Featured Publications
Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up
Jimenez AE, Lee MS, Owens JS, Maldonado DR, LaReau JM, Domb BG. Athletes Undergoing Concomitant Hip Arthroscopy and Periacetabular Osteotomy Demonstrate Greater Than 80% Return-to-Sport Rate at 2-Year Minimum Follow-Up. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 2649-2658. PMID: 35257741, DOI: 10.1016/j.arthro.2022.02.017.Peer-Reviewed Original ResearchConceptsNonarthritic Hip ScoreConcomitant hip arthroscopyPatient-reported outcomesHip arthroscopyPeriacetabular osteotomyHOS-SSSHip scoreSport ratesAcetabular dysplasiaHip Outcome Score-SportPercentage of patientsHarris hip scorePrimary hip arthroscopyRetrospective case seriesBody mass indexIntra-articular pathologyMean followMinimum followPostoperative scoresCase seriesConsecutive athletesMass indexRTS rateCam deformityLabral tears
2024
Female Patients Undergoing Latarjet Surgery Show Similar 2-Year Secondary Surgery Rates but Greater Risk of Emergency Department Visits Compared With a Matched Cohort of Male Patients
Gillinov S, Islam W, Modrak M, Mahatme R, Wilhelm C, McLaughlin W, Surucu S, Moran J, Lee M, Grauer J, Jimenez A. Female Patients Undergoing Latarjet Surgery Show Similar 2-Year Secondary Surgery Rates but Greater Risk of Emergency Department Visits Compared With a Matched Cohort of Male Patients. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2024, 40: 2645-2651.e1. PMID: 38513877, DOI: 10.1016/j.arthro.2024.02.043.Peer-Reviewed Original ResearchSecondary surgery rateElixhauser Comorbidity Index scoreCohort of male patientsBody mass indexElixhauser Comorbidity IndexSurgery ratesRecurrent shoulder instabilityFemale patientsMale patientsLatarjet procedureFemale sexShoulder instabilityED visitsIncidence of secondary surgeryEmergency departmentAssociated with female sexInternational Classification of Diseases (ICD)-10 diagnosisNational administrative claims databaseKaplan-Meier analysisAssociated with OREvaluate sex-based differencesTreatment of recurrent shoulder instabilityPostoperative emergency departmentMultivariate logistic regressionAdministrative claims database
2023
Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy
Gillinov S, Kim D, Islam W, Lee M, Moran J, Fong S, Mahatme R, McLaughlin W, Maldonado D, Medvecky M, Grauer J, Jimenez A. Medicaid Insurance Is Associated With More Complications and Emergency Department Visits but Equivalent 5-Year Secondary Surgery Rate After Primary Hip Arthroscopy. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2023, 40: 1117-1125. PMID: 37597701, DOI: 10.1016/j.arthro.2023.08.011.Peer-Reviewed Original ResearchPrimary hip arthroscopyFemoroacetabular impingement syndromeEmergency department visitsSecondary surgery rateED visitsMedicaid patientsHip arthroscopyDepartment visitsSurgery ratesSecondary surgeryLabral tearsLarge national database studyTenth Revision diagnosis codesNational database studyFive-year ratesElixhauser Comorbidity IndexKaplan-Meier analysisRevision diagnosis codesBody mass indexMultivariate logistic regressionTotal hip arthroplastyLarge national databaseComorbidity indexPostoperative complicationsAdverse eventsBorderline 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 conditionsSurvivorship, Outcomes, and Risk Factors for Conversion to Total Hip Arthroplasty After Revision Hip Arthroscopic Surgery in Obese Patients: Results at a Minimum 5-Year Follow-up
