Publications by authors named "Alexander B Alvero"

Background: The purpose of this study was to explore the impact of social deprivation on preoperative characteristics and postoperative outcomes following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS).

Methods: Patients undergoing primary HA for FAIS were identified, and their social deprivation index (SDI) score was assigned on the basis of the provided ZIP code. Quartiles (Q1 to Q4) were established using national percentiles, with Q4 representing patients from the areas of greatest deprivation.

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Purpose: To identify structures at risk during proximal adductor longus repair and to report observed distances between these structures and the adductor longus (AL) footprint.

Methods: Eight hemipelves from fresh cadaver whole-body specimens were dissected using a previously established surgical approach. The tendinous attachment of the AL was scored into the underlying bone and the footprint size was measured in millimeters.

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Purpose: To compare time to achievement of clinically significant outcomes (CSOs) between patients undergoing primary and revision hip arthroscopy (HA) for femoroacetabular impingement syndrome.

Methods: Patients undergoing primary and revision HA for femoroacetabular impingement syndrome with complete 6-month, 1-year, and 2-year Hip Outcome Score-Activities of Daily Living (HOS-ADL) and Sport Subscale (HOS-SSS) were identified. Revision patients were propensity matched 1:4 to primary patients with HA, controlling for age, sex, and body mass index (BMI).

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Chondral defects in the athlete's hip are a relatively common occurrence, often presenting with debilitating pain and activity limitation. Preoperative identification of cartilage defects is challenging and there are many different modalities for treatment. Nonsurgical interventions, including activity modification, physical therapy, and injections, play a vital role, especially in less severe cases and as adjuncts to surgical intervention.

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Background: Previous studies have shown that short-term outcomes after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) predict midterm outcomes, but a limited number of studies have evaluated whether short-term outcomes predict long-term outcomes and survivorship.

Purpose: To evaluate whether achieving clinically significant outcomes at 2 years after hip arthroscopy for FAIS can predict patient-reported outcomes (PROs) and survivorship at 10 years.

Study Design: Cohort study; Level of evidence, 3.

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Purpose: To assess patient-reported outcomes (PROs), clinically significant outcomes (CSOs), and survivorship after staged hip arthroscopy with labral repair, femoroplasty, and capsular plication followed by periacetabular osteotomy (PAO) for the management of femoroacetabular impingement syndrome and hip dysplasia (lateral center-edge angle ≤25°).

Methods: A prospectively maintained database was queried to retrospectively identify patients who underwent staged primary hip arthroscopy and PAO between January 2018 and October 2021 and had a minimum 2-year follow-up. PROs collected included Hip Outcome Score Activities of Daily Living/Sports Subscale, international Hip Outcome Tool-12 item questionnaire, and visual analog scale for pain.

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Article Synopsis
  • The study aimed to determine if the outcomes of hip arthroscopy for femoroacetabular impingement syndrome (FAIS) at 6 months correlated with those at a minimum of 10 years post-operation.
  • It involved reviewing 60 patients and assessing various outcome measures, indicating significant improvements in pain and satisfaction scores from 6 months to 10 years, while some activity scores did not show similar improvements.
  • Findings revealed that early 6-month scores were predictive of long-term outcomes, including the likelihood of achieving acceptable symptom states and the need for further hip surgeries like total hip arthroplasty.
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Background: Hip arthroscopy has proved successful in treating femoroacetabular impingement syndrome (FAIS) in patients with and without borderline hip dysplasia (BHD). Despite a high prevalence of BHD in patients who participate in sports with high flexibility requirements, a paucity of literature evaluates the efficacy of hip arthroscopy in treating FAIS in flexibility sport athletes with BHD.

Purpose: To compare minimum 2-year patient-reported outcomes (PROs) and achievement of clinically significant outcomes in flexibility sport athletes with BHD undergoing primary hip arthroscopy for FAIS with capsular plication with results in flexibility sport athletes without dysplasia.

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Purpose: To define the time to achievement of clinically significant outcomes (CSOs) after primary gluteus medius and/or minimus (GM) repair and to identify factors associated with delayed CSO achievement.

Methods: Patients who underwent primary GM repair between January 2012 and June 2021 with complete preoperative, 6-month, 1-year, and 2-year Hip Outcome Score-Activities of Daily Living (HOS-ADL) were retrospectively identified. Cohort-specific minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) were calculated.

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Background: Minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) thresholds have been previously defined for the Patient-Reported Outcomes Measurement Information System (PROMIS) at 1-year follow-up in patients undergoing hip arthroscopy for femoroacetabular impingement syndrome; however, the MCID and PASS thresholds are yet to be defined for the PROMIS at 2-year follow-up.

Purpose: (1) To establish MCID and PASS thresholds for the PROMIS Pain Interference (PROMIS-PI) and PROMIS Physical Function (PROMIS-PF) at 2-year follow-up and (2) to correlate PROMIS scores with hip-specific patient-reported outcome measure (PROM) scores.

Study Design: Cohort study (diagnosis); Level of evidence, 3.

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Article Synopsis
  • The study aimed to analyze outcomes of surgical treatments for proximal hamstring tendon injuries over a minimum follow-up of two years, focusing on the impact of injury severity and the effectiveness of endoscopic versus open surgical techniques.
  • It involved a cohort of 75 patients classified by MRI into different grades of tears, and assessed their post-surgery recovery through various patient-reported outcomes (PROs).
  • Results showed that while all injury grades had favorable outcomes, patients with severe (grade 3) injuries had notably lower success rates in achieving acceptable symptom states compared to milder injuries, particularly in their ability to perform daily activities and sports.
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