Arthroscopy: The Journal of Arthroscopic & Related Surgery
Original ArticleAge-Related Trends in Hip Arthroscopy: A Large Cross-Sectional Analysis
Section snippets
Methods
Current Procedural Terminology (CPT) codes of patients who underwent hip arthroscopy were retrospectively queried using the PearlDiver Patient Records Database (PearlDiver Technologies, Fort Wayne, IN). This database is a Health Insurance Portability and Accountability Act– (HIPAA-) compliant national insurance database with a private payer population formed from patient records from the UnitedHealth Group (Decatur, IL). Currently, the database contains information from years 2007 through 2011
Results
We analyzed 20,484,172 patients undergoing orthopaedic procedures, and 8,227 cases (mean annual incidence of 2.7 cases per 10,000 patients in the database) of hip arthroscopy were identified from 2007 to 2011. Female patients made up 63% of cases (5,201), compared with male patients (3,036; P < .0001). All patients were treated for a diagnosis of femoroacetabular injury (FAI), labral injury, chondral damage, loose body, or osteoarthritis (OA) according to CPT coding. The frequency of hip
Discussion
The study's key findings demonstrate a significant increase in hip arthroscopies across all age groups, doubling even in patients over 60 years old. We also found that these procedures were most commonly performed in the 40 to 49 age group and more likely to fail with increasing age, as 17% of patients had a THA within 2 years of hip arthroscopy in the over 50 age group.
Increasing rates of hip arthroscopy are consistently reported across the literature, likely attributable to improved technical
Conclusions
Hip arthroscopy procedures are increasing in popularity across all age groups, with patients aged 40 to 49 having the highest incidence in this large cross-sectional population, despite a high rate of early conversion to THA within 2 years in patients over 50.
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The authors report that they have no conflicts of interest in the authorship and publication of this article.