Hayes Emmitt, Carsen Sasha, Matache Bogdan, Pickell Michael
Division of Orthopaedic Surgery, The University of Ottawa, Ottawa, ON, Canada.
Arthrosc Sports Med Rehabil. 2025 Feb 26;7(3):101109. doi: 10.1016/j.asmr.2025.101109. eCollection 2025 Jun.
To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.
NHL players who underwent hip arthroscopy between 2008 and 2022 were identified through a publicly available injury database. Demographic and outcome data were collected for the 1-year period preceding and the 2-year period following surgery. Our primary outcome measure was wins above replacement per 60 minutes played (WAR/60), with secondary outcomes, including offensive and defensive goals, above replacement per 60 minutes played. A matched cohort was created on the basis of position, draft year, and index season performance. Preinjury and postinjury outcomes were compared using a paired test.
Twenty-eight players underwent 29 eligible procedures. Preinjury, postinjury year 1, and postinjury year 2 WAR/60 were 0.06, 0.01, 0.04, respectively, in cases ( = .01, = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls ( = .35, = .01, = 0.82) compared to cases. Offensive goals above replacement per 60 minutes played were decreased compared to presurgery 1 and 2 years postsurgery but only performance 2 years postsurgery met statistical significance ( = .55, = .03). Defensive goals above replacement per 60 minutes played were decreased compared to presurgery at postsurgery year 1 and 2, but only performance in year 1 was statistically significant ( = 0.01, = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one ( = .03).
NHL players who have undergone hip arthroscopy are associated with significantly decreased performance 1 year following surgery when compared with controls, driven primarily by decreased defensive performance. However, performance of major analytic metrics recovers by postinjury year 2.
Level III, retrospective case-control study.
评估国家冰球联盟（NHL）球员髋关节镜检查后的表现。
通过一个公开的伤病数据库识别出2008年至2022年间接受髋关节镜检查的NHL球员。收集手术前1年和手术后2年的人口统计学和结果数据。我们的主要结果指标是每60分钟上场时间的超过替补水平的胜场数（WAR/60），次要结果指标包括每60分钟上场时间的进攻和防守进球数超过替补水平。根据位置、选秀年份和指数赛季表现创建一个匹配队列。使用配对t检验比较受伤前和受伤后的结果。
28名球员接受了29例符合条件的手术。病例组受伤前、受伤后第1年和受伤后第2年的WAR/60分别为0.06、0.01、0.04（与受伤前相比，P = 0.01，P = 0.12），对照组分别为0.07、0.06和0.04（与病例组相比，P = 0.35，P = 0.01，P = 0.82）。每60分钟上场时间的进攻进球数超过替补水平的情况在手术后1年和2年与手术前相比有所下降，但只有手术后2年的表现达到统计学显著性（P = 0.55，P = 0.03）。每60分钟上场时间的防守进球数超过替补水平的情况在手术后第1年和第2年与手术前相比有所下降，但只有第1年的表现具有统计学显著性（P = 0.01，P = 0.54）。受伤后第1年每60分钟上场时间的防守进球数超过替补水平的情况与对照组相比显著下降（P = 0.03）。
与对照组相比，接受髋关节镜检查的NHL球员在手术后1年表现显著下降，主要是由于防守表现下降。然而，主要分析指标的表现在受伤后第2年恢复。
III级，回顾性病例对照研究。
