Surgical Trends in Arthroscopic Hip Surgery Using a Large National Database

Area of Science:

• Orthopedic surgery
• Sports medicine
• Hip arthroscopy trends

Background:

• Hip arthroscopy is a common surgical procedure for hip joint issues.
• Understanding current practice trends is crucial for healthcare providers and patients.
• Previous studies may not reflect recent changes in Current Procedure Terminology (CPT-4) coding.

Purpose of the Study:

• To assess practice trends in hip arthroscopy, including femoroplasty, acetabuloplasty, and labral repair.
• To analyze procedure trends using updated CPT-4 codes.
• To evaluate trends in a large patient cohort using a comprehensive database.

Main Methods:

• Utilized the MarketScan Commercial Claims and Encounters database (2008-2013).
• Identified patients undergoing hip arthroscopy using CPT-4 codes.
• Analyzed trends by gender, age group, and year using regression and Cochran-Armitage tests.

Main Results:

• Over 62,000 procedures were identified in nearly 28,000 patients.
• Femoroplasty became the most common procedure after 2011 CPT code changes.
• Patients aged 40-49 underwent the most procedures; females were more likely to have surgery.

Conclusions:

• Hip arthroscopy procedures are on the rise.
• Femoroplasty, labral repair, and acetabuloplasty are the most frequent procedures.
• Labral repair is now more common than labral debridement.