Bergstein Victoria E, Ahiarakwe Uzoma, Haft Mark, Mikula Jacob D, Best Matthew J
Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A..
Department of Orthopaedic Surgery, Johns Hopkins University, Baltimore, Maryland, U.S.A.
Arthroscopy. 2025 Jun;41(6):1919-1927.e1. doi: 10.1016/j.arthro.2024.07.030. Epub 2024 Aug 10.
To characterize the incidence of meniscus surgery from 2010 to 2020 in the United States, using the metrics of age, sex, type of meniscus surgery, and Charlson Comorbidity Index (CCI).
A retrospective analysis was performed using the PearlDiver national insurance claims database from 2010 to 2020. Meniscus surgeries were identified using Current Procedural Terminology codes. Patients were stratified by procedure type, age, biological sex, and CCI scores. Compound annual growth rate analysis and analysis of variance were performed to analyze the trends and demographic variables between cohorts.
Of 2,053,884 meniscus surgeries, 94.7% were meniscectomies, 0.3% were open repairs, 4.9% were arthroscopic repairs, and 0.1% were meniscal transplantations. Compound annual growth rate analysis displayed a 4.0% decrease per year in total meniscus surgery. For individual procedure types, the largest decrease was in meniscectomy, and the largest increase was in open repair. Patients undergoing meniscal transplantation were youngest, with the lowest CCI. Meniscectomy patients were oldest, and open repair patients had the highest average CCI. Most procedures were performed on female patients (52.4%) and patients in the 50- to 59-year age group (30.4%).
There was a sustained decrease in the incidence of total meniscus surgeries from 2010 to 2020. Meniscectomy was the procedure with the highest incidence, but it showed the most significant decline in usage over the study period. Conversely, meniscal repair and transplantation procedures increased during the study period.
Level IV, epidemiologic study.
利用年龄、性别、半月板手术类型和查尔森合并症指数（CCI）等指标，描述2010年至2020年美国半月板手术的发生率。
使用2010年至2020年的PearlDiver全国保险理赔数据库进行回顾性分析。通过当前手术操作术语代码识别半月板手术。患者按手术类型、年龄、生物学性别和CCI评分进行分层。进行复合年增长率分析和方差分析，以分析不同队列之间的趋势和人口统计学变量。
在2,053,884例半月板手术中，94.7%为半月板切除术，0.3%为开放性修复，4.9%为关节镜修复，0.1%为半月板移植。复合年增长率分析显示，半月板手术总数每年下降4.0%。对于个别手术类型，下降幅度最大的是半月板切除术，上升幅度最大的是开放性修复。接受半月板移植的患者最年轻，CCI最低。半月板切除术患者年龄最大，开放性修复患者的平均CCI最高。大多数手术是在女性患者（52.4%）和50至59岁年龄组的患者（30.4%）中进行的。
2010年至2020年，半月板手术总数的发生率持续下降。半月板切除术是发生率最高的手术，但在研究期间其使用量下降最为显著。相反，在研究期间，半月板修复和移植手术有所增加。
IV级，流行病学研究。
