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 tearsAchieving Successful Outcomes in High-Level Athletes With Borderline Hip Dysplasia Undergoing Hip Arthroscopy With Capsular Plication and Labral Preservation: A Propensity-Matched Controlled Study
Jimenez AE, Monahan PF, Miecznikowski KB, Saks BR, Ankem HK, Sabetian PW, Lall AC, Domb BG. Achieving Successful Outcomes in High-Level Athletes With Borderline Hip Dysplasia Undergoing Hip Arthroscopy With Capsular Plication and Labral Preservation: A Propensity-Matched Controlled Study. The American Journal Of Sports Medicine 2021, 49: 2447-2456. PMID: 34156875, DOI: 10.1177/03635465211021001.Peer-Reviewed Original ResearchConceptsPatient acceptable symptom statePatient-reported outcomesHip Outcome Score-Sports Specific SubscaleNormal acetabular coveragePrimary hip arthroscopyHigh-level athletesBorderline dysplasiaHip arthroscopyControl groupAcetabular coverageHip scoreCapsular plicationRTS rateLabral pathologyFavorable patient-reported outcomesPropensity-matched control groupSpecific SubscaleNon-Arthritic Hip ScoreBorderline hip dysplasiaHigh RTS rateAcceptable symptom stateHarris hip scoreVisual analog scaleLevel of evidenceMCID rates
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 datasetTen-Year Survivorship, Outcomes, and Sports Participation in Athletes After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome
Domb B, Annin S, Monahan P, Lee M, Jimenez A, Maldonado D. Ten-Year Survivorship, Outcomes, and Sports Participation in Athletes After Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome. The American Journal Of Sports Medicine 2023, 51: 2383-2395. PMID: 37366226, DOI: 10.1177/03635465231180305.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscalePatient-reported outcome measuresPatient acceptable symptom statePrimary hip arthroscopyTotal hip arthroplasty conversionMCID achievement ratesPropensity-matched comparisonNonarthritic Hip ScoreVisual analog scaleFemoroacetabular impingement syndromeHip arthroscopyLabral repairHip scoreFAI syndromeLabral debridementArthroplasty conversionAnalog scaleImpingement syndromeAchievement rateBaseline patient-reported outcome measuresMaximum outcome improvement satisfaction thresholdSports participationLabral repair groupAcceptable symptom stateHarris hip scoreBorderline 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 conditions
2022
Mid- and Long-Term Outcomes Are Favorable for Patients With Borderline Dysplasia Undergoing Primary Hip Arthroscopy: A Systematic Review
Lee M, Owens J, Fong S, Kim D, Gillinov S, Mahatme R, Simington J, Monahan P, Islam W, Moran J, Grimm N, Jimenez A. Mid- and Long-Term Outcomes Are Favorable for Patients With Borderline Dysplasia Undergoing Primary Hip Arthroscopy: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 1060-1073. PMID: 36596369, DOI: 10.1016/j.arthro.2022.12.030.Peer-Reviewed Original ResearchConceptsPatient-reported outcomesBorderline hip dysplasiaPrimary hip arthroscopyLong-term outcomesHip arthroscopySystematic reviewHip dysplasiaBorderline dysplasiaTönnis grade 2Characteristics of patientsLevel III evidenceLevel IV studiesRevision hip arthroscopyLevel IV evidencePredictors of conversionPreferred Reporting ItemsNumber of hipFull-text screeningMidterm outcomesClinical benefitFemoroacetabular impingementSecondary surgeryDevelopmental dysplasiaHip arthroplastyLevel IVPatients 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 impingementShort Symptom Duration Is Associated With Superior Outcomes in Patients Undergoing Primary Hip Arthroscopy: A Systematic Review
Kim D, Lee M, Mahatme R, Gillinov S, Islam W, Fong S, Lee A, Abu S, Pettinelli N, Medvecky M, Jimenez A. Short Symptom Duration Is Associated With Superior Outcomes in Patients Undergoing Primary Hip Arthroscopy: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 498-509. PMID: 36395964, DOI: 10.1016/j.arthro.2022.11.009.Peer-Reviewed Original ResearchConceptsHip arthroplasty ratesPrimary hip arthroscopyFemoroacetabular impingement syndromeSecondary surgery rateHip arthroscopySystematic reviewSurgery ratesImpingement syndromeFemoroacetabular impingementDuration groupArthroplasty ratesSuperior outcomesHip Outcome Score-ActivitiesHip Outcome Score-SportPatient-reported outcome scoresPreoperative hip painHarris hip scoreShorter symptom durationOnset of symptomsLevel IV studiesVisual analog scaleMeta-Analyses (PRISMA) guidelinesPreferred Reporting ItemsPreoperative durationHip painAthletes Report Favorable Outcomes at 5-Year Minimum Follow-Up After Primary Hip Arthroscopy: A Systematic Review
