Surgical procedure profile in a comprehensive hip surgery program.

John C Clohisy; Madelyn C Curry; Shane T Fejfar; Perry L Schoenecker

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PubMed · 16789452

Surgical procedure profile in a comprehensive hip surgery program.

John C Clohisy·Madelyn C Curry·Shane T Fejfar·Perry L Schoenecker

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Abstract

Surgical management of hip disease in adolescents and young to middle-aged adults is rapidly evolving, and a variety of operative techniques are needed to provide comprehensive care. The purpose of this study was to determine the utilization of surgical procedures and recent changes in procedure utilization in a comprehensive hip surgery program. We performed a retrospective review of 983 hip procedures in 854 patients performed over a seven year time period. The average patient age was 37.4 years (range 10-55). Five hundred fifty-six procedures were performed in female patients and 427 in male patients. Total hip arthroplasty (32.9%), hip arthroscopy (25.1%), and periacetabular osteotomy (13.1%) were the most common surgical procedures. Techniques utilized less often included osteochondroplasty of the femoral head-neck junction (7.9%), hip implant revisions (7.9%), and proximal femoral osteotomy (4.1%). Uncommon procedures included core decompression (2.2%), soft tissue releases (1.2%), femoral head resurfacing (0.6%), arthrodesis (0.3%), and Chiari pelvic osteotomy (0.2%). The most dramatic changes in utilization over the seven year time period included a marked increase in hip arthroscopies and osteochondroplasties of the femoral head-neck junction. These data underscore the variety of surgical techniques needed to treat this patient population, and emphasize an expanding role for nonarthroplasty surgical interventions.

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Adolescent Adult Child Female Hip Joint Humans Joint Diseases Male Middle Aged Orthopedic Procedures Retrospective Studies Journal Article Research Support, Non-U.S. Gov't

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John C Clohisy, Madelyn C Curry, Shane T Fejfar, Perry L Schoenecker. 2006. Surgical procedure profile in a comprehensive hip surgery program.. https://pubmed.ncbi.nlm.nih.gov/16789452/

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