Trends in Utilization and Outcomes of Hip Arthroscopy in the United States Between 2005 and 2013

Kremers, Hilal Maradit; Schilz, Stephanie R.; Houten, Holly K. Van; Herrin, Jeph; Koenig, Karl; Bozic, Kevin J.; Berry, Daniel J.

doi:10.1016/j.arth.2016.09.004

Cited by 204 publications

(114 citation statements)

References 27 publications

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“…There has been a dramatic increase in the number of hip arthroscopies performed in the last decade particularly in young adults. In a large population‐based study in the United States, there was a more than fivefold increase in hip arthroscopies between 2005 and 2013 in patients aged between 18 and 44 years . This increase is largely associated with the treatment of femoroacetabular impingement (FAI).…”

Section: Introductionmentioning

confidence: 99%

Persistent or recurrent symptoms after arthroscopic surgery for femoroacetabular impingement: A review of imaging findings

Woodward

Philippon

2018

J Med Imag Rad Onc

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Hip arthroscopy is one of the most rapidly growing and evolving orthopaedic subspecialties. With the recent dramatic increase in the volume of hip arthroscopy performed there has been an increase in the number of symptomatic patients following arthroscopy for femoroacetabular impingement. Imaging has a key role in determining the need for revision surgery and in preoperative planning. Although the revision rate for hip arthroscopy is 3-9%, little has been published about the imaging findings associated with unsatisfactory treatment outcomes. This review discusses the significance of pre-existing osteoarthritis and underlying hip dysplasia and describes the causes of persistent symptoms. Recent literature on extra articular impingement and causes of microinstability are presented. Post-operative appearances are described focussing on the clinically relevant imaging findings. The challenges of evaluating the labrum after repair and specific findings associated with anchor failure and iatrogenic chondrolabral injury are discussed. The purpose of this article is to review the causes of unsatisfactory treatment outcomes after hip arthroscopy, role of imaging and indications for revision arthroscopy.

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Section: Introductionmentioning

confidence: 99%

Persistent or recurrent symptoms after arthroscopic surgery for femoroacetabular impingement: A review of imaging findings

Woodward

Philippon

2018

J Med Imag Rad Onc

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“…Hip arthroscopy is a growing field of orthopedics with dramatic increases in its incidence and indications [1] [2] [3]. Femoroacetabular impingement (FAI) with labral tear is one of the main indications for arthroscopy [4].…”

Section: Introductionmentioning

confidence: 99%

A Retrospective Study of Anesthetic Considerations in Hip Arthroscopy: Regional versus General

Kraus¹,

Foley²,

Misra³

et al. 2018

OJAnes

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Purpose: Hip arthroscopy is a surgery with favorable outcomes to treat labral tears of the hip. This retrospective review was conducted to identify an optimal anesthetic technique for hip arthroscopy to minimize postoperative pain and decrease opioid consumption. Methods: A retrospective analysis was performed for 92 patients who underwent hip arthroscopy for femoroacetabular impingement (FAI) with labral tear under general anesthesia (G) with fascia-iliaca block (64 patients) or regional anesthesia (R) with fascia-iliaca block (28 patients) from March 9, 2016 to April 9, 2018. Data collected included: demographics, diagnosis, ASA status, time in surgery, medications administered, type of anesthesia administered, pain scores, use of straight catheter, and time in PACU. Results: Patients who underwent hip arthroscopy under regional anesthesia reported significantly less first (G: 3.4 (3.9), R: 1.3 (3.0), p = 0.0085) and average (G: 3.8 (2.5), R: 2.0 (2.2), p = 0.0038) pain post-operatively. Patients under regional anesthesia also received less total morphine milligram equivalents (MME) intraoperatively and post-operatively (G: 40.8 (21.7) MME, R: 24.9 (17.8), p = 0.004 MME). Patients under regional anesthesia had a significantly higher incidence of urinary retention (G: 3.1%, R: 28.6%, p = 0.009) and increased time spent in PACU (G = 181.9 (86.3), R: 251.4 (80.4), p = 0.0001). Conclusions: The administration of regional anesthesia resulted in significantly lower pain scores and perioperative opioid consumption compared to general anesthesia in patients undergoing hip. This may be the optimal anesthetic technique for pain control; however, incidence of urinary retention and time to discharge are significantly increased. Prospective randomized control trials are needed to compare general anesthesia and regional anesthesia for hip arthroscopy.

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“…The number of hip arthroscopy procedures has significantly increased in the last several years [1] and, as such, has become a focus of several articles in the orthopedic and sports medicine literature. Coinciding with this procedural increase is an enhancement in arthroscopic technology, understanding of intra- and extra-articular pathologies of the hip, and means by which to return patients to their previous levels of activity following arthroscopic procedures.…”

Section: Introductionmentioning

confidence: 99%

Return to running after arthroscopic hip surgery: literature review and proposal of a physical therapy protocol

Kraeutler

Anderson²,

Chahla

et al. 2017

Journal of Hip Preservation Surgery

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The number of hip arthroscopy procedures has significantly increased in the last several years, thereby necessitating individualized rehabilitation protocols for patients following hip arthroscopy. The purpose of this article is to review the literature on rehabilitation protocols for patients following hip arthroscopy and to describe a new protocol specifically designed for patients to return to running following hip arthroscopy. A search of PubMed was performed through October 2016 to locate studies of rehabilitation protocols for patients wishing to return to sport/general activity following hip arthroscopy. Patients at our institution who desired to return to running following hip arthroscopy underwent a set of return to running guidelines which are based on goal achievement within a three-phase system that begins with a walking program and finishes with return to distance running. Rehabilitation protocols for patients following hip arthroscopy frequently use a four-phase system in which Phase I focuses on regaining hip range of motion and protection of surgically repaired tissues, and Phase IV involves a pain-free return to sports. Rehabilitation protocols vary in timing in that some include a timeline with each phase taking a certain number of weeks while others are based on goal achievement. There is an overall lack of published outcomes based on patients adhering to various post-hip arthroscopy rehabilitation protocols.

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Trends in Utilization and Outcomes of Hip Arthroscopy in the United States Between 2005 and 2013

Cited by 204 publications

References 27 publications

Persistent or recurrent symptoms after arthroscopic surgery for femoroacetabular impingement: A review of imaging findings

Persistent or recurrent symptoms after arthroscopic surgery for femoroacetabular impingement: A review of imaging findings

A Retrospective Study of Anesthetic Considerations in Hip Arthroscopy: Regional versus General

Return to running after arthroscopic hip surgery: literature review and proposal of a physical therapy protocol

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