Rates and Risk Factors for Revision Hip Arthroscopy

Christopher R West; Nicholas A Bedard; Kyle R Duchman; Robert W Westermann; John J Callaghan

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Rates and Risk Factors for Revision Hip Arthroscopy

Journal article

Open access

Peer reviewed

Rates and Risk Factors for Revision Hip Arthroscopy

Christopher R West, Nicholas A Bedard, Kyle R Duchman, Robert W Westermann and John J Callaghan

The Iowa orthopaedic journal, Vol.39(1), pp.95-99

2019

PMCID: PMC6604537

PMID: 31413682

Appears in Diamond Open Access

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6604537View

Published (Version of record) Open Access

Abstract

Revision hip arthroscopy often serves as a measure for a failed primary hip arthroscopy procedure. The purpose of this study was to examine the rate, timing, and risk factors for revision hip arthroscopy using a large national database. The Humana administrative claims dataset was reviewed from 2007 through the second quarter of 2015 to identify patients undergoing hip arthroscopy using Current Procedural Terminology (CPT) codes and laterality modifiers. Patients with subsequent ipsilateral revision hip arthroscopy were identified and the rate and timing of these revisions determined. Subgroup analysis was performed to determine effects of gender, age, body mass index (BMI), osteoarthritis diagnosis, and specific hip arthroscopy procedure on revision rates. There were 1807 hip arthroscopy procedures identified with a revision rate of 4% (total of 72 procedures). Of the revision procedures, 43% occurred within 6 months after the index procedure, and 86% occurred within 18 months. Age < 50 years was the only significant predictor of revision hip arthroscopy (OR 2.03, CI 1.173.53) with an even distribution across younger age groups. An osteoarthritis diagnosis, gender, and BMI did not represent significant risk factors for revision (OR 0.87, 0.98, 0.9 and CI 0.5-1.51, CI 0.6-1.59, CI 0.37-2.12, respectively). Chondroplasty was the most common procedure leading to revision (46%) followed by labral repair (37%). The most common revision procedures were chondroplasty (44%) followed by femoroplasty (38%). Overall, 4% of hip arthroscopy procedures underwent revision arthroscopy over the 8-year period. Revision was associated with age < 50, and revisions were most frequently performed for femoroacetabular impingement. The majority of revisions occurred within 18 months after the index procedure. IV.

Age Factors

Arthroscopy - adverse effects

Arthroscopy - methods

Databases, Factual

Female

Femoracetabular Impingement - diagnostic imaging

Femoracetabular Impingement - surgery

Hip Joint - physiopathology

Hip Joint - surgery

Humans

Incidence

Male

Middle Aged

Osteoarthritis, Hip - diagnosis

Osteoarthritis, Hip - surgery

Prognosis

Reoperation - methods

Reoperation - statistics & numerical data

Retrospective Studies

Risk Assessment

Sex Factors

Treatment Outcome

Details

Title: Subtitle: Rates and Risk Factors for Revision Hip Arthroscopy
Creators: Christopher R West - University of Iowa
Nicholas A Bedard - University of Iowa
Kyle R Duchman - University of Iowa
Robert W Westermann - University of Iowa
John J Callaghan - University of Iowa
Resource Type: Journal article
Publication Details: The Iowa orthopaedic journal, Vol.39(1), pp.95-99
Publisher: Dept. of Orthopaedics, The University of Iowa; United States
PMID: 31413682
PMCID: PMC6604537
ISSN: 1541-5457
eISSN: 1555-1377
Language: English
Date published: 2019
Academic Unit: Roy J. Carver Department of Biomedical Engineering; Orthopedics and Rehabilitation; Athletic Training Program
Record Identifier: 9984304700502771

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