Maldonado D, Lee M, Kyin C, Jimenez A, Owens J, Perez-Padilla P, Domb B. Survivorship, Outcomes, and Risk Factors for Conversion to Total Hip Arthroplasty After Revision Hip Arthroscopic Surgery in Obese Patients: Results at a Minimum 5-Year Follow-up. Orthopaedic Journal Of Sports Medicine 2023, 11: 23259671231154921. PMID: 37056451, PMCID: PMC10087662, DOI: 10.1177/23259671231154921.Peer-Reviewed Original ResearchRevision hip arthroscopic surgeryHip arthroscopic surgeryPatient-reported outcomesNonarthritic Hip ScoreVisual analog scaleObese patientsArthroscopic surgeryHip scoreClinical benefitRisk factorsHip arthroplastyHip Outcome Score-SportOlder ageMean patient ageHarris hip scoreBody mass indexLiterature reporting outcomesLigamentum teres tearsLevel of evidencePredictors of conversionTotal hip arthroplastyRegression analysisTime of revisionMore outcome measuresHOS-SSSIs 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 infectionExamining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries
Moran J, Lee M, Kunze K, Green J, Katz L, Wang A, McLaughlin W, Gillinov S, Jimenez A, Hewett T, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries. The American Journal Of Sports Medicine 2023, 51: 1155-1161. PMID: 36867053, DOI: 10.1177/03635465231159899.Peer-Reviewed Original ResearchConceptsBone bruise patternsAcute anterior cruciate ligament injuryMagnetic resonance imagingAnterior cruciate ligament injuryCruciate ligament injuryBone bruiseNoncontact injuriesLigament injuryContact injuriesACL injuryBruise patternsMedial collateral ligament injuryNoncontact mechanismFat-suppressed T2-weighted imagesMultivariate logistical regression modelIpsilateral knee injuriesCollateral ligament injuriesACL reconstruction surgeryMechanism of injuryBody mass indexNoncontact ACL injuryMedial tibiofemoral compartmentPreoperative MRI scansACL injury mechanismsPosterior cruciate ligament
2022
Outcomes 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 improvementOutcomesDetermining 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 proceduresOutcomes of Staged Bilateral Hip Arthroscopic Surgery in the Context of Femoroacetabular Impingement Syndrome: A Nested Matched-Pair Control Study Focusing on the Effect of Time Between Procedures
Ankem HK, Diulus SC, Kyin C, Jimenez AE, Saks BR, Sabetian PW, Maldonado DR, Lall AC, Domb BG. Outcomes of Staged Bilateral Hip Arthroscopic Surgery in the Context of Femoroacetabular Impingement Syndrome: A Nested Matched-Pair Control Study Focusing on the Effect of Time Between Procedures. The American Journal Of Sports Medicine 2022, 50: 2998-3008. PMID: 35877152, DOI: 10.1177/03635465221108955.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient acceptable symptom stateHip arthroscopic surgeryPatient-reported outcomesFemoroacetabular impingement syndromeVisual analog scaleNonarthritic Hip ScoreBody mass indexBilateral proceduresArthroscopic surgeryStudy groupHip scoreMass indexImpingement syndromeControl groupPrimary hip arthroscopic surgeryPropensity score-matched control groupComparable improvementAcceptable symptom stateHarris hip scoreLevel of evidenceCohort studyContralateral procedureSymptom stateAnalog scale5-Year Arthroscopy-Free Survivorship and Outcomes of Adolescents Undergoing Primary Hip Arthroscopy: A Comparison Between Traumatic and Atraumatic Injuries
