Trends in knee cartilage repair procedures in the United States, 2010 to 2020
ABSTRACT: Introduction: Surgical intervention of knee articular cartilage injuries may prevent degeneration in symptomatic patients. Objectives: This study aims to analyze trends, demographics, and yearly incidence of 4 different knee cartilage repair procedures in the United States from 2010-2020....
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Journal of Cartilage & Joint Preservation |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667254524000556 |
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| author | Akshar P. Thakkar Ting Zhang Michael Bodine Aaron A. Bare Michael B. Ellman Sanjeev Bhatia Andreas H. Gomoll Brian J. Chilelli |
| author_facet | Akshar P. Thakkar Ting Zhang Michael Bodine Aaron A. Bare Michael B. Ellman Sanjeev Bhatia Andreas H. Gomoll Brian J. Chilelli |
| author_sort | Akshar P. Thakkar |
| collection | DOAJ |
| description | ABSTRACT: Introduction: Surgical intervention of knee articular cartilage injuries may prevent degeneration in symptomatic patients. Objectives: This study aims to analyze trends, demographics, and yearly incidence of 4 different knee cartilage repair procedures in the United States from 2010-2020. Methods: The PearlDiver database was queried for patients who underwent knee microfracture, autologous chondrocyte implantation (ACI), osteochondral autograft transfer (OAT), and osteochondral allograft (OCA) transplantation procedures from 2010-2020. Student t and χ2 tests were used for statistical comparisons and analysis of data trends. Regression models and compound annual growth rates further assessed the trends of each procedure. Results: A total of 220,674 patients from 2010-2020 were included in this study. Microfracture incurred a 62.4% decrease in occurrence (P < .001). Incidence of OCA trended upward (37.7%; P = .065) while OAT procedures significantly decline (53.9%; P < .001). ACI procedure numbers remained relatively stable (11.2% increase; P = .847). Conclusions: The incidence of microfracture significantly decreased in the United States from 2010-2020. There was a positive trend in the incidence of OCA cases, while the number of OAT cases decreased significantly. The number of ACI cases performed per year did not change significantly over the study period with the exception of an increase from 2017-2019. Microfracture procedures were performed in an older patient population than the other cartilage procedures. Males were more likely to undergo the 4 cartilage preservation surgeries compared to females. Similar studies should be carried out in other large health databases to confirm the external validity of these trends across the United States. |
| format | Article |
| id | doaj-art-d6d4e4db13a846849ea444cb9a22eda3 |
| institution | OA Journals |
| issn | 2667-2545 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Cartilage & Joint Preservation |
| spelling | doaj-art-d6d4e4db13a846849ea444cb9a22eda32025-08-20T02:38:35ZengElsevierJournal of Cartilage & Joint Preservation2667-25452024-12-014410021910.1016/j.jcjp.2024.100219Trends in knee cartilage repair procedures in the United States, 2010 to 2020Akshar P. Thakkar0Ting Zhang1Michael Bodine2Aaron A. Bare3Michael B. Ellman4Sanjeev Bhatia5Andreas H. Gomoll6Brian J. Chilelli7Hip & Knee Joint Preservation Center, Department of Orthopaedics, Northwestern Medicine, Warrenville, IL, USA; Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Lake Erie College of Osteopathic Medicine, Erie, PA, USA; St. Elizabeth Youngstown Hospital, Mercy Health, Youngstown, OH, USACincinnati SportsMedicine and Orthopaedic Center, Mercy Health, Cincinnati, OH, USA; Advanced Orthopedics, Medford, OR, USACincinnati SportsMedicine and Orthopaedic Center, Mercy Health, Cincinnati, OH, USA; BayCare Health System, Palm Harbor, FL, USAHip & Knee Joint Preservation Center, Department of Orthopaedics, Northwestern Medicine, Warrenville, IL, USA; Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USAPanorama Orthopedics and Spine Center, Golden, CO, USAHip & Knee Joint Preservation Center, Department of Orthopaedics, Northwestern Medicine, Warrenville, IL, USA; Department of Orthopaedic Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USADepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY, USACincinnati SportsMedicine and Orthopaedic Center, Mercy Health, Cincinnati, OH, USA; Brian J. Chilelli, Cincinnati SportsMedicine and Orthopaedic Center, 4700 East Galbraith Road, Suite 300A, Cincinnati, OH 45236, USA.ABSTRACT: Introduction: Surgical intervention of knee articular cartilage injuries may prevent degeneration in symptomatic patients. Objectives: This study aims to analyze trends, demographics, and yearly incidence of 4 different knee cartilage repair procedures in the United States from 2010-2020. Methods: The PearlDiver database was queried for patients who underwent knee microfracture, autologous chondrocyte implantation (ACI), osteochondral autograft transfer (OAT), and osteochondral allograft (OCA) transplantation procedures from 2010-2020. Student t and χ2 tests were used for statistical comparisons and analysis of data trends. Regression models and compound annual growth rates further assessed the trends of each procedure. Results: A total of 220,674 patients from 2010-2020 were included in this study. Microfracture incurred a 62.4% decrease in occurrence (P < .001). Incidence of OCA trended upward (37.7%; P = .065) while OAT procedures significantly decline (53.9%; P < .001). ACI procedure numbers remained relatively stable (11.2% increase; P = .847). Conclusions: The incidence of microfracture significantly decreased in the United States from 2010-2020. There was a positive trend in the incidence of OCA cases, while the number of OAT cases decreased significantly. The number of ACI cases performed per year did not change significantly over the study period with the exception of an increase from 2017-2019. Microfracture procedures were performed in an older patient population than the other cartilage procedures. Males were more likely to undergo the 4 cartilage preservation surgeries compared to females. Similar studies should be carried out in other large health databases to confirm the external validity of these trends across the United States.http://www.sciencedirect.com/science/article/pii/S2667254524000556AllograftArticular cartilageAutologous chondrocyteCartilage repairKnee |
| spellingShingle | Akshar P. Thakkar Ting Zhang Michael Bodine Aaron A. Bare Michael B. Ellman Sanjeev Bhatia Andreas H. Gomoll Brian J. Chilelli Trends in knee cartilage repair procedures in the United States, 2010 to 2020 Journal of Cartilage & Joint Preservation Allograft Articular cartilage Autologous chondrocyte Cartilage repair Knee |
| title | Trends in knee cartilage repair procedures in the United States, 2010 to 2020 |
| title_full | Trends in knee cartilage repair procedures in the United States, 2010 to 2020 |
| title_fullStr | Trends in knee cartilage repair procedures in the United States, 2010 to 2020 |
| title_full_unstemmed | Trends in knee cartilage repair procedures in the United States, 2010 to 2020 |
| title_short | Trends in knee cartilage repair procedures in the United States, 2010 to 2020 |
| title_sort | trends in knee cartilage repair procedures in the united states 2010 to 2020 |
| topic | Allograft Articular cartilage Autologous chondrocyte Cartilage repair Knee |
| url | http://www.sciencedirect.com/science/article/pii/S2667254524000556 |
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