University of Iowa Hospitals and Clinics, Department of Orthopedics and Rehabilitation, Iowa City, IA, U.S.A.
University of Iowa Hospitals and Clinics, Department of Orthopedics and Rehabilitation, Iowa City, IA, U.S.A..
Arthroscopy. 2019 May;35(5):1413-1419. doi: 10.1016/j.arthro.2018.11.016. Epub 2019 Apr 9.
The purpose of this study is to evaluate the trends in labral repair in American Board of Orthopaedic Surgery Part II candidates performing hip arthroscopy.
Candidates who performed arthroscopic hip surgery between 2011 and 2015 during their American Board of Orthopaedic Surgery Part II board collection period were identified using Current Procedural Terminology codes (29860, 29861, 29862, 29863, 29914, 29915, 29916). The proportion of hip arthroscopy cases including labral repair (Current Procedural Terminology code 29916) were calculated for each year and analyzed by fellowship training experience. Trends in labral repair utilization were calculated using univariate and regression analyses, with significance set at P < .05.
During the study period, 1,606 hip labral repair cases were performed, with a 35% increase in utilization between 2011 and 2015. Overall, labral repair was performed in 64.8% (1,606/2,480) of hip arthroscopy cases, with a significant increase between 2011 and 2015 (47.4% vs 79.2%; P < .001). Of the hip arthroscopy cases including labral repair, 80.4% (1,291/1,606) were performed by candidates with sports medicine fellowship training. The proportion of hip arthroscopy cases including labral repair was highest for surgeons with sports medicine fellowship training compared with those without sports medicine fellowship training (66.1% vs 59.8%; P = .007). Candidates with sports medicine training performing at least 1 labral repair each year increased from 68% to 89% over the study period (P = .0007). The average number of labral repairs per candidate increased significantly over the duration of the study period (P = .0072).
Labral repair utilization during hip arthroscopy procedures nearly doubled from 2011 to 2015 for American Board of Orthopaedic Surgery Part II candidates, reflecting a significant change in practice. Current data suggest that nearly 80% of hip arthroscopy procedures include labral repair. These trends may reflect the current practice patterns at academic institutions with sports medicine fellowships.
本研究旨在评估美国骨科医师学会骨科住院医师培训项目（Part II）候选人行髋关节镜手术中进行盂唇修复的趋势。
通过使用当前操作术语（29860、29861、29862、29863、29914、29915、29916）代码，确定 2011 年至 2015 年期间在其美国骨科医师学会骨科住院医师培训项目（Part II）收集期间行髋关节镜手术的候选人。计算每年髋关节镜手术中包括盂唇修复术（当前操作术语代码 29916）的比例，并根据奖学金培训经验进行分析。使用单变量和回归分析计算盂唇修复利用的趋势，显著性水平设为 P<.05。
在研究期间，共进行了 1606 例髋关节盂唇修复术，2011 年至 2015 年间利用率增加了 35%。总体而言，盂唇修复术在 2480 例髋关节镜手术中的 64.8%（1606/2480）中进行，2011 年至 2015 年间显著增加（47.4% vs 79.2%；P<.001）。在包括盂唇修复的髋关节镜手术中，有 80.4%（1291/1606）是由具有运动医学奖学金培训的候选人完成的。与没有运动医学奖学金培训的候选人相比，具有运动医学奖学金培训的候选人进行的包括盂唇修复的髋关节镜手术比例最高（66.1% vs 59.8%；P=.007）。在研究期间，每年至少进行 1 次盂唇修复的具有运动医学培训的候选人的比例从 68%增加到 89%（P=.0007）。每位候选人的盂唇修复数量在研究期间显著增加（P=.0072）。
美国骨科医师学会骨科住院医师培训项目（Part II）候选人在髋关节镜手术中进行盂唇修复的利用率从 2011 年到 2015 年几乎翻了一番，反映了实践的重大变化。目前的数据表明，近 80%的髋关节镜手术包括盂唇修复。这些趋势可能反映了具有运动医学奖学金的学术机构的当前实践模式。