Lee MS, Paraschos OA, Jimenez AE, Owens JS, Maldonado DR, Domb BG. 5-Year Arthroscopy-Free Survivorship and Outcomes of Adolescents Undergoing Primary Hip Arthroscopy: A Comparison Between Traumatic and Atraumatic Injuries. The American Journal Of Sports Medicine 2022, 50: 2613-2621. PMID: 35853165, DOI: 10.1177/03635465221103255.Peer-Reviewed Original ResearchConceptsPatient acceptable symptom stateMaximum outcome improvement satisfaction thresholdPropensity-matched control groupPatient-reported outcomesFemoroacetabular impingement syndromePrimary hip arthroscopyBody mass indexHip arthroscopyTraumatic injuryAdolescent patientsControl groupAtraumatic injuriesHip scoreHip Outcome Score-Sports Specific SubscaleTI groupAcceptable symptom stateHarris hip scoreNonarthritic Hip ScoreVisual analog scaleHigher revision rateLevel of evidenceOutcomes of adolescentsHigh ratePaucity of literatureMean followPaper 57: Labral Tear Management in Patients Aged 40 Years and Older Undergoing Primary Hip Arthroscopy: A Propensity-Matched Case-Control Study Comparing Labral Reconstruction to Labral Repair with Minimum Two-Year Follow-Up. *ACCEPTED TO AJSM*
Maldonado D, Ouyang V, Owens J, Jimenez A, Saks B, Sabetian P, Lall A, Domb B. Paper 57: Labral Tear Management in Patients Aged 40 Years and Older Undergoing Primary Hip Arthroscopy: A Propensity-Matched Case-Control Study Comparing Labral Reconstruction to Labral Repair with Minimum Two-Year Follow-Up. *ACCEPTED TO AJSM*. Orthopaedic Journal Of Sports Medicine 2022, 10: 2325967121s00620. PMCID: PMC9339885, DOI: 10.1177/2325967121s00620.Peer-Reviewed Original ResearchPatient acceptable symptomatic statePrimary hip arthroscopyNon-Arthritic Hip ScoreVisual analog scaleRepair groupLabral repairLabral reconstructionSecondary surgeryHip arthroscopyHip scoreCompensation statusPatients Aged 40 YearsPatient-reported outcome scoresLabral repair groupPrimary labral reconstructionWorkers' compensation statusHarris hip scoreBody mass indexFemoroacetabular impingement syndromeSecondary surgery rateGold standard treatmentTwo-year followPrimary labral repairSimilar significant improvementsTwo yearsPropensity-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 rateSex-Based Differences in Athletes Undergoing Primary Hip Arthroscopy With Labral Reconstruction: A Propensity-Matched Analysis With Minimum 2-Year Follow-up
Owens JS, Lee MS, Jimenez AE, Maldonado DR, Paraschos OA, Domb BG. Sex-Based Differences in Athletes Undergoing Primary Hip Arthroscopy With Labral Reconstruction: A Propensity-Matched Analysis With Minimum 2-Year Follow-up. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221100861. PMID: 35677021, PMCID: PMC9168863, DOI: 10.1177/23259671221100861.Peer-Reviewed Original ResearchPrimary hip arthroscopyFemoroacetabular impingement syndromePatient acceptable symptom stateHigh RTS rateIrreparable labral tearsAcceptable symptom stateHip arthroscopyLabral reconstructionSex-based differencesAthlete’s hipIHOT-12Clinical characteristicsPRO scoresSymptom stateLabral tearsRTS rateSex-based outcome differencesPatient-reported outcome scoresMale athletesLabral tear sizePostoperative PRO scoresBody mass indexDifferent clinical characteristicsLevel of evidenceHigh rateComparison of Outcomes Between Nonsmokers and Patients Who Discontinued Smoking 1 Month Before Primary Hip Arthroscopy: A Propensity-Matched Study With Minimum 2-Year Follow-up
Lee MS, Jimenez AE, Owens JS, Curley AJ, Paraschos OA, Maldonado DR, Lall AC, Domb BG. Comparison of Outcomes Between Nonsmokers and Patients Who Discontinued Smoking 1 Month Before Primary Hip Arthroscopy: A Propensity-Matched Study With Minimum 2-Year Follow-up. Orthopaedic Journal Of Sports Medicine 2022, 10: 23259671221097372. PMID: 35693458, PMCID: PMC9185012, DOI: 10.1177/23259671221097372.Peer-Reviewed Original ResearchNonarthritic Hip ScorePatient-reported outcomesPrimary hip arthroscopyVisual analog scaleFemoroacetabular impingement syndromePropensity-matched control groupBody mass indexFormer smokersHip arthroscopyHip scoreCigarette smokingControl groupPostoperative patient-reported outcomesHarris hip scorePercentage of hipsComparison of outcomesLevel of evidenceLogistic regression analysisEffect of cessationSimilar ratesCohort studyPostoperative outcomesPreoperative scoresPostoperative scoresMass indexCompetitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair
