ePoster #109 - ISHA Annual Scientific Meeting 2016

Arthroscopic Hip Preservation Surgery Practice Patterns: An International Survey

Joshua David Harris, MD, Houston, TX UNITED STATES
Kevin Smith, MD, Houston, TX UNITED STATES
Brayden J. Gerrie, BS, Houston, TX UNITED STATES
Patrick C. McCulloch, MD, Houston, TX UNITED STATES
Brian D. Lewis, MD, Raleigj, NC UNITED STATES
Richard C. Mather, MD, MBA, Durham, NC UNITED STATES
Geoffrey S. Van Thiel, MD, MBA, Rockford, IL UNITED STATES
Shane J. Nho, MD, MS, Chicago, IL UNITED STATES

Houston Methodist Orthopedics & Sports Medicine, Houston, TX, UNITED STATES

FDA Status Not Applicable

Summary: Among a large number of high-volume experienced hip arthroscopists worldwide, pre-, intra-, and post- hip arthroscopy practice patterns have been established and reported and within this cohort of respondents, several areas of patient evaluation and management remain discordant and controversial without consensus.

Abstract:
PURPOSE: To design and conduct a survey analyzing pre-, intra-, and post- hip arthroscopy practice patterns among hip arthroscopists worldwide.

METHODS: A 21-question, IRB-exempt, HIPAA-compliant, cross-sectional survey was conducted via email using SurveyMonkey® to examine preoperative evaluation, intra-operative techniques, and postoperative management. Administered to 151 hip arthroscopists identified from publicly available sources, the survey was not endorsed by any regional, national, or international medical, surgical, or hip preservation society.

RESULTS: Seventy-five respondents completed the survey (151 +/-116 hip arthroscopy procedures per year; 8.6 +/-7.1 years hip arthroscopy experience). Practice patterns included: preoperative imaging and injections, patient selection regarding degrees of dysplasia and arthritis, role of surgery in asymptomatic patients, capsular management, articular cartilage injury, iliopsoas management, postoperative hip brace, derotational boots, continuous passive motion (CPM), heterotopic ossification and thromboembolic disease prophylaxis.

CONCLUSION: 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 consensus. Future research should move beyond expert opinion level V evidence towards high-quality appropriately designed and conducted investigations.