2023
Low Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients
Gillinov S, Kim D, Moran J, Lee M, Fong S, Mahatme R, Simington J, Owens J, McLaughlin W, Grauer J, Jimenez A. Low Rates of 5-Year Secondary Surgery and Postoperative Complications After Primary Hip Arthroscopy in More Than 30,000 Patients. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 39: 1639-1648. PMID: 37286283, DOI: 10.1016/j.arthro.2023.01.100.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopySecondary surgery rateMultivariate logistic regressionSecondary surgeryHip arthroscopySurgery ratesRisk factorsFemale sexLabral tearsTenth RevisionHip arthroplastyLabral repairInternational ClassificationClass II/III obesityLogistic regressionPrevious hip arthroscopyClass I obesityPostoperative complication rateRate of complicationsFive-year ratesDay of surgeryFrequent surgical procedureKaplan-Meier analysisTotal hip arthroplastyLarge national datasetBorderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation
Domb B, Owens J, Glein R, Jimenez A, Maldonado D. Borderline Dysplasia After Primary Hip Arthroscopy with Capsular Plication and Labral Preservation. Journal Of Bone And Joint Surgery 2023, 105: 687-699. PMID: 37083686, DOI: 10.2106/jbjs.22.00340.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcome measuresBorderline hip dysplasiaPrimary hip arthroscopyNonarthritic Hip ScoreBody mass indexVisual analog scaleHip arthroscopyLabral preservationCapsular plicationVAS painHip scoreCompensation statusMean patient body mass indexControl groupPrior ipsilateral hip surgeryPatient body mass indexIpsilateral hip surgeryMCID achievement ratesPropensity-matched comparisonMean patient ageWorkers' compensation statusHarris hip scoreLong-term followPrevious hip conditionsIs there value in the routine practice of discarding the incision scalpel from the surgical field to prevent deep wound contamination with Cutibacterium acnes? An update
Shroff J, Hanna P, Levy B, Jimenez A, Grimm N, Cote M, Mazzocca A. Is there value in the routine practice of discarding the incision scalpel from the surgical field to prevent deep wound contamination with Cutibacterium acnes? An update. Journal Of Shoulder And Elbow Surgery 2023, 32: 1924-1928. PMID: 36967056, DOI: 10.1016/j.jse.2023.02.130.Peer-Reviewed Original ResearchConceptsInitial skin incisionC acnesShoulder arthroplastyMedical comorbiditiesSkin incisionSingle fellowship-trained surgeonCutibacterium acnesReverse total shoulder arthroplastyPositive culture findingsTertiary referral hospitalBody mass indexConsecutive case seriesFellowship-trained surgeonsSkin preparation protocolTotal shoulder arthroplastyDevelopment of infectionTime of incisionPrevious pilot studyMale patientsPostoperative infectionReferral hospitalCase seriesMass indexPatient cohortPeriprosthetic infectionTelemedicine: An Effective Tool for Patient-Physician Communication.
Sabetian P, Ouyang V, Fox J, Jimenez A, Ankem H, Saks B, Maldonado D, Lall A, Domb B. Telemedicine: An Effective Tool for Patient-Physician Communication. Orthopedics 2023, 46: e173-e178. PMID: 36623281, DOI: 10.3928/01477447-20230104-07.Peer-Reviewed Original ResearchConceptsTelemedicine visitsPatient-physician communicationPresurgical groupConservative treatmentSurgical treatmentPerson visitsFurther medical assessmentSurgical indicationsPostsurgical groupImaging reviewMean ageTelemedicine appointmentsHip clinicSurgery dateHip proceduresPatientsMedical assessmentVisitsMonthsCOVID-19 pandemicTreatmentGroupIndicationsClinicCohort
2022
Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up
Domb B, Lee M, Annin S, Owens J, Jimenez A, Sabetian P, Maldonado D. Patients Who Underwent Primary Hip Arthroscopy for Femoroacetabular Impingement with Acetabular Microfracture Show 77% Survivorship at 10-Year Follow-Up. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 1185-1194. PMID: 36628692, DOI: 10.1016/j.arthro.2022.11.018.Peer-Reviewed Original ResearchConceptsPatient-reported outcome scoresMinimal clinical important differencePrimary hip arthroscopyNonarthritic Hip ScoreVisual analog scaleFemoroacetabular impingement syndromeAcetabular microfractureHip arthroscopyHip scoreTreatment of FAISHip Outcome Score-SportAcetabular cartilage lesionsAverage patient ageHarris hip scoreTime of surgeryClinical important differenceCase series studyAcetabular chondral lesionsTHA conversionPatient ageIntraoperative findingsAnalog scaleImpingement syndromeOutcome scoresFemoroacetabular impingementOver One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IOutcomes Following Primary Total Hip Arthroplasty With Concomitant Gluteus Medius Repair Using the Direct Anterior Approach.
