Trends and Demographics in Hip Arthroscopy in the United States

Montgomery, Scott R.; Ngo, Stéphanie; Hobson, Taylor; Nguyen, Shawn; Alluri, Ram K.; Wang, Jeffrey C.; Hame, Sharon L.

doi:10.1016/j.arthro.2012.11.005

Cited by 353 publications

(231 citation statements)

References 19 publications

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“…The InterNational Femoroacetabular impingement Optimal Care Update Survey (IN FOCUS) found that 74 % of graduating orthopaedic surgeons gained hip arthroscopy training during residency with data suggesting that a tipping point towards further uptake has been reached [4•]. This has resulted in a documented 17-fold increase in hip arthroscopy procedures among newly trained surgeons between 2006 and 2010 [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Sources and quality of literature addressing femoroacetabular impingement: a scoping review 2011–2015

Khan

Oduwole

Razdan

et al. 2016

Curr Rev Musculoskelet Med

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A systematic review was performed to explore the current trends over the last 5 years in femoroacetabular impingement (FAI) literature and compare the quality and sources of publications in the literature to that published previously. We identified 1066 relevant studies including 186,572 patients. The number of publications increased during the reviewed time period with the most dramatic increase from 2011 to 2013. Seventy-three percent (N = 786) of all studies were of levels 4 and 5 quality evidence. The percent of publications which were levels 1, 2 and 3 increased by almost twofold from 16.1 % (N = 26) to 28.7 % (N = 51) between 2011 and 2015. In comparison to previous work, there has been 3.5-fold increase in the number of publications over the past 5 years with a shift towards improving the level of evidence available guiding the arthroscopic management of FAI.Level of evidence: IV-Systematic Review

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Section: Introductionmentioning

confidence: 99%

Sources and quality of literature addressing femoroacetabular impingement: a scoping review 2011–2015

Khan

Oduwole

Razdan

et al. 2016

Curr Rev Musculoskelet Med

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“…3 The rate of hip-arthroscopy procedures has increased in the United States between 2004 and 2009 from reported incidence rates of 1.2 cases per 10,000 in 2004 to 5.58 cases per 10,000 in 2009. 4 The performance of hip arthroscopy by newly trained surgeons also increased by 600% (from 83 to 636 cases) between 2006 and 2010. 5 Despite the emergence of arthroscopic procedures, the rate of surgical complications remains low, with a reported 0.58% complication rate and a reoperation rate of 6.3%, for which the most common reason is a conversion to total hip arthroplasty.…”

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confidence: 99%

Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Cheatham¹,

Enseki²,

Kolber³

2015

Journal of Sport Rehabilitation

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Context: Hip arthroscopy has become an increasingly popular option for active individuals with recalcitrant hip pain. Conditions that may be addressed through hip arthroscopy include labral pathology, femoral acetabular impingement, capsular hyperlaxity, ligamentum teres tears, and the presence of intra-articular bodies. Although the body of literature examining operative procedures has grown, there is a paucity of evidence specifically on the efficacy of postoperative rehabilitation programs. To date, there are no systematic reviews that have evaluated the available evidence on postoperative rehabilitation. Objective: To evaluate the available evidence on postoperative rehabilitation programs after arthroscopy of the hip joint. Evidence Acquisition: A search of the PubMed, CINAHL, SPORTDiscus, ProQuest, and Google Scholar databases was conducted in January 2014 according the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting systematic reviews. Evidence Synthesis: Six studies met the inclusion criteria and were either case series or case reports (level 4 evidence) that described a 4-or 5-phase postoperative rehabilitation program. The available evidence supports a postoperative period of restricted weight bearing and mobility; however, the specific interventions in the postoperative phases are variable with no comparison trials. Conclusion: This review identified a paucity of evidence on postoperative rehabilitation after hip arthroscopy. Existing reports are descriptive in nature, so the superiority of a particular approach cannot be determined. One can surmise from existing studies that a 4-to 5-stage program with an initial period of weight-bearing and mobility precautions is efficacious in regard to function, patient satisfaction, and return to competitive-level athletics. Clinicians may consider such a program as a general guideline but should individualize treatment according to the surgical procedure and surgeon guidelines. Future research should focus on comparative trials to determine the effect of specific postoperative rehabilitation designs.

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“…20 Hip arthroscopy rates are growing rapidly, with a 50% increase in Australia since 2010 30 and an 18-fold increase in the United States in the past decade. 32 Despite this growth in hip arthroscopy, there is limited evidence to underpin the development of rehabilitation programs following hip arthroscopy. 11 It is therefore difficult for clinicians to provide appropriate rehabilitation programs that are targeted to improve performance of functional tasks in this patient group.…”

mentioning

confidence: 99%

Patients With Chondrolabral Pathology Have Bilateral Functional Impairments 12 to 24 Months After Unilateral Hip Arthroscopy: A Cross-sectional Study

Kemp¹,

Risberg²,

Schache³

et al. 2016

J Orthop Sports Phys Ther

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T t STUDY DESIGN:Cross-sectional study. T t BACKGROUND:Functional task performance in patients with chondrolabral pathology following hip arthroscopy is unknown. T t OBJECTIVES:To investigate in people with chondrolabral pathology following hip arthroscopy (1) the bilateral differences in functional task performance compared to controls, (2) the association of hip muscle strength with functional task performance, and (3) the association of functional task performance scores with good outcome, as measured by International Hip Outcome Tool score. T t METHODS:Seventy-one patients who had unilateral hip arthroscopy for hip pain and 60 controls were recruited. Patient-reported outcomes included the 4 subscales of the International Hip Outcome Tool. Hip muscle strength measures included abduction, adduction, extension, flexion, external rotation, and internal rotation. Functional tasks assessed included the single hop test, the side bridge test, and the single-leg rise test. For aim 1, analyses of covariance tests were used. For aim 2, stepwise multiple linear regression analyses were used. For aim 3, receiver operating characteristic curve analyses were used. T t RESULTS:Compared to controls, the chondrolabral pathology group had significantly worse performance on both legs for each of the functional tasks (P<.001). Greater hip abduction strength was moderately associated with better performance on functional tasks in the chondrolabral pathology group (adjusted R 2 range, 0.197-0.407; P<.001). Cutoff values associated with good outcome were 0.37 (hop distance/height) for the single hop, 16 repetitions for the single-leg rise, and 34 seconds for the side bridge test. T t CONCLUSION:Patients with hip chondrolabral pathology had reduced functional task performance bilaterally 12 to 24 months after unilateral hip arthroscopy when compared to controls. T t LEVEL OF EVIDENCE: Therapy/symptom prevalence, level 3b.

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Trends and Demographics in Hip Arthroscopy in the United States

Cited by 353 publications

References 19 publications

Sources and quality of literature addressing femoroacetabular impingement: a scoping review 2011–2015

Sources and quality of literature addressing femoroacetabular impingement: a scoping review 2011–2015

Postoperative Rehabilitation After Hip Arthroscopy: A Search for the Evidence

Patients With Chondrolabral Pathology Have Bilateral Functional Impairments 12 to 24 Months After Unilateral Hip Arthroscopy: A Cross-sectional Study

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