Trends in Hip Arthroscopy Utilization in the United States
Section snippets
Methods
The American Board of Orthopaedic Surgery (ABOS) database was used to evaluate the annual incidence of hip arthroscopy procedures among ABOS Part II examinees for calendar years 2006–2010. There are 2 parts to the certification process by the ABOS, Part I, a written examination taken on completion of an accredited orthopedic residency program, and Part II, an oral examination after practicing for at least twenty-two months. ABOS certification candidates record and submit consecutive surgical
Results
The overall incidence of hip arthroscopy procedures performed by ABOS Part II examinees increased by over 600% during the 5-year period under study, from 83 procedures in 2006 to 636 procedures in 2010 (Fig. 1). The general characteristics of patients are described in Table 3. The most common procedure was hip arthroscopy with debridement, chondroplasty, and/or resection of the labrum. The incidence of hip arthroscopy for FAI/OA increased steadily over the time period under study (from 32
Discussion
The incidence of hip arthroscopy has increased dramatically over the past 5 years, particularly for the indication of FAI/OA. The reasons for this are unclear, but may include increased exposure to hip arthroscopy during residency training; increased recognition of and diagnosis of early adult hip disease; and enthusiasm among surgeons and patients for newer, less invasive treatments for the management of hip disease. There have been many observational studies that have shown improved outcomes,
Acknowledgments
The authors wish to thank the American Board of Orthopaedic Surgery (ABOS) for their assistance in providing data for our study.
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The Conflict of Interest statement associated with this article can be found at http://dx.doi.org/10.1016/j.arth.2013.02.039.