Abstract:
PURPOSE:The aim of this study was to compare total knee arthroplasty (TKA) procedures between different countries with regard to epidemiological data and surgical technique by reference to the worldwide arthroplasty registers. METHODS:A systematic search was carried out using the EFORT website to identify the relevant arthroplasty registers. We extracted data with respect to the number of implanted TKAs, patients' age distribution, procedure types, and revision rates. After identification of 28 national arthroplasty registers, 11 offered sufficient data regarding the above mentioned parameters and were therefore included in the final analysis. RESULTS:A large variation was found in the annual number of primary TKA implantations per inhabitant with a reported range from 30 to 199 per 100,000 (mean 106). The fixation method varied strongly between the different registers as well, e.g. 90 % of totally cemented TKAs in Sweden, England and Wales, Slovakia, and New Zealand versus 54 % cemented fixation in Australia. Another significant difference between included countries was observed with respect to the use of patellar resurfacing in TKA. Whilst the Danish knee arthroplasty register reports a percentage of 72 % using a patellar button in TKA the register from Norway reports only a minority of 2 %. CONCLUSIONS:The comparison of arthroplasty registers revealed large differences regarding the annual number of primary TKAs per inhabitant and primary TKA procedure types. These variations may be explained by several factors such as patient demographics (prevalence of osteoarthritis) and national conditions such as healthcare systems (insurance status), number or availability of performing surgeons, medical facilities and surgeon-dependent factors such as definition of indications, education, tradition and experience.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Vielgut I,Kastner N,Pichler K,Holzer L,Glehr M,Gruber G,Leithner A,Labek G,Sadoghi Pdoi
10.1007/s00264-013-1933-2subject
Has Abstractpub_date
2013-08-01 00:00:00pages
1465-9issue
8eissn
0341-2695issn
1432-5195journal_volume
37pub_type
杂志文章abstract::In a retrospective study of 39 hips with osteonecrosis of the femoral head treated with core decompression we evaluated the extent of the necrotic area, the Ficat stage and the location of the lesion. The extent of the necrotic lesion was classified into three categories: mild, less than 15%; moderate, 15-30%; and sev...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640000186
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章,评审
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更新日期:2020-09-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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doi:10.1007/s00264-020-04633-7
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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更新日期:2009-08-01 00:00:00
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050174
更新日期:1997-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050063
更新日期:1996-01-01 00:00:00
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journal_title:International orthopaedics
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更新日期:2020-09-01 00:00:00
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更新日期:2017-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2015-02-01 00:00:00
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journal_title:International orthopaedics
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doi:10.1007/s00264-015-2691-0
更新日期:2015-07-01 00:00:00
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更新日期:2009-04-01 00:00:00
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更新日期:2019-11-01 00:00:00
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更新日期:2013-10-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
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更新日期:2015-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1993-11-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179704
更新日期:1991-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1997-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-3866-2
更新日期:2018-07-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00