Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleComplications and Survival Analyses of Hip Arthroscopies Performed in the National Health Service in England: A Review of 6,395 Cases
Section snippets
Methods
We extracted records of patients undergoing hip arthroscopy from the administrative hospital admissions database (Hospital Episode Statistics). The Hospital Episode Statistics database covers all admissions to English hospitals providing care for National Health Service (NHS) patients and includes diagnosis (coded using ICD-10 [International Statistical Classification of Diseases and Related Health Problems, 10th Revision] codes) and surgical procedure fields (coded using OPCS-4 [Office of
Results
A total of 6,395 hip arthroscopies performed in the English NHS from April 1, 2005, to January 31, 2013, were included in the study from a total of 7,280 procedures. Patients with incomplete datasets were excluded. Bilateral cases were treated as individual episodes. Table 1 shows the demographic data. The mean age of the patients was 38 years (range, 11 to 83 years); the majority of patients were female patients (2,381 male patients v 4,014 patients), with a male-female ratio of 1:1.7. The
Discussion
The 30-day readmission rate after surgery is 0.5%, with the majority of patients being readmitted for pain and wound-related issues, a small proportion of whom have deep infection requiring washout (0.06%). The 90-day DVT and PE rates are low. Of the patients, 4.5% required revision hip arthroscopy whereas 10.6% underwent hip replacement at a mean of 1.4 years after hip arthroscopy. Cox proportional hazard analysis adjusting for age, gender, and Charlson comorbidity score showed an 8-year
Conclusions
In this large series of 6,395 hip arthroscopies looking at the national data from the English NHS, our null hypothesis has been supported, and we have determined that the rate of short-term complications, in particular the risk of DVT and PE after this operation, is low. Higher age and female gender are significant predictors of conversion to THR, with Cox proportional hazard analyses showing a survivorship rate of 86% at 8 years after adjustment for confounding variables.
References (27)
- et al.
Complications and reoperations during and after hip arthroscopy: A systematic review of 92 studies and more than 6,000 patients
Arthroscopy
(2013) - et al.
Surgical dislocation of the hip versus arthroscopic treatment of femoroacetabular impingement: A prospective matched-pair study with average 2-year follow-up
Arthroscopy
(2013) - et al.
Hip arthroscopy for labral pathology: Prospective analysis with 10-year follow-up
Arthroscopy
(2009) - et al.
A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation
J Chronic Dis
(1987) - et al.
Open surgical dislocation versus arthroscopy for femoroacetabular impingement: A comparison of clinical outcomes
Arthroscopy
(2011) - et al.
Arthroscopic versus open cam resection in the treatment of femoroacetabular impingement
Arthroscopy
(2013) - et al.
Comparative systematic review of the open dislocation, mini-open, and arthroscopic surgeries for femoroacetabular impingement
Arthroscopy
(2011) - et al.
Arthroscopic treatment of femoral acetabular impingement in patients with preoperative generalized degenerative changes
Arthroscopy
(2010) - et al.
Hip arthroscopy for femoroacetabular impingement in patients aged 50 years or older
Arthroscopy
(2012) - et al.
Efficacy of surgery for femoroacetabular impingement: A systematic review
Am J Sports Med
(2010)
Hip arthroscopy: Analysis of a single surgeon’s learning experience
J Bone Joint Surg Am
Learning curve of basic hip arthroscopy technique: CUSUM analysis
Knee Surg Sports Traumatol Arthrosc
Hip arthroscopic surgery: Patient evaluation, current indications, and outcomes
Am J Sports Med
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The authors report the following potential conflict of interest or source of funding: S.J. receives support from Stryker, Synthes, Smith & Nephew, DePuy, and Orthofix. P.J. receives support from CHKS Ltd. M.R.R. receives support from Heraeus, Ethicon, Convatec, Academic Health Science Network/Heraeus, The Health Foundation, Stryker, Biomet, BMI Healthcare, and CareFusion. P.F.P. receives support from Heraeus.