Hip Arthroscopy Research, Data and Literature
Research Data:
2009. Hot off the Press! from the recent International Society for Hip Arthroscopy (ISHA) meeting at his Alma Mater, the Hospital for Special Surgery, we bring you the latest cutting edge information in Hip Arthroscopy. As the only Georgia member of the International Society for Hip Arthroscopy , Dr. Hyman wants to make sure the Atlanta community is 'in the loop' as well with emerging technologies.
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In addition to treating labral tears, Femoroacetabular impingement (FAI), loose bodies, synovitis, dislocations, cartilage damage and dysplasia, Hip arthroscopy is now being used more readily for: Greater trochanteric bursectomy, hip instability, adhesive capsulitis of the hip, release of external and internal snapping hip syndromes, and repairs of gluteus medius tears in the peritrochanteric space.
In isolated cases with limited pathology, bilateral hip arthroscopies are even being undertaken (traction time is limited).
Issues noted to be observed complications from around the world:
transient Neurpraxias (nerve stretch)
DVT (deep venous thrombosis)
scuffing, scratching or gouging joint cartilage
broken wires, shavers, beaver blade tips
retained loose or foreign bodies,
pressure necrosis of pinched skin
numbness around genitalia, vaginal tearing, impotence
unknown radiation effects
Very rare complications: infection, Fracture, excessive Fluid extravasation (leakage), Dislocation after scope. Broken anchors, hemarthrosis, dissociated anchors or suture. Symptom exacerbation in about 5%. Entrapped drains
Hip Arthroscopy may not be of advantage (or contraindicated) in some cases of obesity, excess stiffness, DJD / arthritis, when there's been extensive prior surgery, or in cases of Avascular necrosis (AVN)
Research Articles on Hip arthroscopy:
Revision Hip Arthroscopy
Hip Arthroscopy for Labral Tears
Outcomes for FAI surgery with Hip Arthroscopy
Improvement Following Arthroscopic Hip Surgery
Marc J Philippon, MD Vail CO (a,g,e - Smith & Nephew, a - EBI, Genzyme)
Patients felt improvement at 3 months following surgery; however, largest functional improvement was not seen until 7 months.
This information is important for patient education so potential outcome can guide patient expectations. Hip arthroscopy often resulted in improved function and high patient satisfaction.
(Keep in mind this was a study of a "very mixed bag of patients," of all different ages, and doesn't describe what TYPE of arthroscopic surgery they had - there are many different types).
GOAL of the study: To determine patients’ functional improvement over time during the first year following arthroscopic hip surgery.
Data was collected on 115 patients (65 females, 50 males) following arthroscopic hip surgery(3/2005-1/2006) with an average age of 40(range 14-72). Patients completed subjective forms preoperatively(n=115), at 3 months(n=62), 5 months(n=22), 7 months(n=32), 9 months(n=31) and 12 months(n=18) postoperatively. Hip Outcome (HOS), Modified Harris Hip(MHH), Non-Arthritic Hip(NAH) and patient satisfaction (1=unsatisfied,10=very satisfied) scores were collected.
ADL HOS, MMH and NAH scores showed:
1. significant improvement at 3 months over preoperative scores(p<0.05).
2. significant improvement over pre-op at 7 months.
3. Largest functional improvement occurred between 5 and 7 months.
4. At 3 months 44% reported pain with walking, 50% at 5 months and 27% at 7 months. (1 in 4 patients still had pain with walking)
5. At 7 months 23% considered hip function abnormal; however only 16% considered their condition unchanged/worse at 3 months.
6. Average patient satisfaction at all time points was 8.0(range 1-10).
Doctors who subspecialize in hip arthroscopy listed by state. This list doesn't include all such doctors on earth, but is a comprehensive list compiled and created entirely by hip arthroscopy patients around the world. It is listed by State, with links to the physician websites.
