false
Catalog
AOSSM 2022 Annual Meeting Recordings - no CME
Return to Sport and Testing following Hip Arthrosc ...
Return to Sport and Testing following Hip Arthroscopy For FAI in High School and Collegiate Athletes
Back to course
[Please upgrade your browser to play this video content]
Video Transcription
I'd like to thank the AOSSM on behalf of my co-authors. Advance. So we know that well-performed hip arthroscopy has tremendous potential to help patients in terms of improving patient satisfaction and has a high rate of return to sport if done properly. Next slide. But the return to sport data that's present in the literature is variable, with return to sport rates ranging between 50% and 90%. Furthermore, there's really few return to sport testing programs available in the present literature. Most of that is focused on ACL, as you guys just heard from the Utah group. And this leaves little guidance to council athletes, surgeons, primary care, sports medicine professionals, and athletic trainers in terms of when it is safe to return to sports after a hip preservation surgery. Next slide. If you could click it one more time, too. So the purpose of this study was to evaluate a novel return to sport testing protocol for athletes returning to sport after FAI surgery. Next slide. We looked at 50 hips and 43 athletes. About a third were collegiate athletes and two-thirds were high school athletes, mean age of 17.7. Click it, please. Classic FAI treatment was performed 100% of the time was performed with a head and neck offset correction, as you can see in the pre-post images in the top right of the slide. Acetabuloplasty 20%. Most of them had a subspine decompression and capsular closure as well. Next slide. The mean alpha angle was 67, pre-op and post-op was 41. And we tested these athletes for their ability to return to sport using these measures at 5.75 months. Next slide. So at 5.75 months on average, the physical assessments that were done were isokinetic strength, isometric strength, rapid succession tuck jumps, measuring numbers of errors, and dynamic balance using this Y-balance technique. A lot of these were adopted from the ACL literature. Next slide. So we took all the data from return to sport testing, we took our radiographic and patient-specific factors, and we took the patient-reported outcomes that were taken at the time of the testing, and we performed a regression analysis looking for correlations. Next slide. Pre-op, really, the patient's hip outcome score, the sport-specific subscale was 53 at six months. It was about 86, and it was about 90 at 12 months. We had a 91% return to primary sport at an average of 7.2 months. Next slide. There were two revision surgeries that happened within the first two years after the surgeries were performed. We had all three injuries at nine and 18 months after their injuries. Next slide. When looking at the correlations with the regression analysis, we used the readiness to return index and the hip outcome score, we found a significant correlation with this Y-balance test and the posterior medial reach, posterior lateral reach, and then the Y-balance composite score. Hip readiness to return index, or RSI, correlated with return to sport at 12 months, and there was no specific correlations with patient factors or anatomic factors. Next slide. In conclusion, we found that Y-balance significantly correlated with improved patient-reported outcomes and readiness to return after hip preservation surgery. Y-balance testing, if you're familiar with using it in your ACL cohorts, you can easily incorporate this for your hip athletes following surgery for FAI, and this Y-balance data can be incorporated into shared decision-making for the athletic trainers, the surgeons, and the athletes to better counsel patients on when a return to sport might be safe. Thank you.
Video Summary
In this video, the speaker expresses gratitude to the AOSSM on behalf of their co-authors. They discuss the potential benefits of hip arthroscopy, including improved patient satisfaction and a high rate of return to sport. However, the existing literature on return to sport rates after hip preservation surgery is varied, and there are limited testing programs available. The purpose of the study presented is to evaluate a novel return to sport testing protocol for athletes after FAI surgery. The speaker discusses the methodology and findings of the study, including correlations between the Y-balance test and patient-reported outcomes and readiness to return to sport. The speaker suggests that implementing Y-balance testing for hip athletes can aid in shared decision-making on when it is safe to return to sport after surgery.
Asset Caption
Robert Westermann, MD
Keywords
hip arthroscopy
patient satisfaction
return to sport
FAI surgery
Y-balance test
×
Please select your language
1
English