Maldonado DR, Glein RM, Annin S, Owens JS, Jimenez AE, Saks BR, Lall AC, Domb BG. Outcomes Following Primary Total Hip Arthroplasty With Concomitant Gluteus Medius Repair Using the Direct Anterior Approach. Orthopedics 2022, 46: 39-46. PMID: 36206516, DOI: 10.3928/01477447-20221003-09.Peer-Reviewed Original ResearchConceptsPrimary total hip arthroplastyPatient-reported outcome measuresPropensity-matched control groupDirect anterior approachTotal hip arthroplastyDAA total hip arthroplastyGluteus medius repairGM repairControl groupMCID achievementAnterior approachHip arthroplastyBaseline patient-reported outcome measuresPreoperative patient-reported outcome measuresGood functional outcomeBody mass indexHigh rateMass indexFunctional outcomeOutcome measuresPatientsWorkers' compensationTearsComparable improvementOutcomesElite Female Athletes Demonstrate a Comparable Improvement in Midterm Patient-Reported Outcome Scores and Rate of Return to Sport Compared With Elite Male Athletes After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes
Owens JS, Lee MS, Jimenez AE, Maldonado DR, Lall AC, Domb BG. Elite Female Athletes Demonstrate a Comparable Improvement in Midterm Patient-Reported Outcome Scores and Rate of Return to Sport Compared With Elite Male Athletes After Hip Arthroscopic Surgery: A Sex-Based Comparison in Professional and Collegiate Athletes. The American Journal Of Sports Medicine 2022, 50: 3600-3609. PMID: 36197056, DOI: 10.1177/03635465221123060.Peer-Reviewed Original ResearchConceptsMaximum outcome improvement satisfaction thresholdPrimary hip arthroscopic surgeryPatient acceptable symptom stateHip arthroscopic surgeryFemoroacetabular impingement syndromePRO scoresArthroscopic surgeryElite female athletesElite male athletesMale athletesFemale athletesHip scoreOutcome scoresInclusion criteriaHip Outcome Score-Sports Specific SubscaleControl groupLower preoperative PRO scoresPropensity-matched control groupPatient-reported outcome scoresPostoperative PRO scoresPreoperative PRO scoresAcceptable symptom stateHarris hip scoreNonarthritic Hip ScoreVisual analog scaleDetermining Clinically Meaningful Thresholds for the Hip Outcome Score Sport-Specific Subscale in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome
Owens JS, Jimenez AE, Lee MS, George T, Maldonado DR, Domb BG. Determining Clinically Meaningful Thresholds for the Hip Outcome Score Sport-Specific Subscale in Athletes Undergoing Hip Arthroscopy for Femoroacetabular Impingement Syndrome. The American Journal Of Sports Medicine 2022, 50: 3009-3018. PMID: 35971944, DOI: 10.1177/03635465221114400.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient acceptable symptom stateNon-Arthritic Hip ScoreFemoroacetabular impingement syndromePrimary hip arthroscopySubstantial clinical benefitVisual analog scaleSport-Specific SubscaleHip arthroscopyHip scoreAnchor questionImpingement syndromeMaximum outcome improvement satisfaction thresholdPrevious ipsilateral hip surgeryChange scoresIpsilateral hip surgeryAcceptable symptom stateHarris hip scoreBody mass indexStandard deviation ageLevel of evidenceSatisfaction thresholdCohort studyDeviation ageTönnis gradeIncidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients
