Journal article
Trends Associated with Open Versus Arthroscopic Rotator Cuff Repair
HSS journal, Vol.15(2), pp.133-136
07/2019
DOI: 10.1007/s11420-018-9628-2
PMCID: PMC6609773
PMID: 31327943
Abstract
Background
Rotator cuff (RTC) repair is performed using open/mini-open or arthroscopic procedures, and the use of arthroscopic techniques is increasing. The extent to which surgery has transitioned from open to arthroscopic techniques has yet to be elucidated.
Questions/Purposes
The purpose of this study was to evaluate trends in open and arthroscopic rotator cuff repair in the USA and describe tendencies in treatment across gender, age, and geographic region. We hypothesized that surgeons would be more likely to perform arthroscopic rotator cuff repair, with similar trends across the USA.
Methods
A retrospective review of a comprehensive national insurance database (Humana) was performed using the PearlDiver software for all patients who underwent RTC repair between January 2007 and June 2015. Patients were identified by Current Procedural Terminology (CPT) codes. χ
2 tests evaluated the proportion of arthroscopic surgeries by gender and geographic region; logistic regression analysis assessed differences from 2007 to 2015.
Results
In the study period, 54, 740 patients underwent RTC repair (68% arthroscopic, 52% male), with the highest frequency of RTC repair in patients between 65 and 69 years old. The proportion of open RTC repair increased with increasing patient age, with no significant difference between men and women. The proportion of arthroscopic RTC surgeries increased from 56.9% in 2007 to 75.1% in 2015. The overall trend was 188% increase in total RTC repairs. Arthroscopic repair was more frequent than open repair in all US regions, with the highest proportion in the South.
Conclusion
Arthroscopic RTC surgery predominates and continues to rise. With increasing patient age, there was an increase in the proportion of open repair. The majority of RTC repairs were performed in patients between 65 and 69 years of age.
Details
- Title: Subtitle
- Trends Associated with Open Versus Arthroscopic Rotator Cuff Repair
- Creators
- Molly A. Day - University of Iowa Hospitals and ClinicsRobert W. Westermann - University of IowaNicholas A. Bedard - University of IowaNatalie A. Glass - University of IowaBrian R. Wolf - University of Iowa
- Resource Type
- Journal article
- Publication Details
- HSS journal, Vol.15(2), pp.133-136
- DOI
- 10.1007/s11420-018-9628-2
- PMID
- 31327943
- PMCID
- PMC6609773
- NLM abbreviation
- HSS J
- ISSN
- 1556-3316
- eISSN
- 1556-3324
- Publisher
- SAGE Publications
- Language
- English
- Date published
- 07/2019
- Academic Unit
- Orthopedics and Rehabilitation; Physical Therapy and Rehabilitation Science; Athletic Training Program
- Record Identifier
- 9984295055202771
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