Do New York Patients Need a Second Surgery Years after Minimally Invasive Hip Surgery?
San Diego, CA—March 14, 2017
Where one has minimally invasive hip surgery – and with whom – may make a difference in whether a second surgery is needed.
Use of hip arthroscopy, a procedure in which doctors insert a small camera (arthroscope) through a tiny incision in order to study and repair damage to the hip joint, has increased rapidly over the past ten years. Studies have shown that patients who undergo this minimally invasive procedure endure less pain, have a shorter recovery time, and see lower rates of complications in the two years following surgery compared to patients undergoing open (large incisions to directly view the joint) hip surgery. However, there is not enough information on patients’ long-term quality of life following hip arthroscopy. In the long run, do patients end up coming back for another surgery years later?
Hospital for Special Surgery researchers looked at data from the State of New York, where over 8,250 hip arthroscopies were performed by almost 300 different surgeons at more than 130 surgical centers between 1998 and 2012. The results show that use of hip arthroscopy in New York rose 750 percent over the last ten years, with the 90-day complication rate of only 0.3 percent overall. However, the rates of second (revision) hip surgery continue to rise along with the rate of hip arthroscopy. These higher rates of revision surgery were most common in patients over the age of 50 and in those with osteoarthritis. In addition, researchers found that having the procedure performed by higher volume surgeons and at higher volume centers reduced the risk of re-operation.
Abstract Title: Survivorship of Primary Hip Arthroscopy in New York State – A Population-Based Study
Authors: Ryan M. Degen, Ting J. Pan, Brenda Chang, Nabil Mehta, Peter D. Chamberlin, Danyal H. Nawabi, MD, Anil S. Ranawat, MD, Bryan T. Kelly, MD, Stephen Lyman, PhD
About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics for 14 years in a row and No. 2 in rheumatology by U.S.News & World Report (2023-2024). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In addition, HSS opened a new facility in Florida in early 2020. In 2019, HSS provided care to 151,000 patients and performed more than 35,000 surgical procedures, and people from all 50 U.S. states and 89 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 translational research laboratories, 33 scientists, 10 clinician-scientists, 55 clinical investigators and 245 scientific support staff that drive the HSS research enterprise in the musculoskeletal “ecosystem,” neurology, pain management and rheumatic diseases. The HSS Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The HSS Education Institute is the world’s leading provider of education on musculoskeletal health, with its online learning platform offering more than 300 courses to more than 30,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.
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