Return to Golf After Arthroscopic Management of Femoroacetabular Impingement Syndrome

Waterman, Brian R.; Ukwuani, Gift; Clapp, Ian M.; Malloy, Philip; Neal, William H.; Nho, Shane J.

doi:10.1016/j.arthro.2018.06.042

Cited by 18 publications

(32 citation statements)

References 30 publications

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“…As described previously, a clinical diagnosis of FAI included positive radiographic (lateral center edge angle >30°, alpha angle >50°) and positive physical examination (eg, pain on flexion, adduction, and internal rotation) findings. 3,24 Exclusion criteria included patients undergoing revision or bilateral surgery and patients with dysplasia. Before surgery, patient demographics were collected, including sex, age, operative limb, BMI, and smoking status.…”

Section: Methodsmentioning

confidence: 99%

Influence of Cigarette Smoking at the Time of Surgery on Postoperative Outcomes in Patients With Femoroacetabular Impingement: A Matched-Pair Cohort Analysis

et al. 2019

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Background: There is literature on the association between smoking in patients undergoing orthopaedic procedures and poor short-term outcomes. However, there are few data on smoking as an independent predictor of midterm outcomes in patients undergoing hip arthroscopic surgery for femoroacetabular impingement (FAI). Purpose: To evaluate 2-year postoperative outcomes in patients undergoing hip arthroscopic surgery for FAI in current smokers compared with an age- and body mass index (BMI)–matched group with no smoking history. Study Design: Cohort study; Level of evidence, 3. Methods: Consecutive patients undergoing primary hip arthroscopic surgery for FAI between June 2012 and January 2016 were screened for smoking habits. Exclusion criteria included revision or bilateral surgery, dysplasia, and less than 2-year follow-up. Forty current smokers at the time of surgery were matched 1:2 by age and BMI to patients with no smoking history. Outcome measures included the Hip Outcome Score (HOS)–Activities of Daily Living (ADL), HOS–Sports-Specific Subscale (SSS), modified Harris Hip Score (mHHS), and visual analog scale (VAS) for pain and satisfaction. Minimal clinically important difference (MCID) and patient acceptable symptom state rates were calculated for all patients. Results: All patients demonstrated significant improvements in all outcome measures (P < .001). Current smokers experienced inferior postoperative HOS-ADL (80.4 vs 89.1, respectively; P = .013) and HOS-SSS (65.8 vs 75.6, respectively; P = .046) scores and greater VAS pain scores (3.2 vs 1.8, respectively; P = .011) than nonsmokers. Current smoking was correlated with inferior HOS-ADL (r = –0.27, P = .003) and HOS-SSS (r = –0.18, P = .046) scores and greater VAS pain scores (r = 0.26, P = .005). Controlling for age, sex, and BMI, smoking was a significant independent predictor of postoperative HOS-ADL (β = –8.7 [95% CI, –14.3 to –3.0]; P = .003), HOS-SSS (β = –9.8 [95% CI, –19.5 to –0.2]; P = .046), and VAS pain (β = 14.6 [95% CI, 4.4 to 23.7]; P = .005) scores. Current smokers had lower odds of achieving the MCID for the HOS-ADL (odds ratio, 0.31 [95% CI, 0.12-0.83]; P = .019) and mHHS (odds ratio, 0.31 [95% CI, 0.10-0.88]; P = .028). Conclusion: Current smokers had inferior postoperative HOS-ADL and HOS-SSS scores, increased pain, and lower odds of achieving the MCID for the HOS-ADL and mHHS at 2 years postoperatively than patients without any smoking history.

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Section: Methodsmentioning

confidence: 99%

Influence of Cigarette Smoking at the Time of Surgery on Postoperative Outcomes in Patients With Femoroacetabular Impingement: A Matched-Pair Cohort Analysis

et al. 2019

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“…In this study of 29 patients who self-selected themselves as golfers, patients demonstrated an expected very good recovery after FAIS surgery. 1 Improvements were seen in patient-reported outcomes including a 25.6-point improvement in the hip outcome scoreeactivities of daily living subscale, a 41.5-point improvement in the hip outcome scoreesport scale, and a 29-point improvement in the modified Harris Hip Score. Furthermore, objective clinical improvements were seen in hip motion after FAIS surgery including 7 degrees of increased hip flexion and 8.4 degrees of hip internal rotation.…”

Section: See Related Article On Page 3187mentioning

confidence: 95%

“…These results are no surprise. Newman et al, 2 Ortiz-Declet et al, 3 Arbuthnot et al, 4 and now Waterman et al 1 have all shown that patients are able to return to golf after hip surgery. These other studies investigated golf return after total hip arthroplasty and hip arthroscopy in elite golfers.…”

Section: See Related Article On Page 3187mentioning

confidence: 98%

“…O ne of the most common questions patients ask me when contemplating whether to undergo hip arthroscopy for femoracetabular impingement syndrome (FAIS) is whether they will be able to get back to their favorite activity such as running, rowing, or golf. In "Return to Golf After Arthroscopic Management of Femoracetabular Impingement Syndrome," by Waterman, Ukwuani, Clapp, Malloy, Neal, and Nho, 1 the authors have once again helped surgeons and patients gain the confidence that return to golfing activities after FAIS surgery is very likely (97%), and 55% of patients even reported subjective improvement in their golfing ability.…”

Section: See Related Article On Page 3187mentioning

confidence: 99%

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Editorial Commentary: When Your Golf Game Is Handicapped by Your Hip

Faucett¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…3) these studies were largely sport-specific, e.g. change in swimming distances pre-to post-arthroscopy [74] or number of holes of golf played per week [126]. Decreases were evident in all measures, although this change was not significantly different in five of the studies [73-75, 116, 126].…”

Section: Main Findingsmentioning

confidence: 99%

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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Return to Golf After Arthroscopic Management of Femoroacetabular Impingement Syndrome

Cited by 18 publications

References 30 publications

Influence of Cigarette Smoking at the Time of Surgery on Postoperative Outcomes in Patients With Femoroacetabular Impingement: A Matched-Pair Cohort Analysis

Influence of Cigarette Smoking at the Time of Surgery on Postoperative Outcomes in Patients With Femoroacetabular Impingement: A Matched-Pair Cohort Analysis

Editorial Commentary: When Your Golf Game Is Handicapped by Your Hip

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

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