Gillinov SM, Fosam A, Burroughs PJ, Schneble CA, McLaughlin WM, Moran J, Jimenez AE, Grauer JN, Medvecky MJ. Incidence, Timing, and Risk Factors for 5-Year Revision Surgery After Autologous Chondrocyte Implantation in 533 Patients. The American Journal Of Sports Medicine 2022, 50: 2893-2899. PMID: 35916771, DOI: 10.1177/03635465221111115.Peer-Reviewed Original ResearchConceptsBony realignment proceduresAutologous chondrocyte implantationBody mass indexPrimary Autologous Chondrocyte ImplantationRevision surgeryRisk factorsRealignment proceduresPostoperative yearKnee arthroplastyFemale sexChondrocyte implantationECI scoresElixhauser comorbidity index scoreChondral defectsComorbidity Index scoreKaplan-Meier analysisLarge national cohortUnicompartmental knee arthroplastyTotal knee arthroplastyOsteochondral allograft transplantationLevel of evidenceOsteochondral autograft transferArticular cartilage proceduresFull-thickness chondral defectsChondral proceduresPropensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts
Maldonado DR, Diulus SC, Lee MS, Owens JS, Jimenez AE, Perez-Padilla PA, Domb BG. Propensity-Matched Patients Undergoing Revision Hip Arthroscopy Older Than the Age of 40 Years Had Greater Risk of Conversion to Total Hip Arthroplasty Compared With Their Primary Counterparts. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 54-63. PMID: 35764206, DOI: 10.1016/j.arthro.2022.06.014.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesRevision hip arthroscopyHip Outcome Score-Sports Specific SubscaleHarris hip scoreNonarthritic Hip ScoreBody mass indexHip scoreHip arthroscopyRevision groupHip arthroplastyControl groupMass indexPropensity-matched control groupSpecific SubscalePropensity-matched patientsTime of surgeryPrevious hip conditionsVisual analog scaleTotal hip arthroplastyYears of ageAnalog scaleMean agePrimary hipRelative riskRevision hipBasketball Players Undergoing Primary Hip Arthroscopy Exhibit Higher Grades of Acetabular Cartilage Damage but Achieve Favorable Midterm Outcomes and Return to Sports Rates Comparable With a Propensity-Matched Group of Other Cutting Sports Athletes
Owens JS, Jimenez AE, Lee MS, Hawkins GC, Maldonado DR, Domb BG. Basketball Players Undergoing Primary Hip Arthroscopy Exhibit Higher Grades of Acetabular Cartilage Damage but Achieve Favorable Midterm Outcomes and Return to Sports Rates Comparable With a Propensity-Matched Group of Other Cutting Sports Athletes. The American Journal Of Sports Medicine 2022, 50: 1909-1918. PMID: 35648627, DOI: 10.1177/03635465221092762.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcomesFemoroacetabular impingement syndromePrimary hip arthroscopyNonarthritic Hip ScoreBody mass indexVisual analog scaleMidterm outcomesCompetitive basketball playersHip arthroscopyHip scoreControl groupSport athletesPropensity-matched control groupFavorable short-term outcomesMean body mass indexFavorable midterm outcomesSimilar midterm outcomesPropensity-matched cohortHarris hip scoreShort-term outcomesAcetabular cartilage damageLevel of evidenceBasketball playersHigh ratePredictors of Achieving the Maximal Outcome Improvement Threshold for Willingness to Undergo Revision Hip Arthroscopy
Maldonado DR, Kyin C, Owens JS, Rosinsky PJ, Jimenez AE, Lee MS, Domb BG. Predictors of Achieving the Maximal Outcome Improvement Threshold for Willingness to Undergo Revision Hip Arthroscopy. The American Journal Of Sports Medicine 2022, 50: 2174-2180. PMID: 35612846, DOI: 10.1177/03635465221096872.Peer-Reviewed Original ResearchConceptsNonarthritic Hip ScoreVisual analog scaleRevision hip arthroscopyHip arthroscopyHip scoreAnchor questionRevision surgeryImprovement thresholdMean patient ageHarris hip scorePrevious hip conditionsMultivariate logistic regressionCase-control studyLevel of evidenceCam-type morphologyFemoroacetabular impingement morphologyIntraoperative predictorsAverage followPatient ageTönnis gradeAnalog scaleImpingement morphologyExclusion criteriaPatientsHip dysplasiaPathologic Findings on Hip Arthroscopy in High-Level Athletes Competing in Flexibility Sports
