• Dr. Domb!

    Thanks a lot for getting my hip right. Looking forward to a full recovery and a great season. Thanks again for everything.

    Corey WoottonChicago Bears and Detroit Lions
  • Thank you for all that you have done for me and the team. My hip feels so much better, and because of you I'm pain free.
    Sylvia Fowles WNBA Finals MVP, 2-time Olympic Gold Medalist
  • Thank you for working your magic! You're the best!
    Zakiya BywatersChicago Red Stars, National Women's Soccer League
  • Thanks for all the love and positive Energy that was put into my surgery. May the Lord bless you and your family.
    Atari BigbyGreen Bay Packers and San Diego Chargers
  • Dr. Domb, Thanks for fixing me up
    Rashied DavisChicago Bears
  • Huge thank you to Dr. Domb for always taking care of me and getting me back on the court in no time!
    Elena Delle DonneChicago Sky, MVP of the WNBA
  • Dr. Domb! Thanks for taking care of the hip! All the best to you and your staff
    Roosevelt ColvinChicago Bears' All-Decade Defense team
  • Thanks doc for fixing my hip!
    Ryan ChiaveriniWindy City Live Co-Host on ABC7

Dr. Benjamin Domb and researchers at the American Hip Institute publish the largest study in the medical literature on hip arthroscopy, showing the benefits of the cutting edge techniques they have developed to preserve the hip joint."

Primary hip arthroscopy had greater improvements in outcomes vs revision arthroscopy

Patients who underwent primary hip arthroscopy experienced greater improvement in patient-reported outcome scores at 2-year follow-up compared with patients who underwent revision arthroscopy, according to recently presented data.

"The relative risk of total hip arthroplasty was often two-times [greater] after revision arthroscopy compared to primary," Parth Lodhia, MD, FRCSC, of RebalanceMD, said. "There was a significant improvement in all patient-reported outcome scores at 2 years for primary and for revision arthroscopies and, finally, primary arthroscopy patients showed greater patient-reported outcome scores compared to revision."

Lodhia and Benjamin G. Domb, MD, sports medicine orthopedic surgeon and founder of the American Hip Institute, identified 1,038 hips in 872 patients who underwent a primary or revision hip arthroscopy between February 2008 and June 2012 and had a minimum follow-up of 2 years. Researchers collected modified Harris Hip scores, nonarthritic hip score, VAS score, activities of daily living and the sport-specific subscales of the hip outcome score preoperatively and at 3 months, 1 year and 2 years postoperatively.

Results showed significantly superior outcomes in both groups at 2 years postoperatively. However, Lodhia noted patients who underwent primary arthroscopy had significantly improved outcomes at all time points vs. the revision arthroscopy group. Researchers also found a significantly higher incremental increase in the improvement of patient-reported outcome scores in the primary arthroscopy group vs. the revision hip arthroscopy group at all time points.

"We went on to look at cumulative risk after primary arthroscopy of either having a revision arthroscopy or having a total hip arthroscopy," Lodhia said at the Arthroscopy Association of North America Annual Meeting. "When we looked at this at the 24-month time point, we found a cumulative risk of 2.8% for conversion to total hip replacement and 6% of undergoing secondary hip arthroscopy."

Source: Healio

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