Emmitt Hayes M.D., Sasha Carsen M.D., M.B.A., Bogdan Matache M.D., Michael Pickell M.D.
{"title":"Performance in National Hockey League Players Decreases 1 Year After Undergoing Hip Arthroscopy With Return to Baseline by the Second Year","authors":"Emmitt Hayes M.D., Sasha Carsen M.D., M.B.A., Bogdan Matache M.D., Michael Pickell M.D.","doi":"10.1016/j.asmr.2025.101109","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.</div></div><div><h3>Methods</h3><div>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 <em>t</em> test.</div></div><div><h3>Results</h3><div>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 (<em>P</em> = .01, <em>P</em> = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (<em>P</em> = .35, <em>P</em> = .01, <em>P</em> = 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 (<em>P</em> = .55, <em>P</em> = .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 (<em>P</em> = 0.01, <em>P</em> = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (<em>P</em> = .03).</div></div><div><h3>Conclusions</h3><div>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.</div></div><div><h3>Level of Evidence</h3><div>Level III, retrospective case-control study.</div></div>","PeriodicalId":34631,"journal":{"name":"Arthroscopy Sports Medicine and Rehabilitation","volume":"7 3","pages":"Article 101109"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arthroscopy Sports Medicine and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666061X25000355","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose
To evaluate performance following hip arthroscopy in National Hockey League (NHL) players.
Methods
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 t test.
Results
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 (P = .01, P = .12 compared to preinjury) and 0.07, 0.06, and 0.04, respectively, in controls (P = .35, P = .01, P = 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 (P = .55, P = .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 (P = 0.01, P = .54). Postinjury defensive goals above replacement per 60 minutes played were significantly decreased compared to controls at postinjury year one (P = .03).
Conclusions
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.