Document Detail


Early experience with a comprehensive hip preservation service intended to improve clinical care, education, and academic productivity.
MedLine Citation:
PMID:  22926493     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Christopher L Peters; Stephen K Aoki; Jill A Erickson; Lucas A Anderson; Andrew E Anderson
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  470     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2012 Dec 
Date Detail:
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    
Other Details:
Languages:  eng     Pagination:  3446-52     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Arthroplasty, Replacement, Hip
Arthroscopy
Authorship
Biomechanical Phenomena
Biomedical Research* / statistics & numerical data
Clinical Competence* / statistics & numerical data
Education, Medical, Graduate* / statistics & numerical data
Efficiency*
Female
Hip Joint / pathology,  physiopathology,  radiography,  surgery*
Humans
Internship and Residency* / statistics & numerical data
Joint Diseases / diagnosis,  physiopathology,  surgery*
Kaplan-Meier Estimate
Male
Orthopedic Procedures* / adverse effects,  education,  statistics & numerical data
Pain, Postoperative / etiology
Peer Review, Research
Periodicals as Topic
Program Evaluation
Recovery of Function
Reoperation
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult
Grant Support
ID/Acronym/Agency:
R01AR053344/AR/NIAMS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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