Knee arthroplasty utilization trends from 2010 to 2019

被引:6
作者
Fuller, Samuel I. [1 ]
Cohen, Jordan S. [2 ]
Malyavko, Alisa [1 ]
Agarwal, Amil R. [1 ]
Stake, Seth [1 ]
Golladay, Gregory J. [3 ]
Thakkar, Savyasachi C. [4 ]
机构
[1] George Washington Univ Hosp, Dept Orthopaed Surg, 2300 M St NW, Washington, DC 20037 USA
[2] Univ Penn, Dept Orthopaed Surg, 3737 Market St, Philadelphia, PA 19104 USA
[3] Virginia Commonwealth Univ Hlth, Dept Orthopaed Surg, Box 98053,1200 E Broad St, Richmond, VA 23298 USA
[4] Johns Hopkins Univ, Dept Orthopaed Surg, Adult Reconstruct Div, 10700 Charter Dr,Suite 205, Columbia, MD 21044 USA
关键词
Total Knee Arthroplasty; Partial Knee Arthroplasty; Trends; Computer Assistance; PATELLOFEMORAL ARTHROPLASTY; TERM OUTCOMES; US ADULTS; ARTHRITIS; VOLUME; OSTEOARTHRITIS; PREVALENCE;
D O I
10.1016/j.knee.2022.09.006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Interest in partial knee arthroplasty procedures including unicompartmental arthroplasty (UKA), patellofemoral arthroplasty (PFA), and bicompartmental knee arthro-plasty (BKA) has increased due to their bone and ligament preservation compared to total knee arthroplasty (TKA). Implant designs, changing thoughts on appropriate indications for partial knee arthroplasty, and availability of navigation also impacted the field over the last decade. The aims of this study were to evaluate trends over the last decade in utilization of 1) partial and total knee arthroplasty; and 2) computer-assistance in knee arthroplasty.Methods: A retrospective cohort analysis was conducted using the PearlDiver database. Patients who underwent PFA, UKA, BKA, and TKA for an indication of osteoarthritis (OA) were identified using Current Procedural Terminology (CPT) codes. Trends analysis from 2010 to 2019 was conducted to compare utilization based on procedure type and computer-assistance. Statistical analysis was conducted using Compounded Annual Growth Rates (CAGR) and linear regression.Results: From 2010 to 2019, there was a significant decrease in utilization of PFA (CAGR:-5.73 %; p = 0.011) and BKA (CAGR:-10.49 %; p = 0.013), but no significant difference in that of UKA (p = 0.224) and TKA (p = 0.421). There was a significant increase in the uti-lization of computer assistance for both UKA (CAGR: +19.81 %; p = 0.002) and TKA (CAGR: +3.90 %; p = 0.038), but there was no significant difference for computer-assisted PFA (p = 0.724) and BKA (p = 0.951).Conclusions: TKA is still the most common arthroplasty procedure for OA. Decreased uti-lization of PFA and BKA may be explained by reported failure and revision rates for PFA and BKA compared to TKA.(c) 2022 Elsevier B.V. All rights reserved.
引用
收藏
页码:209 / 215
页数:7
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