Saks BR, Monahan PF, Maldonado DR, Jimenez AE, Ankem HK, Sabetian PW, Lall AC, Domb BG. Pathologic Findings on Hip Arthroscopy in High-Level Athletes Competing in Flexibility Sports. The American Journal Of Sports Medicine 2022, 50: 1028-1038. PMID: 35254862, DOI: 10.1177/03635465221077002.Peer-Reviewed Original ResearchConceptsFemoroacetabular impingement syndromeHigh-level athletesPatient-reported outcome measuresHip arthroscopyHip scoreTeres tearsOutcome measuresHip Outcome Score-Sports Specific SubscalePropensity score-matched cohortPropensity scoreCartilage lesionsSport competition levelBaseline patient characteristicsHarris hip scoreNonarthritic Hip ScorePrimary hip arthroscopySignificant clinical improvementTime of surgeryBody mass indexVisual analog scaleLigamentum teres tearsLevel of evidenceHigh rateFlexibility sportsNFS groupFemales and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification
Maldonado DR, Owens JS, Go CC, Lee MS, Saks BR, Jimenez AE, Lall AC, Domb BG. Females and Males Achieved Comparable Outcomes and Clinical Benefits Following Primary Hip Arthroscopy with Labral Repair, but Age Affected Outcomes and Conversion to Total Hip Arthroplasty. A Short and Mid-Term Follow-Up Analysis with Dual Stratification. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 2427-2440. PMID: 35183694, DOI: 10.1016/j.arthro.2022.02.003.Peer-Reviewed Original ResearchConceptsPatient-reported outcome scoresPrimary hip arthroscopyFemoroacetabular impingement syndromeHip arthroscopyAge groupsMean ageHip arthroplastyRate of THAMid-term followPrevious hip conditionsTotal hip arthroplastyYounger age groupsRevision arthroscopyTönnis gradeOutcome scoresClinical benefitImpingement syndromeLabral treatmentComparable outcomesLarge cohortExclusion criteriaLabral repairPatientsBetter outcomesHip dysplasiaArthroscopic Subspine Decompression Is Commonly Reported in a Heterogenous Patient Population With Concomitant Procedures: A Systematic Review
Curley AJ, Owens JS, Jimenez AE, Maldonado DR, Saks BR, Sabetian PW, Lall AC, Domb BG. Arthroscopic Subspine Decompression Is Commonly Reported in a Heterogenous Patient Population With Concomitant Procedures: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 2529-2542. PMID: 35157962, DOI: 10.1016/j.arthro.2022.01.049.Peer-Reviewed Original ResearchConceptsArthroscopic subspine decompressionSubspine decompressionPatient-reported outcomesLevel IV studiesHeterogenous patient populationsSystematic reviewConcomitant proceduresPatient populationIntra-articular hip pathologyAnterior Inferior Iliac Spine MorphologyTime of surgeryExtra-articular impingementNon-randomized StudiesLoss of followLevel II studiesLevel III studiesHip preservation proceduresMeta-Analyses (PRISMA) guidelinesImpingement testPreferred Reporting ItemsPostoperative complicationsII studyIII studyPatient demographicsPostoperative outcomesLow Body Mass Index in Females May Portend Inferior Outcomes After Primary Hip Arthroscopy: A Propensity-Matched Analysis With Minimum 2-Year Follow-up
