Risk of failure of primary hip arthroscopy-a population-based study.
Risk of failure of primary hip arthroscopy-a population-based study.
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DOI：
10.1093/jhps/hnx018
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发表时间：
2017-08
影响因子：
1.5
通讯作者：
Lyman S
中科院分区：
文献类型：
--
作者：
Degen RM;Pan TJ;Chang B;Mehta N;Chamberlin PD;Ranawat AS;Nawabi DH;Kelly BT;Lyman S
这项研究的目的是(I)报告髋关节镜术后的后续手术率和(Ii)确定与翻修手术、存活率和并发症发生率相关的预后变量。全州规划和研究合作系统数据库，纽约州住院和门诊手术的普查，被用来确定初级髋关节镜检查的病例。收集人口统计学信息和随后翻修髋关节镜或关节置换术的比率。使用年龄、性别、手术方式和外科医生数量作为危险因素，对风险进行建模。还进行了生存分析，记录了30天的并发症。从1998年到2012年，我们在7836名患者中确定了8267例手术。翻修手术1087例(13.2%)，平均1.7 ± 1.6(平均 ± SD)年。翻修关节镜311例(3.8%)，人工关节置换术796例(9.7%)。生存分析显示，2年生存率为88.1%，5年生存率为80.7%，10年生存率为74.9%。回归分析显示，年龄 和GT；50 岁[危险比(HR)2.09；可信区间(CI)1.82~2.39，P <； 0.01]和诊断为骨关节炎(HR 2.72；CI 2.21~3.34，P <； 0.01)与再次手术风险增加相关。再次手术的风险较低(HR为0.71；CI为0.54~0.93，P = 为0.01)。最后，较高的外科医生数量(164万 例数/年)与较低的外科医生数量(102CPT例数/年)相比，再次手术的风险较低(HR0.42；CI0.32-0.54，P <； 0.01)。术后30d并发症发生率为0.2%。年龄较大和先前存在的骨关节炎增加了髋关节镜检后再次手术的可能性，而进行唇部修复并由体量较大的外科医生进行手术则降低了再次手术的风险。
The aims of this study are (i) to report on the rates of subsequent surgery following hip arthroscopy and (ii) to identify prognostic variables associated with revision surgery, survival rates and complication rates. The Statewide Planning and Research Cooperative System database, a census of hospital admissions and ambulatory surgery in New York State, was used to identify cases of primary hip arthroscopy. Demographic information and rates of subsequent revision hip arthroscopy or arthroplasty were collected. The risks were modeled with use of age, sex, procedure and surgeon volume as risk factors. Survival analyses were also performed, and 30-day complication was recorded. We identified 8267 procedures in 7836 patients from 1998 to 2012. Revision surgery occurred in 1087 cases (13.2%) at a mean of 1.7 ± 1.6 (mean ± SD) years. Revision arthroscopy accounted for 311 cases (3.8%), and arthroplasty for 796 (9.7%) cases. Survival analysis showed a 2-year survival rate of 88.1%, 5-year of 80.7% and 10-year of 74.9%. Regression analysis revealed that age >50 years [hazard ratio (HR) 2.09; confidence interval (CI) 1.82–2.39, P < 0.01] and a diagnosis of osteoarthritis (HR 2.72; CI 2.21–3.34, P < 0.01) were associated with increased risk of re-operation. Labral repair was associated with a lower risk of re-operation (HR 0.71; CI 0.54–0.93, P = 0.01). Finally, higher surgeon volume (>164 cases/year) resulted in a lower risk of re-operation versus lower volume (<102 cases/year) (HR 0.42; CI 0.32–0.54, P < 0.01). The 30-day complication rate was 0.2%. Older age and pre-existing osteoarthritis increased the likelihood of re-operation following hip arthroscopy, whereas performing a labral repair and having the procedure performed by a higher-volume surgeon lowered the risk of re-operation.
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影响因子：
4.8
作者：
Larson, Christopher M.;Giveans, M. Russell;Stone, Rebecca M.
通讯作者：
Stone, Rebecca M.
影响因子：
4.2
作者：
Ross, James R.;Larson, Christopher M.;Bedi, Asheesh
通讯作者：
Bedi, Asheesh
DOI：
10.1177/0363546513500766
发表时间：
2014-06
期刊：
The American journal of sports medicine
影响因子：
--
作者：
Saadat E;Martin SD;Thornhill TS;Brownlee SA;Losina E;Katz JN
通讯作者：
Katz JN
DOI：
10.1016/j.arthro.2014.08.030
发表时间：
2015-02-01
影响因子：
4.7
作者：
Domb, Benjamin G.;Linder, Dror;Gupta, Asheesh
通讯作者：
Gupta, Asheesh
影响因子：
3.5
作者：
Bozic, Kevin J.;Chan, Vanessa;Vail, Thomas P.
通讯作者：
Vail, Thomas P.