The most commonly performed procedure was wrist arthroscopy with joint debridement or triangular fibrocartilage complex repair (6,557 patients). Patients with less than 3 months of active insurance records after the wrist procedure were excluded.Ī total of 29,898 wrist procedures were performed over the study period. Demographic and payment data were determined for the entire cohort. Medicare covers approximately 51 million Americans and consists of those aged 65 years and older as well as younger patients enrolled in Social Security disability or with end-stage renal disease. Carpal instability reconstruction procedures were those identified by CPT 25320, which includes various methods of reconstruction such as capsulodesis, ligament repair, and tendon transfer or graft. We examined the Medicare orthopedic datasets using the PearlDiver application to identify patients who underwent 12 different common wrist procedures, including carpal instability reconstruction procedures, from 2005 to 2014. We conducted a retrospective study to determine the annual number of patients undergoing various wrist procedures in the Medicare population as well as the revision rate and common revision procedures after carpal instability reconstruction surgeries (Current Procedural Terminology billing code 25320).
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