Orner Caitlin A, Banffy Michael B
Department of Orthopaedic Surgery, Medical College of Wisconsin Milwaukee, Wisconsin, U.S.A.
Cedars Sinai Kerlan Jobe Institute, Los Angeles, California, U.S.A.
Arthrosc Sports Med Rehabil. 2024 Aug 19;6(6):100987. doi: 10.1016/j.asmr.2024.100987. eCollection 2024 Dec.
To determine the patient demographics and incidence of hip arthroscopy after total hip arthroplasty using the PearlDiver database.
This is a retrospective study of patients undergoing total hip arthroplasty and arthroscopic hip surgery. The PearlDiver Claims Database was queried using Current Procedural Terminology (CPT) codes for records from 2010 to 2021. Inclusion criteria were presence of a hip arthroplasty CPT code, followed by a hip arthroscopy CPT code. Additional data collected included age, sex, and time between surgeries. A subanalysis for (ICD), (-9) and (-10) , codes was completed to estimate association with iliopsoas tendinitis.
Query of the database showed that 314 patients had a hip arthroscopy code after a hip arthroplasty code. In total, 0.04% of patients who underwent arthroplasty subsequently underwent arthroscopy; 63.4% were female. Mean age was 58.2 ± 12.2 years at time of arthroscopy. A total of 214 (72.3%) patients had a CPT code for synovectomy, 56 (18.9%) for loose body removal, and 44 (15.3%) for diagnostic arthroscopy. The mean time from arthroplasty code to arthroscopy code was 2.5 ± 2.0 years. In total, 105 patients (33.4%) also had an ICD-10 diagnosis code for iliopsoas tendinitis, and 116 (36.9.0%) had the ICD-9 code for enthesopathy of hip.
In this study, we found that hip arthroscopy after hip arthroplasty is uncommon but occurs more frequently in female patients, is undertaken in a broad age range of patients, and often is associated with a diagnosis of iliopsoas or hip tendinitis.
Level IV, retrospective case series.
利用PearlDiver数据库确定全髋关节置换术后接受髋关节镜检查的患者人口统计学特征及发生率。
这是一项对接受全髋关节置换术和关节镜髋关节手术患者的回顾性研究。使用当前操作术语（CPT）代码查询PearlDiver索赔数据库，以获取2010年至2021年的记录。纳入标准为存在髋关节置换术CPT代码，随后是髋关节镜检查CPT代码。收集的其他数据包括年龄、性别和两次手术之间的时间。完成了对国际疾病分类（ICD）、ICD - 9和ICD - 10代码的亚分析，以估计与髂腰肌肌腱炎的关联。
数据库查询显示，314例患者在髋关节置换术代码后有髋关节镜检查代码。总共，0.04%接受置换术的患者随后接受了关节镜检查；63.4%为女性。关节镜检查时的平均年龄为58.2±12.2岁。共有214例（72.3%）患者有滑膜切除术的CPT代码，56例（18.9%）有取出游离体的代码，44例（15.3%）有诊断性关节镜检查的代码。从置换术代码到关节镜检查代码的平均时间为2.5±2.0年。总共，105例患者（33.4%）也有ICD - 10诊断代码为髂腰肌肌腱炎，116例（36.9%）有ICD - 9代码为髋关节附着点病。
在本研究中，我们发现髋关节置换术后的髋关节镜检查并不常见，但在女性患者中更频繁发生，在广泛年龄范围内的患者中进行，并且通常与髂腰肌或髋关节肌腱炎的诊断相关。
IV级，回顾性病例系列。
