, labral reconstruction has recently emerged as a viable procedure. Literature shows that in these cases, labral reconstruction can restore labral function and is preferred over debridement or excision.…”

Section: The Orthopaedic Journal Of Sports Medicinementioning

confidence: 99%

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Maldonado

Chen

Yelton

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Labral reconstruction has been advocated as an alternative to debridement for the treatment of irreparable labral tears, showing favorable short-term results. However, literature is scarce regarding outcomes and return to sport in the nonelite athletic population. Purpose: To report minimum 1-year clinical outcomes and the rate of return to sport in athletic patients who underwent primary hip arthroscopy with labral reconstruction in the setting of femoroacetabular impingement syndrome and irreparable labral tears. Study Design: Case series; Level of evidence, 4. Methods: Data were prospectively collected and retrospectively analyzed for patients who underwent an arthroscopic labral reconstruction between August 2012 and December 2017. Patients were included if they identified as an athlete (high school, college, recreational, or amateur); had follow-up on the following patient-reported outcomes (PROs): modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), Hip Outcome Score–Sport Specific Subscale (HOS-SSS), and visual analog scale (VAS); and completed a return-to-sport survey at 1 year postoperatively. Patients were excluded if they underwent any previous ipsilateral hip surgery, had dysplasia, or had prior hip conditions. The proportions of patients who achieved the minimal clinically important difference (MCID) and patient acceptable symptomatic state (PASS) for mHHS and HOS-SSS were calculated. Statistical significance was set at P = .05. Results: There were 32 (14 females) athletes who underwent primary arthroscopic labral reconstruction during the study period. The mean age and body mass index of the group were 40.3 years (range, 15.5-58.7 years) and 27.9 kg/m2 (range, 19.6-40.1 kg/m2), respectively. The mean follow-up was 26.4 months (range, 12-64.2 months). All patients demonstrated significant improvement in mHHS, NAHS, HOS-SSS, and VAS ( P < .001) at latest follow-up. Additionally, 84.4% achieved MCID and 81.3% achieved PASS for mHHS, and 87.5% achieved MCID and 75% achieved PASS for HOS-SSS. VAS pain scores decreased from 4.4 to 1.8, and the satisfaction with surgery was 7.9 out of 10. The rate of return to sport was 78%. Conclusion: At minimum 1-year follow-up, primary arthroscopic labral reconstruction, in the setting of femoroacetabular impingement syndrome and irreparable labral tears, was associated with significant improvement in PROs in athletic populations. Return to sport within 1 year of surgery was 78%.

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“…Decreases were evident in all measures, although this change was not significantly different in five of the studies [73-75, 116, 126]. Significant decreases were reported in running mileage [95] (P < 0.001) and sport frequency [124] preinjury to post-arthroscopy. Kierkegaard et al [154] identify a self-reported four-fold increase in hours of physical activity per week but no significant differences were reported for accelerometry-derived activity data such as the percentage of time spent in undertaking moderate or high physical activity, step count or percentage of time running between pre-arthroscopy and 1-year postarthroscopy (Additional file 4).…”

Section: Main Findingsmentioning

confidence: 94%

Physical Activity Following Hip Arthroscopy in Young and Middle-Aged Adults: A Systematic Review

et al. 2020

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Background: Hip arthroscopy is a common surgical intervention for young and middle-aged adults with hiprelated pain and dysfunction, who have high expectations for returning to physical activity following surgery. The purpose of this review was to evaluate the impact of hip arthroscopy on physical activity post-arthroscopy. Methods: A systematic search of electronic databases was undertaken in identifying studies from January 1st 1990 to December 5th 2019. The search included English language articles reporting physical activity as an outcome following hip arthroscopy in adults aged 18-50 years. Quality assessment, data extraction and synthesis of included studies were undertaken. Results: Full text articles (n = 234) were assessed for eligibility following screening of titles and abstracts (n = 2086), yielding 120 studies for inclusion. The majority (86%) of the studies were level 4 evidence. One study reported objective activity data. The most frequently occurring patient-reported outcome measure was the Hip Outcome Score-sport-specific subscale (HOS-SS, 84% of studies). Post--arthroscopy improvement was indicated by large effect sizes for patient-reported outcome measures (standard paired difference [95% confidence interval] −1.35[−1.61 to −1.09] at more than 2 years post-arthroscopy); however, the majority of outcome scores for the HOS-SS did not meet the defined level for a patient-acceptable symptom state. Conclusion: The current level of available information regarding physical activity for post arthroscopy patients is limited in scope. Outcomes have focused on patients' perceived difficulties with sport-related activities with a paucity of information on the type, quality and quantity of activity undertaken. Level of Evidence: Level IV, systematic review of Level 2 through to Level 4 studies

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High Rate of Return to Running for Athletes After Hip Arthroscopy for the Treatment of Femoroacetabular Impingement and Capsular Plication

Cited by 82 publications

References 42 publications

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Femoroacetabular impingement surgery allows 74% of athletes to return to the same competitive level of sports participation but their level of performance remains unreported: a systematic review with meta-analysis

Return to Sport and Athletic Function in an Active Population After Primary Arthroscopic Labral Reconstruction of the Hip

Physical Activity Following Hip Arthroscopy in Young and Middle-Aged Adults: A Systematic Review

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