Lee M, Owens J, Fong S, Mahatme R, Kim D, Moran J, Gillinov S, Islam W, Lee A, Pettinelli N, Medvecky M, Jimenez A. Athletes Report Favorable Outcomes at 5-Year Minimum Follow-Up After Primary Hip Arthroscopy: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 510-528. PMID: 36395963, DOI: 10.1016/j.arthro.2022.11.008.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyPostoperative scoresHip arthroscopySystematic reviewHip scoreClinical benefitFavorable outcomeHip arthroplastyHip Outcome Score-Sports Specific ScalePatient-reported outcome scoresHarris hip scoreNonarthritic Hip ScorePsychometric thresholdsPreferred Reporting ItemsNumber of hipSignificant improvementHigh rateCochrane TrialsSecondary arthroscopyMinimum followSurgical treatmentOutcome scoresFemoroacetabular impingementSecondary surgeryLevel IVPatients Undergoing Primary Hip Arthroscopy Report Favorable Outcomes at Minimum 10 Year Follow-Up: A Systematic Review
Lee MS, Nam-Woo Kim D, Moran J, Gillinov SM, Mahatme RJ, Monahan PF, Islam W, Mclaughlin WM, Grimm NL, Jimenez AE. Patients Undergoing Primary Hip Arthroscopy Report Favorable Outcomes at Minimum 10 Year Follow-Up: A Systematic Review. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 459-475. PMID: 36334852, DOI: 10.1016/j.arthro.2022.10.040.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyPredictors of failureHip arthroscopyFavorable outcomeSystematic reviewSecondary arthroscopyClinical benefitSecondary surgeryChondral damageLevel IVLevel IIIPatient acceptable symptomatic stateOlder ageYear Follow-UpLevel IV studiesFemoroacetabular impingement syndromePreferred Reporting ItemsNumber of hipTönnis gradeCommon indicationImpingement syndromePatient cohortFemoroacetabular impingementFollow-upSymptomatic stateOutcomes 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 improvementOutcomesHigh-Level Athletes With Borderline Hip Dysplasia Achieve Favorable Outcomes and Return to Sport Rates Following Primary Hip Arthroscopy: Minimum 5-Year Outcomes Comparison to a Propensity-Matched Control Group
Owens JS, Jimenez AE, Lee MS, Monahan PF, Maldonado DR, Domb BG. High-Level Athletes With Borderline Hip Dysplasia Achieve Favorable Outcomes and Return to Sport Rates Following Primary Hip Arthroscopy: Minimum 5-Year Outcomes Comparison to a Propensity-Matched Control Group. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 271-282. PMID: 36055477, DOI: 10.1016/j.arthro.2022.08.023.Peer-Reviewed Original ResearchConceptsHip Outcome Score-Sports Specific SubscaleMaximum outcome improvement satisfaction thresholdBorderline hip dysplasiaPrimary hip arthroscopyPatient-reported outcomesNormal acetabular coveragePatient acceptable symptomatic stateHigh RTS rateHigh-level athletesFemoroacetabular impingement syndromeHip arthroscopyAcetabular coverageControl groupHip scoreSport ratesImpingement syndromeRTS rateLabral pathologyPostoperative patient-reported outcomesPropensity-matched control groupFavorable midterm outcomesPropensity-matched groupsRetrospective cohort studyHarris hip scoreTime of surgeryDetermining 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 gradeOutcomes 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 followPropensity-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 hipOutcomes After Primary Hip Arthroscopy in Athletes Older Than 40 Years Compared With Nonathletes
Saks BR, Monahan PF, Hawkins GC, Maldonado DR, Jimenez AE, Sabetian PW, Lall AC, Domb BG. Outcomes After Primary Hip Arthroscopy in Athletes Older Than 40 Years Compared With Nonathletes. The American Journal Of Sports Medicine 2022, 50: 2181-2189. PMID: 35666110, DOI: 10.1177/03635465221096843.Peer-Reviewed Original ResearchConceptsPrimary hip arthroscopyPatient-reported outcome measuresHip arthroscopyControl groupMaster athletesSecondary arthroscopyHip scoreIntraoperative findingsPROM scoresHip arthroplastyHip Outcome Score-Sports Specific SubscaleMaximum outcome improvement satisfaction thresholdPostoperative patient-reported outcome measuresMeaningful improvementsVisual analog scale scorePropensity score-matched control groupHarris hip scoreAnalog scale scoreNonarthritic Hip ScoreArthroscopic hip surgeryLevel of evidenceLower ratesHigh rateNonathlete control groupNA patientsPredictors 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 dysplasiaCompetitive 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 follow