Arthroplasty knee registry of Catalonia: What scientific evidence supports the implantation of our prosthesis?
| Autor: | R. Samaniego Alonso, E. Gaviria Parada, O. Martinez Cruz, M. Espallargues Carreras, M. Pons Cabrafiga |
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| Rok vydání: | 2018 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty business.industry medicine.medical_treatment Dentistry Level iv Prosthesis Arthroplasty Total knee Scientific evidence 03 medical and health sciences 0302 clinical medicine Orthopedic surgery Prosthetic surgery medicine Arthroplasty knee Orthopedics and Sports Medicine Surgery 030212 general & internal medicine business |
| Zdroj: | Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 62:290-296 |
| ISSN: | 1988-8856 |
| DOI: | 10.1016/j.recote.2017.12.012 |
| Popis: | Introduction In our environment, it is increasingly necessary to perform an activity based on scientific evidence and the field of prosthetic surgery should be governed by the same principles. The national arthroplasty registries allow us to obtain a large amount of data in order to evaluate this technique. The aim of our study is to analyse the scientific evidence that supports the primary total knee arthroplasties implanted in Catalonian public hospitals, based on the Arthoplasty Registry of Catalonia (RACat). Material and methods A review of the literature was carried out on knee prostheses (cruciate retaining, posterior stabilised, constricted and rotational) recorded in RACat between the period 2005–2013 in the following databases: Orthopedic Data Evaluation Panel, PubMed, TripDatabase and Google Scholar. The prostheses implanted in fewer than 10 units (1358 prostheses corresponding to 62 models) were excluded. Results 41,947 prostheses (96.86%) were analysed out of 43,305 implanted, corresponding to 74 different models. In 13 models (n = 4,715) (11.24%) no clinical evidence to support their use was found. In the remaining 36 models (n = 13,609) (32.45%), level IV studies were the most predominant evidence. Conclusions There was a significant number of implanted prostheses (11.24%) for which no clinical evidence was found. The number of models should be noted, 36 out of 110, with fewer than 10 units implanted. The use of arthroplasty registries has proved an extremely useful tool that allows us to analyse and draw conclusions in order to improve the efficiency of this surgical technique. |
| Databáze: | OpenAIRE |
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