Dr. Richard W. Garner, MD; Anchorage, AL
Anchorage Fracture and Orthopedic Clinic
http://www.afoc.com/Mambo/inde...id=8&id=35&Itemid=85
Dr. Gregory L. Schumacher; Anchorage, AL
Anchorage Fracture and Orthopedic Clinic
http://www.afoc.com/Mambo/inde...=16&id=87&Itemid=135
Dr. Carlo A. Orlando; Glendale, CA
Arthritis, Orthopedic and Sports (AOS) Medical Center
https://secure.infoforpatients...om/about/orlando.php
Dr. Philip Merritt; Glendale, CA
Arthritis, Orthopedic and Sports (AOS) Medical Center
https://secure.infoforpatients...om/about/merritt.php
Dr. Michael Bellino; Redwood City, CA
Stanford Hospital
http://stanfordhospital.org/pr...cian/Michael_Bellino
Dr. Marc R. Safran; Redwood City, CA
Stanford Hospital
http://stanfordhospital.org/pr...hysician/Marc_Safran
Dr. Francois S. Antounian; San Rafael, CA
Kaiser Permanente San Rafael Medical Center
http://www.permanente.net/homepage/doctor/fantounian/
Dr. Glick; San Francisco, CA
University of California, San Francisco
http://www.jmglickmd.com/index.html
Dr. Carlos A. Guanche; Van Nuys, CA
Southern California Orthopedic Institute
http://www.scoi.com/doctors/detail_alpha.php?id=30
Dr Amir Jamal; Sacramento, CA
UC Davis Health System
http://www.ucdmc.ucdavis.edu/o...detail.asp?bioid=972
Dr. John T. Kao; San Jose, CA; Redwood City, CA
The Sports Orthopedics and Rehabilitation Medicine Associates
http://www.soarmedical.com/medicalteam.htm
http://www.westvalley.edu/wvcs...ports-medicine/staff
Dr. Warren Kramer; Newport Beach, CA
Kramer Orthopedics
http://www.kramermedical.com/Prov_DrWKramer.asp
Newport Center Surgical
http://www.newportcentersurgical.com/
Dr. Thomas Sampson; San Francisco, CA
http://www.hiparthroscopy.net/
Dr. Jason Snibbe; Beverly Hills, CA
Beverly Hills Orthopedic group
http://bhorthogroup.com/dr_jason.htm
Dr. Thomas Vail; San Francisco, CA
University of California, San Francisco
http://www.ucsfhealth.org/adul...OCTOR&doctorid=28968
Dr. Marc Philippon; Vail, CO
Steadman Hawkins Clinic
http://www.steadman-hawkins.co...ysicianPhilippon.asp
http://aprilcz.blogspot.com/
Dr Khemarin Seng; Boulder, CO
Mapelton Hill Orthopedics
http://www.mapletonhill.com/staff/k_seng.html
Armando Vidal, MD; Denver & Boulder, CO
Colorado University Sports Medicine
http://www.uchsc.edu/ortho/spo...faculty_vidalbio.htm
www.cusportsmed.org
Leslie Vidal; Denver, CO
Orthopedics Associates
http://www.denverortho.com/physician_vidal.shtml
Dr. John Xenos; Denver, CO
Steadman Hawkins Denver
http://pb-shc.eznetpublish.ihe...d/16092/Default.aspx
Dr. Cesar Ceballos, Miami, FL
West Kendall Surgical center
http://www.westkendallsurgerycenter.com/index.cfm
Dr. Dror Paley; West Palm Beach, FL
Paley Advanced Limb Lengthening Institute
http://www.lengthening.us/index.html
St. Mary’s Medical Center
http://www.stmarysmc.com/en-US...heningInstitute.aspx
Dr. David Simpson; Royal Palm Beach, FL
The Center for Bone and Joint Surgery of the Palm Beaches
http://www.boneandjoint.org/Me...d/15214/Default.aspx
Dr. Jon Hyman; Atlanta, GA
Atlanta Sports Medicine
http://www.drjonhyman.com/hiparthroscopy.shtml
Dr. Charles Bush-Joseph; Chicago, IL
Midwest Orthopedics at Rush
http://www.rushortho.com/Charles_Bush-Joseph.cfm
Dr. Benjamin Domb; Hinsdale, IL
Hinsdale Orthopedic Associates, Inc.
http://www.hoasc.com/profile_domb.php
http://www.triblocal.com/Hinsd...=detail&sub_id=72653
Dr. Daniel Kuesis; Elk Grove Village, IL
CORE Orthopedics and Sports Medicine
http://coreorthosports.com/about.php
Dr. G. Peters Maiers II; Indianapolis, IN
Methodist Sports Medicine
http://www.methodistsports.com...er_maiers/index.html
Dr. Russell Meldrum, MD; Indianapolis, IN
Indiana University School of Medicine, Dept of Orthopaedics
http://www.russellmeldrum.com/myself.html
Dr. Allston J. Stubbs, MD; Kansas City, KA
Wake Forest University Baptist Medical Center
http://www.wfuhip.com/stubbs.html
Dr. M Brian Polsky; Baltimore, MD
Orthopaedic Associates of Maryland, PA
http://www.mdbonedocs.com/inde...tl/phys/99803008.cfm
Dr. Peter David Asnis; Boston, MA
Mass General Hospital
http://www.massgeneral.org/doc...doctor.aspx?ID=17613