Jimenez AE, Lee MS, Owens JS, Paraschos OA, Maldonado DR, Domb BG. Competitive Athletes Who Underwent Hip Arthroscopy With Capsular Repair Showed Greater Improvement in Patient-Reported Outcome Scores Compared With Those Who Did Not Undergo Repair. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3030-3040. PMID: 35561872, DOI: 10.1016/j.arthro.2022.04.010.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyNonarthritic Hip ScoreFemoroacetabular impingement syndromeHip arthroscopyCompetitive athletesHOS-SSSAverage followHip scoreOutcome scoresImpingement syndromeMaximum outcome improvement satisfaction thresholdPostoperative patient-reported outcome scoresHip Outcome Score-SportVisual analog scale scorePatient-reported outcome scoresPropensity score-matched control groupInterportal capsulotomyConsecutive competitive athletesPrior hip surgeryAnalog scale scoreHarris hip scorePercentage of patientsPrevious hip conditionsBody mass indexComparative therapeutic trialsMinimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft
Maldonado DR, Kyin C, Simpson JR, Annin S, Jimenez AE, Saks BR, Lall AC, Domb BG. Minimum 5-Year Outcomes After Primary Segmental Labral Reconstruction for Irreparable Labral Tears in the Hip With Hamstring Grafts: With a Subanalysis Comparing Autograft Versus Allograft. The American Journal Of Sports Medicine 2022, 50: 1876-1887. PMID: 35486521, DOI: 10.1177/03635465221091192.Peer-Reviewed Original ResearchConceptsPatient acceptable symptom stateBody mass indexFemoroacetabular impingement syndromeSegmental labral reconstructionIrreparable labral tearsLabral reconstructionLabral tearsPrevious ipsilateral hip surgeryComparable short-term outcomesPatient-reported outcome scoresAutograft Versus AllograftIpsilateral hip surgeryPropensity-matched groupsAcceptable symptom statePrimary hip arthroscopyShort-term outcomesPreoperative radiographic measurementsLevel of evidenceBaseline PROsHamstring allograftPostoperative PROsSecondary arthroscopyHamstring autograftHamstring graftMean followMaximal Outcome Improvement Willingness Thresholds Are Predictive of a Patient’s Willingness to Undergo the Same Surgery, in Retrospect, Given the Known Outcome of Their Primary Hip Arthroscopy
Maldonado DR, Fox JD, Kyin C, Jimenez AE, Saks BR, Curley AJ, Lall AC, Domb BG. Maximal Outcome Improvement Willingness Thresholds Are Predictive of a Patient’s Willingness to Undergo the Same Surgery, in Retrospect, Given the Known Outcome of Their Primary Hip Arthroscopy. Arthroscopy Sports Medicine And Rehabilitation 2022, 4: e1007-e1013. PMID: 35747669, PMCID: PMC9210379, DOI: 10.1016/j.asmr.2022.02.004.Peer-Reviewed Original ResearchNonarthritic Hip ScoreVisual analog scalePrimary hip arthroscopyHip arthroscopyTear repairAnchor questionPatients' willingnessPrevious ipsilateral hip surgeryIpsilateral hip surgeryPrevious hip conditionsBody mass indexFemoroacetabular impingement syndromeHip preservation surgeryProcess of surgeryAverage followHip scorePreoperative scoresTönnis gradeVAS scoresSame surgeryMass indexPreservation surgeryAnalog scaleImpingement syndromeHip surgery