Smearman Erica L, Karzon Anthony L, Cooke Hayden L, Hussain Zaamin B, Gulzar Musab, Suh Nina, Gottschalk Michael B, Wagner Eric R
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, GA.
Plast Reconstr Surg Glob Open. 2025 Jan 23;13(1):e6349. doi: 10.1097/GOX.0000000000006349. eCollection 2025 Jan.
Interphalangeal joint (IPJ) arthrodesis and arthroplasty are mainstay treatments for IPJ arthritis with conflicting evidence about the most efficacious choice. Our study describes case volume and incidence over the last decade (2010-2019).
The IBM MarketScan database was queried using Current Procedural Terminology codes for IPJ arthrodesis and arthroplasty from January 2010 to December 2019. Volume and incidence were estimated annually and according to sex, age, and US geographical region for 2010 and 2019.
Annual volume and incidence of IPJ arthrodesis increased slightly from 2010 to 2019, though with overlapping confidence intervals for incidence. Arthrodesis tended to be higher in women versus men, especially with increasing age. When considering age, the most substantial increase in rates over increasing age was moving from the 40s to 50s age brackets. Across US regions, arthrodesis was higher in the northeast and midwest in 2010, though other rates rose and regions were similar by 2019. For IPJ arthroplasty, there was a 25%-30% decrease in case volume and incidence over the decade. Incidence was generally higher among women, with a similar jump in incidence from 40s to 50s among women, whereas men showed a more gradual rate increase with age. Regionally, arthroplasty was highest in the northeast and midwest in 2010, though it was similar across regions in 2019.
Although IPJ arthrodesis levels have stayed relatively stable, IPJ arthroplasty showed a general decline over the decade. Incidence of both were higher among women, and despite initial regional differences, rates became more similar by 2019.
指间关节（IPJ）融合术和关节成形术是IPJ关节炎的主要治疗方法，但关于最有效选择的证据存在冲突。我们的研究描述了过去十年（2010 - 2019年）的病例数量和发病率。
使用当前手术操作术语代码查询2010年1月至2019年12月期间IBM MarketScan数据库中IPJ融合术和关节成形术的相关信息。每年根据性别、年龄以及2010年和2019年的美国地理区域估算手术量和发病率。
从2010年到2019年，IPJ融合术的年手术量和发病率略有增加，不过发病率的置信区间有重叠。女性接受融合术的比例往往高于男性，尤其是随着年龄增长。考虑年龄因素时，发病率随年龄增长增幅最大的是从40多岁到50多岁这一年龄段。在美国各地区，2010年东北部和中西部的融合术比例较高，但到2019年其他地区的比例上升，各地区情况变得相似。对于IPJ关节成形术，在这十年间病例数量和发病率下降了25% - 30%。发病率总体上女性高于男性，女性从40多岁到50多岁发病率有类似的跃升，而男性发病率随年龄增长则呈更平缓的上升趋势。在地区方面，2010年东北部和中西部的关节成形术比例最高，但到2019年各地区情况相似。
尽管IPJ融合术水平相对保持稳定，但IPJ关节成形术在这十年间总体呈下降趋势。两者的发病率女性均高于男性，尽管最初存在地区差异，但到2019年发病率变得更加相似。
