Trends in Hip Arthroscopy Utilization in the United States
Trends in Hip Arthroscopy Utilization in the United States
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DOI：
10.1016/j.arth.2013.02.039
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发表时间：
2013-09-01
影响因子：
3.5
通讯作者：
Vail, Thomas P.
中科院分区：
文献类型：
--
作者：
Bozic, Kevin J.;Chan, Vanessa;Vail, Thomas P.
前言：本研究的目的是评估美国新培训的外科医生中髋关节镜手术的变化情况、髋关节镜手术的适应症以及报告的术后并发症发生率。方法：使用ABOS数据库评估2006-2010年间髋关节镜手术的年度发病率。根据适应症和程序类型对程序进行分类。在参加ABOS第二部分董事会考试的新培训外科医生队列中，计算并比较已发表的文献和髋关节镜手术治疗股骨头髋臼撞击(FAI)/骨关节炎(OA)和唇裂的手术并发症的发生率。结果：在研究的五年期间，ABOS第二部分受试者进行髋关节镜手术的总发生率增加了600%以上，从2006年的约83例增加到2010年的636例。在研究期间，髋关节镜治疗FAI/OA的发生率稳步上升，而髋关节镜治疗唇裂的发生率随着时间的推移而变化。髋关节镜检查诊断FAI/OA的手术并发症发生率为5.9%，诊断为唇裂的手术并发症发生率为4.4%(P=0.36)。结论：髋关节镜手术的发生率在过去5年中显著增加，尤其是对于FAI/OA的指征。报道的手术并发症发生率相对较低，但似乎高于先前发表的系列报道的发生率。髋关节镜术的适当适应症仍不清楚。(C)2013 Elsevier Inc.保留所有权利。
Introduction: The purpose of this study was to evaluate the changing incidence of hip arthroscopy procedures among newly trained surgeons in the United States, the indications for hip arthroscopy, and the reported rate of post-operative complications.Methods: The ABOS database was used to evaluate the annual incidence of hip arthroscopy procedures between 2006-2010. Procedures were categorized by indication and type of procedure. The rate of surgical complications was calculated and compared between the published literature and hip arthroscopy procedures performed for femoroacetabular impingement (FAI)/osteoarthritis (OA) and for labral tears among the newly trained surgeon cohort taking the ABOS Part II Board exam.Results: The overall incidence of hip arthroscopy procedures performed by ABOS Part II examinees increased by over 600% during the 5-year period under study from approximately 83 in 2006 to 636 in 2010. The incidence of hip arthroscopy for FAI/OA increased steadily over the time period under study, while the incidence of hip arthroscopy for labral tears was variable over time. The rate of surgical complications was 5.9% for hip arthroscopy procedures for a diagnosis of FAI/OA vs. 4.4% for a diagnosis of labral tear (P = 0.36).Conclusions: The incidence of hip arthroscopy has increased dramatically over the past 5 years, particularly for the indication of FAI/OA. Reported surgical complication rates are relatively low, but appear higher than those rates reported in previously published series. Appropriate indications for hip arthroscopy remain unclear. (C) 2013 Elsevier Inc. All rights reserved.