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.
Highlights
Hip arthroscopy is a rapidly growing, evolving area within arthroscopic Orthopaedic Surgery and has prompted an exponential growth of publications from authors worldwide [1,2,3,4]
The survey was emailed to hip preservation surgeons identified one of four ways: (i) members of ISHA (International Society for Hip Arthroscopy), (ii) ANCHOR (Academic Network for Conservative Hip Outcome Research), (iii) MAHORN (Multicenter Arthroscopy of the Hip Outcomes Research Network) and (iv) Pubmed search of ‘hip arthroscopy’
Determining the etiology of patients presenting with atypical hip pain can be challenging, especially in young patients without signs of osteoarthritis, and the response to diagnostic intra-articular hip injections is often used to help guide treatment
Summary
Hip arthroscopy is a rapidly growing, evolving area within arthroscopic Orthopaedic Surgery and has prompted an exponential growth of publications from authors worldwide [1,2,3,4]. Coupled with advancements in imaging modalities such as CT and MRI, as well as specialized instrumentation and techniques for hip arthroscopy, surgeons have become better equipped to safely and effectively treat pathology in and around the hip joint. One study demonstrated an 18-fold increase in the number of hip arthroscopies performed by surgeons who took Part II of the American Board of Orthopaedic Surgery exam in 2009 compared with 1999 [5]. There is no uniformity regarding preoperative workup, surgical technique, or postoperative protocols among surgeons who perform hip arthroscopy. As the quantity and quality of arthroscopic hip preservation literature advances, it is useful but beneficial to understand practice patterns of
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
