Research

Research

What is Clinical Outcomes Research?

Clinical outcomes research helps patients and their medical providers communicate efficiently to make informed healthcare decisions. This type of research uses questionnaires to allow patients to advise doctors about their OWN opinions, feelings, and life quality before and after medical care has been provided. The use of outcomes research in an orthopaedic surgeon’s office is a tool to provide evidence about the risks, benefits, and results of treatments so that patients can make informed decisions regarding their surgical and non-surgical care. In an effort to continually improve the quality of care provided in his medical practice, Dr. Christoforetti currently directs a full-time orthopedic and sports medicine researcher (Ryan McGovern, PhD, ATC). Dr. McGovern is tasked with coordinating the collection of clinical outcomes in order to interpret, analyze and validate the evidence-based medical care that Dr. Christoforetti provides to each patient. For his clinical research efforts he was awarded the Physiotherapy Award for Excellence in Clinical Research at the 2019 International Society for Hip Arthroscopy (ISHA) Annual Meeting in Madrid, Spain.

Patients receiving outpatient surgical and conservative care for shoulder, hip and/or knee injuries may be consented and enrolled to participate in clinical outcomes research. Using state of the art software from Arthrex (Surgical Outcomes Systems – SOS) patients are automatically sent secure links to sign in and complete surveys before, and up to 10 years after their medical care. These numbers are then compiled to help Dr Christoforetti improve his own practice as well as collaborate with other centers of excellence to advance the field!

Dr. Christoforetti is a founding member of the MASH (Multicenter Arthroscopic Study of the Hip) Study Group (www.mashstudy.com), the largest and highest quality multi-center registry for hip arthroscopy in the United States. He was previously the principal investigator for the O.T.C.O.R. (Orthopaedic Treatment Clinical Outcomes Registry), an Institutional Review Board Approved study at the Allegheny Singer Research Institute. The information attained from this registry is currently being analyzed and published to demonstrate 2-year clinical outcomes for surgical and non-surgical care provided by Dr. Christoforetti.

What is Basic Scientific Research?

Basic scientific research occurs in a laboratory or other non-clinical setting and uses traditional methods of science to answer questions about nature. In 2004, Dr Christoforetti spent 6 months at the National Institutes of Health studying mesenchymal stem cells at the NIAMS Branch and his work on tendon healing in embryonic chickens was shown at the Research Society. Dr Christoforetti has previously worked with Dr Mark Carl Miller at the Allegheny Singer Research Institute and Allegheny General Hospital Department of Orthopedic Surgery to create and conduct projects for study in the field of tissues. In 2014, their research on the strength of sutures in human hip labrums was selected for presentation in Rio de Janeiro, Brazil. Ongoing funded research investigates the effectiveness of human acellular dermal patches to restore hip function after failed hip arthroscopic surgery- an increasingly common problem he and other experts tackle for patients in need. Other basic science initiatives may focus on the behavior of cellular therapies in specific injury environments.

What is Academic Surgery?

This is a term used to describe the practice of medicine and surgery with a threefold focus: caring for patients, performing research to advance the field of surgery, and teaching future surgeons. Traditionally, only the best surgeons are selected to hold faculty positions and become thought leaders shaping the field for the future. Dr Christoforetti is Associate Professor of Surgery at Drexel University College of Medicine, Department of Orthopaedic Surgery. He is also Faculty-at-Large for the American Hip Institute in Chicago and Master Instructor for the Arthroscopy Association of North America. Dr. John Christoforetti was recruited by Texas Health Physicians Group to serve as a physician executive of Texas Health Sports Medicine. In this role he is currently tasked with creating and directing the first Sports Medicine Fellowship in the Dallas/Fort Worth area to promote sports medicine and orthopedic training for the future generation of sports medicine specialists.

 

Recently Published Articles

  1. McGovern RP, Christoforetti JJ, Kivlan BR, Wolf AB, Nho SJ, Salvo JP, Ellis T, Stubbs AJ, Matsuda D, Carreira D. Allocation of Anchors During Labrum Repair: A Multicenter Cohort Analysis of Labral Treatment in Hip Arthroscopy. Orthop J Sports Med. February 2021; 9(2).

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  2. Reynolds A, McGovern RP, Nickel BN, Christoforetti JJ. Preoperative Comparisons for a Return to Running Protocol in Recreational Athletes Following Hip Arthroscopy. J Hip Preserv Surg. Published online October 1, 2020.

