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Smith KM, Gerrie BJ, McCulloch PC, et al. Arthroscopic hip preservation surgery practice patterns: an international survey. J Hip Preserv Surg. 2016;4(1):18-29doi: 10.1093/jhps/hnw036.
Smith, K. M., Gerrie, B. J., McCulloch, P. C., Lewis, B. D., Mather, R. C., Van Thiel, G., Nho, S. J., & Harris, J. D. (2017). Arthroscopic hip preservation surgery practice patterns: an international survey. Journal of hip preservation surgery, 4(1), 18-29. https://doi.org/10.1093/jhps/hnw036
Smith, Kevin M, et al. "Arthroscopic hip preservation surgery practice patterns: an international survey." Journal of hip preservation surgery vol. 4,1 (2017): 18-29. doi: https://doi.org/10.1093/jhps/hnw036
Smith KM, Gerrie BJ, McCulloch PC, Lewis BD, Mather RC, Van Thiel G, Nho SJ, Harris JD. Arthroscopic hip preservation surgery practice patterns: an international survey. J Hip Preserv Surg. 2016 Dec 07;4(1):18-29. doi: 10.1093/jhps/hnw036. eCollection 2017 Jan. PMID: 28630717; PMCID: PMC5467413.
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J Hip Preserv Surg. 2016 Dec 07;4(1):18-29. doi: 10.1093/jhps/hnw036. eCollection 2017 Jan.

Arthroscopic hip preservation surgery practice patterns: an international survey.

Journal of hip preservation surgery

Kevin M Smith, Brayden J Gerrie, Patrick C McCulloch, Brian D Lewis, R Chad Mather, Geoffrey Van Thiel, Shane J Nho, Joshua D Harris

Affiliations

  1. Houston Methodist Orthopedics and Sports Medicine, 6550 Fannin Street, Smith Tower, Suite 2500, Houston, TX 77030, USA.
  2. Department of Orthopaedic Surgery, Duke University Medical Center, Box 2887, Durham, NC 27710, USA.
  3. Crystal Lake Orthopedics, A Division Of Rockford Orthopedic Associated, Ltd. 750 Terra Cotta Ave, Crystal Lake, IL 60014, USA.
  4. Midwest Orthopedics at Rush, Rush University Medical Center, 1611 W Harrison, Chicago, IL 60661, USA.

PMID: 28630717 PMCID: PMC5467413 DOI: 10.1093/jhps/hnw036

Abstract

To design and conduct a survey analyzing pre-, intra- and post- hip arthroscopy practice patterns among hip arthroscopists worldwide. A 21-question, IRB-exempt, HIPAA-compliant, cross-sectional survey was conducted via email using SurveyMonkey to examine pre-operative evaluation, intra-operative techniques and post-operative management. The survey was administered internationally to 151 hip arthroscopists identified from publicly available sources. Seventy-five respondents completed the survey (151 ± 116 hip arthroscopy procedures per year; 8.6 ± 7.1 years hip arthroscopy experience). Standing AP pelvis, false profile and Dunn 45 were the most common radiographs utilized. CT scans were utilized by 54% of surgeons at least some of the time. Only 56% of participants recommended an arthrogram with MRI. Nearly all surgeons either never (40%) or infrequently (58%) performed arthroscopy in Tönnis grade-2 or grade-3 osteoarthritis. Surgeons rarely performed hip arthroscopy on patients with dysplasia (51% never; 44% infrequently). Only 25% of participants perform a routine 'T' capsulotomy and 41% close the capsule if the patient is at risk for post-operative instability. Post-operatively, 52% never use a brace, 39% never use a continuous passive motion, 11% never recommended heterotopic ossification prophylaxis and 30% never recommended formal thromboembolic disease prophylaxis. Among a large number of high-volume experienced hip arthroscopists worldwide, pre-, intra- and post- hip arthroscopy practice patterns have been established and reported. Within this cohort of respondents, several areas of patient evaluation and management remain discordant and controversial without universal agreement. Future research should move beyond expert opinion level V evidence towards high-quality appropriately designed and conducted investigations.

References

  1. Arthroscopy. 2014 Jul;30(7):796-802 - PubMed
  2. Arthroscopy. 2011 Feb;27(2):270-8 - PubMed
  3. Am J Sports Med. 2011 Jul;39 Suppl:85S-91S - PubMed
  4. Am J Sports Med. 2014 Jun;42(6):1370-6 - PubMed
  5. Arthroscopy. 2015 Oct;31(10):1903-8 - PubMed
  6. Am J Sports Med. 2012 Dec;40(12):2725-30 - PubMed
  7. Arthrosc Tech. 2013 Mar 17;2(2):e89-94 - PubMed
  8. Am J Sports Med. 2012 Apr;40(4):854-63 - PubMed
  9. Clin Orthop Relat Res. 2015 Apr;473(4):1388-95 - PubMed
  10. Arthroscopy. 2015 Sep;31(9):1722-7 - PubMed
  11. Arthroscopy. 2013 Mar;29(3):589-95 - PubMed
  12. Arthroscopy. 2013 Oct;29(10 ):1623-7 - PubMed
  13. Arthrosc Tech. 2014 Jul 21;3(4):e459-63 - PubMed
  14. Am J Sports Med. 2014 Dec;42(12 ):3009-15 - PubMed
  15. Am J Sports Med. 2014 Jun;42(6):1359-64 - PubMed
  16. J Bone Joint Surg Am. 2009 Jan;91(1):192-7 - PubMed
  17. Arthroscopy. 2014 Feb;30(2):153-5 - PubMed
  18. HSS J. 2011 Jul;7(2):145-50 - PubMed
  19. Hip Int. 2011 Nov-Dec;21(6):744-50 - PubMed
  20. Bone Joint J. 2015 May;97-B(5):628-35 - PubMed
  21. Am J Orthop (Belle Mead NJ). 2014 Dec;43(12):E319-23 - PubMed
  22. J Bone Joint Surg Am. 2012 Feb 15;94(4):e23 - PubMed
  23. Clin Sports Med. 2006 Apr;25(2):337-57, x - PubMed
  24. J Arthroplasty. 2002 Jan;17(1):82-9 - PubMed
  25. Clin Orthop Relat Res. 2013 Feb;471(2):593-9 - PubMed
  26. J Arthroplasty. 2009 Sep;24(6 Suppl):110-3 - PubMed
  27. Arthroscopy. 2008 Sep;24(9):1013-8 - PubMed
  28. Arthroscopy. 2011 May;27(5):619-27 - PubMed
  29. Arthroscopy. 2009 Apr;25(4):405-7 - PubMed
  30. Knee Surg Sports Traumatol Arthrosc. 2014 Apr;22(4):906-10 - PubMed
  31. J Bone Joint Surg Br. 2009 Jan;91(1):16-23 - PubMed
  32. Arthroscopy. 2014 Jan;30(1):42-6 - PubMed
  33. Arthroscopy. 2009 Apr;25(4):400-4 - PubMed
  34. Can J Surg. 2014 Feb;57(1):44-8 - PubMed
  35. Am J Sports Med. 2014 Nov;42(11):2634-42 - PubMed
  36. Orthopedics. 2014 Oct;37(10):e902-5 - PubMed
  37. Clin Orthop Relat Res. 2009 Mar;467(3):660-5 - PubMed
  38. Arthroscopy. 2012 Nov;28(11):1738-43 - PubMed
  39. Arthroscopy. 2008 Feb;24(2):188-95 - PubMed
  40. Bone Joint Res. 2012 Jul 01;1(7):131-44 - PubMed
  41. Orthopedics. 2009 Jan;32(1):56 - PubMed

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