Department of Hand and Microsurgery, Tampere University Hospital, Tampere, Finland
Department of Hand and Microsurgery, Faculty of Medicine and Health Technology, Tampere University, Tampere University Hospital, Tampere, Finland.
Br J Sports Med. 2021 Sep;55(18):1018-1023. doi: 10.1136/bjsports-2019-101844. Epub 2020 Apr 2.
To assess the rates and secular trends of different joint arthroscopies-shoulder, elbow, wrist, hip, knee and ankle-in Finland between 1997 and 2016.
Retrospective nationwide registry study.
All adults in Finland with any arthroscopic intervention procedure code for knee, shoulder, ankle, wrist, elbow or hip arthroscopy between 1 January 1997 and 31 December 2016 were included.
Incidence rate of arthroscopic surgery per 100 000 person-years.
The rate of knee and shoulder arthroscopies declined after reaching a peak in 2006 and 2007, respectively. The rates of wrist, elbow and hip joint arthroscopies declined after their 2014 peak. At the same time, the median age of patients who had knee, ankle and hip arthroscopy decreased, whereas the age of patients who had shoulder arthroscopy increased.
Numerous randomised controlled trials point to lack of efficacy of the most common knee and shoulder arthroscopic procedures. It should not be assumed that this has contributed to decreased rates of arthroscopic surgery. The concurrent decrease in most of the other joint arthroscopic procedures was unexpected.
评估芬兰 1997 年至 2016 年间不同关节关节镜手术（肩部、肘部、腕部、髋部、膝部和踝部）的发生率和趋势。
回顾性全国注册研究。
所有在芬兰接受过膝关节、肩部、踝关节、腕关节、肘关节或髋关节关节镜手术的成年人，手术时间在 1997 年 1 月 1 日至 2016 年 12 月 31 日之间。
每 100000 人年的关节镜手术发生率。
膝关节和肩部关节镜手术的发生率在分别于 2006 年和 2007 年达到高峰后下降。腕关节、肘关节和髋关节关节镜手术的发生率在 2014 年达到高峰后下降。与此同时，接受膝关节、踝关节和髋关节关节镜手术的患者的中位年龄下降，而接受肩部关节镜手术的患者的年龄上升。
大量随机对照试验表明，最常见的膝关节和肩部关节镜手术缺乏疗效。不能假设这导致了关节镜手术数量的减少。大多数其他关节关节镜手术同时减少是出乎意料的。
Zotero 插件