Dr. Brian D. Busconi; Worchester, MA
U Mass Memorial Medical Group
http://www.umassmemorial.org/S...ction=detail&ref=273
Dr. Mininder Kocher; Boston, MA
Children's Hospital Boston
http://children.photobooks.com...=377&pict_id=2266364
Dr. McCarthy; Boston, MA
Mass General Hospital
http://www.massgeneral.org/doc...doctor.aspx?ID=16652
http://866-oagrsports.net/physicians.php?d=bielema
Dr. Bielema; Grand Rapids MI
http://www.oamichigan.com/staff?personid=8
http://866-oagrsports.net/physicians.php?d=bielema
Dr. Michael Masini; Ypsilanti, MI
Ann Arbor Bone & Joint Surgery
St. Joseph's Mercy Hospital
http://www.sjmercyhealth.org/b...tion=detail&ref=8554
Dr. Ira Zaltz; Royal Oak, MI
Oakland Orthopaedic Surgeons
http://oaklandorthopedics.com/zaltz.cfm
Dr. Stephen Hunt; Bedminster, NJ
Bedminster Orthopaedics and Sports Medicine
http://www.bedminsterortho.com/hunt.html
http://www.hss.edu/orthopedic-surgery.asp
Dr. Robert L. Buly; New York, NY
Hospital for Special Surgery in NYC, NY
http://www.hss.edu/physicians_buly-robert.asp
Struan H. Coleman, MD, PhD; New York, NY
Hospital for Special Surgery in NYC, NY
http://www.hss.edu/physicians_coleman-struan.asp
Dr. Bryan Kelly; New York, NY
Hospital for Special Surgery in NYC, NY
http://www.hss.edu/physicians_kelly-bryan.asp
Dr. Anil S. Ranawat; New York, NY
Hospital for Special Surgery in NYC, NY
http://www.hss.edu/physicians_ranawat-anil.asp
Dr. Shankar Das, MD; Albany, NY
Capital region Orthopaedics
http://www.capitalregionorthopaedics.com/
http://www.crasconline.com/index.html
Dr. Brian McGrath; Amherst, NY
State University of New York at Buffalo
http://deptdirectory.med.buffa...?ht=dd&fid=0MU0K2GCJ
Dr. Robert Ziets; New York, NY
http://www.drziets.com/home.html
Beth Israel Medical Center
http://www.wehealny.org/patien...I_home/Bi_index.html
Dr. Gary G. Poehling; Winston-Salem, NC
Wake Forest Baptist Medical Center
http://www1.wfubmc.edu/Ortho/C...Faculty/Poehling.htm
Dr. David Ruch; Durham, NC
http://www.dukehealth.org/physicians/david_s_ruch
Dr. Hal D. Martin; Oklahoma City OK
Oklahoma Sports Science and Orthopedics
http://drhalmartin.com/
Dr. Andrea S. Herzka; Portland, OR
Oregon Health and Science University
http://www.ohsu.edu/xd/health/...roviders/herzkaa.cfm
Dr. Nicholas G. Sotereanos; Pittsburgh, PA
West Penn Allegheny Health System
http://www.wpahs.org/patients/...e=Bio&physician=1391
Dr. W. J. Thomas Byrd in Nashville TN
Nashville Sports Medicine and Orthopaedic Center
http://nsmoc.com/index.php?opt...=blog&id=5&Itemid=42
Dr. Theodore Crofford; Fort Worth, TX
The Texas Hip and Knee Center, L.L.P
http://texashipandkneecenter.com/index2.html
http://texashipandkneecenter.c...hysicians_staff.html
Plaza Medical Center of Fort Worth Texas
http://www.jointcenterfortworth.com/bios.html#
Dr. Phillip M. Graehl; Carrollton, TX
Metrocrest Orthopaedics and Sports Medicine
http://www.metrocrest.com/doctors/graehl.htm
Dr. James Bruckner Bellevue, WA
Proliance Orthopaedics and Sports Medicine
http://www.pro-osm.com/surgeon/bruckner.php
Dr. Phil Downer; Seattle, WA
Orthopedic Specialists of Seattle
http://www.seattlehipsurgery.com/about-2/
Dr. Patrick Lynch Jr.; Spokane WA
Northwest Orthopaedic Specialists, PS
http://www.nwos-spokane.com/ab...s/patrick_lynch.html
Dr. John T. Heinrich, MD; Milwaukee, WI
Milwaukee Orthopaedic Group Limited
http://www.milwaukeeorthopaedi...m/john_heinrich.html
http://www.biztimes.com/news/2...-ltd-milwaukee-bucks
Dr. James S. Keene; Madison, WI
University of Wisconsin School of Medicine and Public Health
UW Health Sciences
http://findadoctor.uwhealth.or...Fresults.jsp&id=6494
http://www.uwhealth.org/health...Y_1105110078864.html
Dr. Anthony Ricci; Burlington, WI
Aurora Health Care
http://www.aurorahealthcare.or.../display.asp?ID=9481
Dr. Greg Witherow; Perth, Australia
Perth Orthopaedic and Sports Medicine Centre
http://www.perthorthopaedics.c...tId=13&IntContId=864
Dr. Douglas Naudie; London, Ontario
Dr. Brian Day; Vancouver, BC Canada (800) 558-1338
Dr. Paul Beaule;Ottawa, Ontario
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