Evolución de los procedimientos artroscópicos de cadera en el País Vasco entre 2008 y 2013

Objective

To analyse the evolution of hip arthroscopy as a technique for the treatment of hip pathology.

Methods

Retrospective analysis of the data (age, sex, diagnosis, year of intervention, surgical technique performed, and reoperations) from the database of the system Basque Public Health System (Osakidetza) and surgery registers of 2 private centres between 2008 and 2013.

Results

Within these six years, 542 arthroscopies (530 primary procedures and 12 re-operations) were performed. There was an increase in the number of interventions: from 15 (2.77%) in 2008 to 149 (27.5%) in 2013 (statistically significant difference; p < .001). The mean age was 44.6 (standard deviation, 13.1) years, and 33.8% of cases were women. The most frequent diagnoses were: femoroacetabular impingement (FAI, 430 patients, 81.1%), extra-articular hip pathology (36 patients, 6.79%), and pathology in hip with prosthesis (26 patients, 4.90%). The labrum was refixed in 56.1% of patients intervened by FAI, and the percentage of repairs increased from 28.6% to 70.5% (p < .001). In addition, 23 patients were re-operated by performing a total hip replacement(4.34%), leaving a total of 35 re-operations (6.60%).

Conclusions

The annual number of hip arthroscopies has multiplied between 2008 and 2013. During these years the labral refixation has progressively increased against its resection.

Clinical relevance

To analyze how the hip arthroscopy application has evolved over recent years.

Level of evidence

Level IV, cross-sectional study.