National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016

Background: Long-term implant durability is a key concern when considering total hip arthroplasty (THA) in young patients. The ideal bearing surface used in these patients remains unknown. The purpose of this study was to analyze trends in THA bearing surface use from 2006 to 2016 using a large, ped...

Full description

Bibliographic Details
Main Authors: Christopher M. Hart, MD, Clark Chen, MD, Peter P. Hsiue, MD, Reza Farshchi, BS, Mauricio Silva, MD, Erik Zeegen, MD, Rachel Thompson, MD, Alexandra Stavrakis, MD
Format: Article
Language:English
Published: Elsevier 2021-08-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S235234412100090X
id doaj-6767a9e26c5f4060a35c5b690469441a
record_format Article
spelling doaj-6767a9e26c5f4060a35c5b690469441a2021-09-09T04:28:36ZengElsevierArthroplasty Today2352-34412021-08-01105156National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016Christopher M. Hart, MD0Clark Chen, MD1Peter P. Hsiue, MD2Reza Farshchi, BS3Mauricio Silva, MD4Erik Zeegen, MD5Rachel Thompson, MD6Alexandra Stavrakis, MD7Department of Orthopaedic Surgery, UCLA, Santa Monica, CA, USA; Corresponding author. 1225 15th St. Suite 3144B, Santa Monica, CA 90404, USA. Tel.: 424-259-9384.Department of Surgery, Albert Einstein Medical Center, Philadelphia, PA, USADepartment of Orthopaedic Surgery, UCLA, Santa Monica, CA, USAUC San Diego School of Medicine, UCSD, La Jolla, CA, USADepartment of Orthopaedic Surgery, UCLA, Santa Monica, CA, USADepartment of Orthopaedic Surgery, UCLA, Santa Monica, CA, USADepartment of Orthopaedic Surgery, UCLA, Santa Monica, CA, USADepartment of Orthopaedic Surgery, UCLA, Santa Monica, CA, USABackground: Long-term implant durability is a key concern when considering total hip arthroplasty (THA) in young patients. The ideal bearing surface used in these patients remains unknown. The purpose of this study was to analyze trends in THA bearing surface use from 2006 to 2016 using a large, pediatric national database. Methods: This was a retrospective review from January 1, 2006, to December 31, 2016, using the Kids’ Inpatient Database. International Classification of Diseases, 9th revision and 10th revision codes were used to identify patients who underwent THA and create cohorts based on bearing surfaces: metal-on-metal, metal-on-polyethylene, ceramic-on-polyethylene (CoP), and ceramic-on-ceramic (CoC). Annual utilization of each bearing surface and associated patient and hospital demographics were analyzed. Results: A total of 1004 THAs were identified during the 11-year study period. The annual number of THAs performed increased by 169% from 2006 to 2016. The mean patient age was 17.1 years. The most prevalent bearing surface used in 2006 was CoC (37.3%), metal-on-metal (31.8%) in 2009, and CoP in 2012 and 2016 (50.6% and 64.8%, respectively). From 2006 to 2016, utilization of CoP increased from 5.0% to 64.8%, representing a 1196% increase over the study period. Conclusions: The number of THAs performed in pediatric patients is increasing significantly. Although CoC was previously the most commonly used bearing surface in this patient population, CoP is currently the most common. Further investigation is needed to determine whether bearing longevity and clinical outcomes with CoP are superior to other bearing surfaces.http://www.sciencedirect.com/science/article/pii/S235234412100090XTotal hip arthroplastyPediatricBearing surface trends
collection DOAJ
language English
format Article
sources DOAJ
author Christopher M. Hart, MD
Clark Chen, MD
Peter P. Hsiue, MD
Reza Farshchi, BS
Mauricio Silva, MD
Erik Zeegen, MD
Rachel Thompson, MD
Alexandra Stavrakis, MD
spellingShingle Christopher M. Hart, MD
Clark Chen, MD
Peter P. Hsiue, MD
Reza Farshchi, BS
Mauricio Silva, MD
Erik Zeegen, MD
Rachel Thompson, MD
Alexandra Stavrakis, MD
National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
Arthroplasty Today
Total hip arthroplasty
Pediatric
Bearing surface trends
author_facet Christopher M. Hart, MD
Clark Chen, MD
Peter P. Hsiue, MD
Reza Farshchi, BS
Mauricio Silva, MD
Erik Zeegen, MD
Rachel Thompson, MD
Alexandra Stavrakis, MD
author_sort Christopher M. Hart, MD
title National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
title_short National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
title_full National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
title_fullStr National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
title_full_unstemmed National Trends in Total Hip Arthroplasty Bearing Surface Usage in Extremely Young Patients Between 2006 and 2016
title_sort national trends in total hip arthroplasty bearing surface usage in extremely young patients between 2006 and 2016
publisher Elsevier
series Arthroplasty Today
issn 2352-3441
publishDate 2021-08-01
description Background: Long-term implant durability is a key concern when considering total hip arthroplasty (THA) in young patients. The ideal bearing surface used in these patients remains unknown. The purpose of this study was to analyze trends in THA bearing surface use from 2006 to 2016 using a large, pediatric national database. Methods: This was a retrospective review from January 1, 2006, to December 31, 2016, using the Kids’ Inpatient Database. International Classification of Diseases, 9th revision and 10th revision codes were used to identify patients who underwent THA and create cohorts based on bearing surfaces: metal-on-metal, metal-on-polyethylene, ceramic-on-polyethylene (CoP), and ceramic-on-ceramic (CoC). Annual utilization of each bearing surface and associated patient and hospital demographics were analyzed. Results: A total of 1004 THAs were identified during the 11-year study period. The annual number of THAs performed increased by 169% from 2006 to 2016. The mean patient age was 17.1 years. The most prevalent bearing surface used in 2006 was CoC (37.3%), metal-on-metal (31.8%) in 2009, and CoP in 2012 and 2016 (50.6% and 64.8%, respectively). From 2006 to 2016, utilization of CoP increased from 5.0% to 64.8%, representing a 1196% increase over the study period. Conclusions: The number of THAs performed in pediatric patients is increasing significantly. Although CoC was previously the most commonly used bearing surface in this patient population, CoP is currently the most common. Further investigation is needed to determine whether bearing longevity and clinical outcomes with CoP are superior to other bearing surfaces.
topic Total hip arthroplasty
Pediatric
Bearing surface trends
url http://www.sciencedirect.com/science/article/pii/S235234412100090X
work_keys_str_mv AT christophermhartmd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT clarkchenmd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT peterphsiuemd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT rezafarshchibs nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT mauriciosilvamd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT erikzeegenmd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT rachelthompsonmd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
AT alexandrastavrakismd nationaltrendsintotalhiparthroplastybearingsurfaceusageinextremelyyoungpatientsbetween2006and2016
_version_ 1717761497347653632