Mount Sinai School of Medicine, 5 East 98th Street, Box 1188, New York, NY 10029, USA.
J Bone Joint Surg Am. 2012 Feb 15;94(4):e23. doi: 10.2106/JBJS.J.01886.
Recent advances in diagnosis and instrumentation have facilitated the arthroscopic treatment of hip pathology. However, little has been reported on trends in the utilization of hip arthroscopy. The purpose of this study was to examine changes in the use of hip arthroscopy as reflected in the American Board of Orthopaedic Surgery (ABOS) database. We also surveyed directors of both sports and joint reconstruction fellowships to determine attitudes toward hip arthroscopy training.
The number of hip arthroscopy cases in the ABOS database during 1999 through 2009 was determined. A survey was devised to determine the type of hip arthroscopy training that was currently being offered at the fellowship level.
The number of hip arthroscopy procedures performed by ABOS candidates increased significantly from 0.02 cases per candidate in 1999 to 0.36 cases per candidate in 2009 (p < 0.0001). From 2003 through 2009, a significantly greater percentage of ABOS candidates with sports fellowship training (10.4%) than candidates without such training (2.9%) performed hip arthroscopy (p < 0.0001). During this same time period, candidates in the Northeast and Northwest performed the most hip arthroscopy procedures as a percentage of total procedures (p < 0.0001). Nearly half of the sports and joint reconstruction fellowships that included hip arthroscopy as a component of the training in 2010 had added it within the past three years. Fellows performed fewer than twenty hip arthroscopy cases per year in the majority of training programs.
The number of hip arthroscopy procedures performed by candidates taking Part II of the ABOS examination increased eighteenfold between 1999 and 2009. This increase is likely the result of several factors, including an increase in the number of programs offering training in hip arthroscopy.
近年来，诊断和仪器设备的进步促进了髋关节镜手术治疗的发展。然而，髋关节镜手术的应用趋势鲜有报道。本研究旨在通过美国骨科医师协会（ABOS）数据库，评估髋关节镜手术应用的变化情况。我们还调查了运动医学和关节重建 fellowship的主任，以确定他们对髋关节镜手术培训的态度。
确定 1999 年至 2009 年 ABOS 数据库中髋关节镜手术的数量。设计了一项调查，以确定 fellowship 层面上当前提供的髋关节镜手术培训类型。
ABOS 候选人实施的髋关节镜手术数量显著增加，从 1999 年的每位候选人 0.02 例增加到 2009 年的每位候选人 0.36 例（p < 0.0001）。从 2003 年至 2009 年，接受运动医学 fellowship培训的 ABOS 候选人（10.4%）比未接受此类培训的候选人（2.9%）实施髋关节镜手术的比例显著更高（p < 0.0001）。在同一时期，东北地区和西北地区的候选人完成的髋关节镜手术占总手术量的比例最高（p < 0.0001）。2010 年，近一半包含髋关节镜手术培训的运动医学和关节重建 fellowship在过去三年中增加了这一内容。在大多数培训项目中，每位学员每年完成的髋关节镜手术不到 20 例。
参加 ABOS 考试第二部分的候选人实施髋关节镜手术的数量在 1999 年至 2009 年间增加了十八倍。这种增加可能是多种因素的结果，包括提供髋关节镜手术培训的项目数量增加。