Jimenez AE, Glein RM, Owens JS, George T, Maldonado DR, Saks BR, Lall AC, Domb BG. Low Body Mass Index in Females May Portend Inferior Outcomes After Primary Hip Arthroscopy: A Propensity-Matched Analysis With Minimum 2-Year Follow-up. The American Journal Of Sports Medicine 2022, 50: 499-506. PMID: 35049391, DOI: 10.1177/03635465211063189.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscaleLower body mass indexPatient acceptable symptom stateMaximum outcome improvement satisfaction thresholdNormal body mass indexPrimary hip arthroscopyBody mass indexPropensity-matched control groupNon-Arthritic Hip ScoreFemale patientsPatient-reported outcomesVisual analog scaleFemoroacetabular impingement syndromeHip arthroscopyHip scoreControl groupAnalog scaleMass indexImpingement syndromePatient-reported outcome scoresPrevious hip arthroscopyTönnis osteoarthritis gradeAcceptable symptom stateHarris hip scorePercentage of patients
2021
Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group
Maldonado DR, Glein RM, Lee MS, Annin S, Owens JS, Jimenez AE, Saks BR, Sabetian PW, Lall AC, Domb BG. Patients With Concomitant Painful External Snapping Hip and Femoroacetabular Impingement Syndromes Reported Complete Snapping Resolution With Release of the Gluteus Maximus and Iliotibial Band, and Comparable Minimum 2-Year Outcomes to a Propensity-Matched Control Group. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 38: 1890-1899. PMID: 34920010, DOI: 10.1016/j.arthro.2021.11.048.Peer-Reviewed Original ResearchConceptsPatient-reported outcome measuresFemoroacetabular impingement syndromePrimary hip arthroscopyBody mass indexPropensity-matched control groupControl groupIliotibial band releaseHip arthroscopyGluteus maximusHip scoreTönnis gradeImpingement syndromeBand releaseHip Outcome Score-Sports Specific SubscaleExternal Snapping HipHarris hip scoreNonarthritic Hip ScorePrevious hip conditionsRate of resolutionRetrospective comparative studyVisual analog scaleTwo-year followTwo yearsAnalog scaleMass indexEarlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing Primary Hip Arthroscopy
Jimenez AE, Monahan PF, Owens JS, Maldonado DR, Curley AJ, Domb BG. Earlier Treatment Yields Superior Outcomes in Competitive Athletes Undergoing Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2021, 38: 2183-2191. PMID: 34915141, DOI: 10.1016/j.arthro.2021.11.053.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcome scoresVisual analog pain scaleNon-Arthritic Hip ScorePrimary hip arthroscopyPropensity-matched control groupHip arthroscopyCompetitive athletesControl groupHip scoreSymptom onsetStudy groupInternational Hip Outcome ToolAnalog pain scaleHarris hip scoreRetrospective comparative studyFemoroacetabular impingement syndromeIHOT-12Pain scalePreoperative scoresPostoperative scoresOutcome scoresRTS rateImpingement syndromeEarly treatmentClinical Outcomes and Reoperation Rates After Hip Arthroscopy in Female Athletes With Low Versus Normal Body Mass Index: A Propensity-Matched Comparison With Minimum 2-Year Follow-up
Jimenez AE, Monahan PF, Owens JS, Maldonado DR, Saks BR, Ankem HK, Sabetian PW, Lall AC, Domb BG. Clinical Outcomes and Reoperation Rates After Hip Arthroscopy in Female Athletes With Low Versus Normal Body Mass Index: A Propensity-Matched Comparison With Minimum 2-Year Follow-up. The American Journal Of Sports Medicine 2021, 50: 58-67. PMID: 34817243, DOI: 10.1177/03635465211055175.Peer-Reviewed Original ResearchConceptsMaximum outcome improvement satisfaction thresholdPatient acceptable symptom stateLower body mass indexNormal body mass indexBody mass indexHigh-level female athletesVisual analog scalePatient-reported outcomesHip Outcome Score-Sports Specific SubscaleInternational Hip Outcome Tool-12Primary hip arthroscopyNonarthritic Hip ScoreFemoroacetabular impingement syndromeHip arthroscopyHip scoreControl groupFemale athletesMass indexImpingement syndromePropensity-matched control groupSpecific SubscaleAcceptable symptom stateHarris hip scorePercentage of patientsHigh school female athletes