title: Surgical procedure profile in a comprehensive hip surgery program.
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.
authors.affiliation: Department of Orthopaedic Surgery, Barnes-Jewish Hospital at Washington University Medical School, St. Louis, MO 63110, USA. jclohisy@msnotes.wustl.edu
authors.forename: John C
authors.initials: JC
authors.lastname: Clohisy
authors.forename: Madelyn C
authors.initials: MC
authors.lastname: Curry
authors.forename: Shane T
authors.initials: ST
authors.lastname: Fejfar
authors.forename: Perry L
authors.initials: PL
authors.lastname: Schoenecker
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006621:Hip Joint / Q000601:surgery*; D006801:Humans; D007592:Joint Diseases / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000706:statistics & numerical data*; D012189:Retrospective Studies