Over a decade of experience in total knee arthroplasty with a multiradius design and fixed bearing at a single centre: Data from the Catalan Arthroplasty Registry

Author:

Faig‐Martí Jordi1ORCID,Martínez‐Catasús Adriana1

Affiliation:

1. Orthopaedics Department Hospital Sant Rafael Barcelona Catalonia Spain

Abstract

AbstractPurposeArthroplasty registers can provide feedback information on the results of arthroplasties performed by a certain institution or surgeon. The use of real‐world data to achieve real‐world evidence can help evaluate the performance of the implants used and help counsel our patients. The main objective of our study was to determine the survivorship of the total knee implant we are currently using.MethodsA retrospective cohort study of patients who received a total knee arthroplasty from January 2009 to December 2020 in our hospital was conducted, using data from the Catalan arthroplasty registry and the Catalan health service database. Demographic and surgical data were analysed using the Kaplan–Meier method, log‐rank test and Cox proportional hazards models with the R Project software (p < 0.05).ResultsA total of 1336 total knee arthroplasties were included in the study, of which 992 were women. The causes for revision included aseptic loosening (17), infection (29), instability (13), patellar implantation (13), arthrofibrosis (5) and quadriceps tendon rupture (1).The cumulative risk for revision at 5 years using the Kaplan–Meier method was 6.0% and at 10 years 6.5%. Considering gender, this risk was 7.0% and 7.5% at 5 and 10 years, respectively, in women and 3.3% in men, both at 5 and 10 years (p = 0.009). A higher risk for revision in women was seen, which is considered statistically significant (p = 0.012).ConclusionOur survivorship results are comparable to those published in the literature, but with a higher revision risk in women that is only statistically significant for the whole group of reoperations and for patellar implantation, but not for the rest of the diagnoses.Level of EvidenceLevel IV.

Publisher

Wiley

Reference32 articles.

1. Los registros de artroplastias como sistemas de vigilancia poscomercialización: el Registro de Artroplastias de Cataluña

2. Influence of Hospital Volume of Procedures by Year on the Risk of Revision of Total Hip and Knee Arthroplasties: A Propensity Score-Matched Cohort Study

3. Differences in Risk of Revision and Mortality Between Total and Unicompartmental Knee Arthroplasty. The Influence of Hospital Volume

4. Arias‐de la Torre J.&Martínez O.E.(2018). Resultats de les pròtesis de genoll fabricades per Surgival (informe 2005‐2016).https://aquas.gencat.cat/web/.content/minisite/aquas/publicacions/2018/resultats_protesis_genoll_Surgival_aquas2018ca.pdf

5. Australian Orthopaedic Association. (2022). Australian Orthopaedic Association National Joint Replacement Registry. Hip Knee & Shoulder Arthroplasty: 2022. Annual Report1–430.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3