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  3. DeLang MD, Garrison JC, Hannon JP, McGovern RP, Christoforetti JJ, Thorborg K. Short and long lever adductor squeeze strength values in 100 elite youth soccer players: does age and previous groin pain matter? Physical Therapy in Sports. 2020; 46: 243-248.

    doi.org/10.1016/j.ptsp.2020.10.001
  4. McGovern RP, Bucci G, Nickel BN, Ellis HB, Wells J, Christoforetti JJ. Arthroscopic Capsular Management of the Hip: A Comparison of Indications and Clinical Outcomes for Periportal Versus Interportal Capsulotomy. Arthroscopy. Published online August 13, 2020.

    doi.org/10.1016/j.arthro.2020.08.004
  5. Leininger A, Duerr RA, Chauhan A, McGovern RP, Christoforetti JJ. Endoscopic-Assisted Anatomic Reconstruction of Chronic Proximal Hamstring Avulsion with Achilles Allograft. Arthroscopy Techniques. Published online August 2, 2020.

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  6. McGovern RP, Kivlan BR, Christoforetti JJ, Nho SJ, Wolf AB, Salvo JP, Matsuda D, Ellis T, Carreira D. Risk of Intraarticular Hip Injury in Adolescent Athletes: A 5-Year Multi-Center Cohort Study. International Orthopedics. Published online June 27, 2020. doi.org/10.1007/s00264-020-04598-7.

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  7. Martin RL, Kivlan BR, Christoforetti JJ, Wolff AB, Nho SJ, Salvo JP, Van Thiel G, Matsuda D, Carreira DS. Defining Variations in Outcomes of Hip Arthroscopy for Femoroacetabular Impingement Using the 12-Item International Hip Outcome Tool (iHOT-12). Am J Sports Med. 2020;48(5):1175-80.

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  8. Martin RL, Kivlan BR, Christoforetti JJ, Wolff AB, Nho SJ, Salvo JP, Ellis TJ, Van Thiel G, Matsuda D, Carreira DS. Unique Substantial Clinical Benefit Values for the 12-Item International Hip Outcome Tool (IHOT-12) Based on Preoperative Level of Function. Arthroscopy. 2020;36(4):1033-38.

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  9. Martin RL, Kivlan BR, Christoforetti JJ, Wolff AB, Nho SJ, Salvo JP, Van Thiel G, Matsuda D, Carreira DS. A tiered system using substantial clinical benefit and patient acceptable symptomatic state scores to evaluate 2-year outcomes of hip arthroscopy with the Hip Outcome Score. J Hip Preserv Surg. 2020;7(1): 62-69.

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  10. McGovern RP, Martin RL, Phelps A, Kivlan BR, Nickel B, Christoforetti JJ. Conservative Management Improves Functional Movement and Clinical Outcomes in Patients with Pre-Arthritic Hip Pain. J Hip Preserv Surg. Volume 7, Issue 1, January 2020, Pages 95-102. doi.org/10.1093/jhps/hnz075.

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  11. Matsuda DK, Kivlan BR, Nho SJ, Wolff AB, Salvo JP Jr, Christoforetti JJ, Ellis TJ, Carreira DS; Multicenter Arthroscopic Study of the Hip (MASH) Study Group. Arthroscopic outcomes as a function of acetabular coverage from a large hip arthroscopy study group. Arthroscopy. 2019. Aug;35(8):2338-2345 PMID 31395166

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  12. Kivlan BR, Martin RL, Christoforetti JJ, Wolff AB, Nho SJ, Salvo JP JR, Ellis TJ, Van Thiel G, Matsuda D, Carreira DS. The patient acceptable symptomatic state of the 12-item International Hip Outcome Tool at 1-year Follow-up of Hip Preservation Surgery. Arthroscopy. 2019 May; 35(5):1457-1462. PMID: 31000393

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  13. McGovern RP, Christoforetti JJ, Martin RL, Phelps AL, Kivlan BR. Evidence for reliability and validity of functional performance testing in the evaluation of non-arthritic hip pain. J Athl Train. 2019 Mar; 54(3): 276-282. Epub 2019 Mar 4. PMID: 30829535

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  14. McGovern RP, Martin RL, Kivlan BR, Christoforetti JJ. Non-operative management of individuals with non-arthritic hip pain: A literature review. Int J Sports Phys Ther. 2019 Feb; 14(1):135-147 PMID: 30746300

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  15. Martin RL, Kivlan BR, Christoforetti JJ, Wolff AB, Nho SJ, Salvo JP Jr, Ellis TJ, Van Thiel G, Matsuda DK, Carreira DS. Minimal clinically important difference and substantial clinical benefit values for the 12-item International Hip Outcome Tool. Arthroscopy. 2019 Feb; 35(2):411-416. PMID: 30612776

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  16. Martin RL, Christoforetti JJ, McGovern R, Kivlan BR, Wolff AB, Nho SJ, Salvo JP Jr, Ellis TJ, Van Thiel G, Matsuda D, Carreira DS. The impact of depression on patient outcomes in hip arthroscopic surgery. Orthop J Sports Med. 2018 Nov 15; 6(11):232596711806490. PMID: 30480015

