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J Orthop. 2018 May 07;15(2):591-595. doi: 10.1016/j.jor.2018.05.033. eCollection 2018 Jun.

Demographics and rates of surgical arthroscopy and postoperative rehabilitative preferences of arthroscopists from the Arthroscopy Association of North America (AANA).

Journal of orthopaedics

Neil V Shah, Maximilian Solow, John J Kelly, Alexandr Aylyarov, James P Doran, Lee R Bloom, Samuel Akil, Bilal Siddiqui, Jared M Newman, Dipal Chatterjee, Neel Pancholi, Anant Dixit, Borna Kavousi, Scott E Barbash, William P Urban, David T Neuman

Affiliations

  1. Department of Orthopaedic Surgery and Rehabilitation Medicine, State University of New York (SUNY), Downstate Medical Center, Brooklyn, NY, United States.
  2. School of Medicine, St. George's University, Grenada, West Indies.
  3. Division of Sports Medicine and Orthopaedic Surgery, NY Sportscare, New York, NY, United States.

PMID: 29881200 PMCID: PMC5990328 DOI: 10.1016/j.jor.2018.05.033

Abstract

Survey of 869 arthroscopists regarding joint-specific arthroscopic procedures and postoperative rehabilitative preferences revealed comparable support for use of supervised physical therapy (SPT) and home exercise programs (HEPs) but stronger preference for joint-specific HEP applications (wrist, knee). Among respondents utilizing HEPs, modality of delivery (verbal/handout/web-based) didn't differ by joint, yet only 2.9% utilized web-based HEPs. This is the first known study to identify postoperative rehabilitation preferences. With 1.77 million estimated arthroscopic procedures annually (mean: 325.4 procedures/respondent), this study highlights under-utilization of web-based HEPs. Reliable, web-based HEPs can improve post-arthroscopic outcomes for patients, arthroscopic surgeons, and rehabilitative specialists while being cost efficient.

Keywords: Arthroscopic surgery; Demographics; Epidemiology; Home exercise program; Postoperative rehabilitation; Supervised physical therapy

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