|Early experience with a comprehensive hip preservation service intended to improve clinical care, education, and academic productivity.|
|PMID: 22926493 Owner: NLM Status: MEDLINE|
|BACKGROUND: The field of hip preservation surgery has grown substantially over the past decade. Although open hip procedures reportedly relieve pain and restore function, arthroscopic treatment has increasingly become a reasonable alternative. In 2008, we formed a comprehensive hip preservation service (HPS) to address clinical, educational, and research needs.
QUESTIONS/PURPOSES: We compared (1) volume, type, and corresponding improvement in pain and function of open and arthroscopic treatments; (2) orthopaedic resident test performance; and (3) academic productivity before and after creation of the HPS.
METHODS: We retrospectively reviewed 212 patients undergoing 220 open procedures from 1996 to 2007 (Group 1) and 260 patients undergoing 298 procedures (153 open, 145 arthroscopic) from 2008 to May 2010 (Group 2). At each clinic visit, we recorded Harris hip score (HHS) and conversion to THA. Minimum followup was 1 year for Group 1 (mean, 4 years; range, 1-13 years) and Group 2 (mean, 1.5 years; range, 1-3 years). We compared orthopaedic resident performance on two standardized tests and the number of academic works (publications, book chapters, electronic media) and peer-reviewed grants funded before and after creation of the HPS.
RESULTS: Mean HHS improved from 63 to 90 in Group 1 and from 76 to 91 in Group 2. Rate of conversion to THA was similar between groups despite expansion of surgical volume. Standardized orthopaedic resident test performance improved. Academic productivity as measured by publications and grant funding was facilitated by the HPS.
CONCLUSIONS: Early experience with a multidisciplinary HPS was positive; it facilitated clinical volume expansion while maintaining improvement in pain and function in young adults. Additional benefits included educational and academic productivity gains.
LEVEL OF EVIDENCE: Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
|Christopher L Peters; Stephen K Aoki; Jill A Erickson; Lucas A Anderson; Andrew E Anderson|
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|Type: Journal Article; Research Support, N.I.H., Extramural|
|Title: Clinical orthopaedics and related research Volume: 470 ISSN: 1528-1132 ISO Abbreviation: Clin. Orthop. Relat. Res. Publication Date: 2012 Dec|
|Created Date: 2012-11-08 Completed Date: 2013-01-22 Revised Date: 2013-12-05|
Medline Journal Info:
|Nlm Unique ID: 0075674 Medline TA: Clin Orthop Relat Res Country: United States|
|Languages: eng Pagination: 3446-52 Citation Subset: AIM; IM|
|APA/MLA Format Download EndNote Download BibTex|
Analysis of Variance
Arthroplasty, Replacement, Hip
Biomedical Research* / statistics & numerical data
Clinical Competence* / statistics & numerical data
Education, Medical, Graduate* / statistics & numerical data
Hip Joint / pathology, physiopathology, radiography, surgery*
Internship and Residency* / statistics & numerical data
Joint Diseases / diagnosis, physiopathology, surgery*
Orthopedic Procedures* / adverse effects, education, statistics & numerical data
Pain, Postoperative / etiology
Peer Review, Research
Periodicals as Topic
Recovery of Function
|R01AR053344/AR/NIAMS NIH HHS|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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