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  17. Faucett SC, Nepple JJ, Andrade T, Aoiki S, Bedi A, Bharam, S, Brick MJ, Byrd JWT, Cakic JN, Cascio BM, Christoforetti JJ et al. Randomized controlled trial of hip arthroscopy surgery versus physical therapy: letter to the editor. Am J Sports Med. 2018 Jul;46(8):NP35-NP38. PMID:29953289

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  18. McGovern RP, Martin RL, Christoforetti JJ, Kivlan BR. Evidence-based procedures for performing the single leg squat and step-down tests in evaluation of non-arthritic hip pain: a literature review. Int J Sports Phys Ther. 2018 Jun; 13(3):526-536. PMID: 30038839

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  19. Salvo, JP, Nho SJ, Wolff AB, Christoforetti JJ, Van Thiel GS, Ellis TJ, Matsuda DK, Kivlan BR, Chaudhry ZS, Carreira DS. Sex-dependent differences in preoperative, radiographic, and intraoperative characteristics of patients undergoing hip arthroscopy: results from the MASH Group. Arthroscopy. 2018 March; 34(3):844-852. PMID: 29273254

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  20. Matsuda DK, Wolff AB, Nho SJ, Salvo JP Jr, Christoforetti JJ, Kivlan BR, Ellis TJ, Carreira DS; MASH StudyGroup. Hip dysplasia: prevalence, associated findings, and procedures from large multicenter arthroscopy group. Arthroscopy. 2018 Feb; 34(2):444-53. PMID:29273254

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  21. Christoforetti JJ, Delong J, Hanypsiak BT, Suri M, Domb BG, Snibbe JC, Gerhardt MB. Precision and Accuracy of Identification of Anatomical Surface Landmarks by 30 Expert Hip Arthroscopists. Am J Orthop 2017 Jan/Feb;46(1):E65-E70.

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  22. Kivlan BR, Nho SJ,Christoforetti JJ, Ellis TJ, Matsuda DK, Salvo JP Jr, Wolff AB, Van Thiel GS, Stubbs AJ, Carreira DS. Multicenter Outcomes After Hip Arthroscopy: Epidemiology (MASH Study Group). What Are We Seeing in the Office, and Who Are We Choosing to Treat? Am J Orthop (Belle Mead NJ). 2017 Jan/Feb;46(1):35-41

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  23. Duerr RA, Christoforetti JJ. Arthroscopic repair of posterior glenohumeral capsular rupture with concomitant anterior and posterior labrum detachment. Arthroscopy Techniques, Vol 5 Issue 4 e865-869. Published online August 8, 2016. PMID: 27709050

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  24. Sauber R, Saborio G, Nickel BM, Kivlan BR. Christoforetti JJ. Pendulum exercises after hip arthroscopy: A Video Technique. Arthroscopy Techniques, Vol 5, Issue 4, e897-900. Published online August 8, 2016. PMID:27709055

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  25. Kivlan BR, Carcia CR, Christoforetti JJ, Martin RL. Comparison of range of motion, strength and hop test performance of dancers with and without a clinical diagnosis of femoroacetabular impingement. Int J Sports Phys Ther. 2016 Aug; 11(4):527-35. PMID: 27525177

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  26. Sauber R, Saborio G, Nickel BM, Kivlan BR, Christoforetti JJ. Pendulum exercises following hip arthroscopy: A video technique with evidence-based rationale. Arthrosc.Tech. 2016 Aug 8; 5(4):e865-869. PMID: 27709050

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  27. Merz MK, Christoforetti JJ, Domb BG. Femoral neck fracture after arthroscopic femoroplasty of the hip. Orthopedics. 2015;38(8):e696-e700. PMID: 26270756

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  28. Kivlan BR, Martin RL, Carcia CR, Christoforetti JJ. Comparison of hop test performance of dancers with and without femoroacetabular impingement. J Orthop Sports Phys Ther. 2014; 44(1):A 34.

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  29. Christoforetti JJ. Creating a Team to Navigate the Modern Healthcare Environment. Orthopedics Today. September, October 2014

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  30. Christoforetti JJ, Krupp RJ, et al. Arthroscopic suture bridge transosseous equivalent fixation of rotator cuff tendon preserves intratendinous blood flow at the time of initial fixation. J Shoulder Elbow Surg. 2012 Apr;21(4):523-30. PMID: 21596587

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  • Member of Board of Directors ISHA
  • Team Physician Fc Dallas
  • Fellow Hawkins Foundation
  • Board Certified Since 2008 American Board of  Surgery
  • Fellow American Academy of Orthopaedic Surgeons
  • Master Instructor The Arthroscopy Association of North America
  • Faculty at large American Hip Institue
  • Member American  Society for Sports Medicin