First outcome results after total knee and hip replacement from the Lithuanian arthroplasty register
| Autor: | Otto Robertsson, Linas Leonas, Algimantas Čebatorius, Rasa Valavičienė, Šarūnas Tarasevičius, Justinas Stučinskas |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Reoperation musculoskeletal diseases medicine.medical_specialty Arthroplasty replacement knee Arthroplasty replacement hip Lithuania Revision Arthroplasty Replacement Hip medicine.medical_treatment Kaplan-Meier Estimate Osteoarthritis Total knee Hip replacement medicine 617.582-77 [udc] Humans Registries Arthroplasty Replacement Knee Survival rate Femoral neck Medicine(all) lcsh:R5-920 business.industry Arthroplasty register Total hip replacement medicine.disease Arthroplasty Surgery Total knee replacement 617.583-77 [udc] Treatment Outcome medicine.anatomical_structure Automotive Engineering Orthopedic surgery Female Implant lcsh:Medicine (General) business |
| Zdroj: | Medicina, Vol 50, Iss 2, Pp 87-91 (2014) Medicina, Wrocław : Elsevier, 2014, vol. 50, no. 2, p. 87-91 Medicina Volume 50 Issue 2 Pages 87-91 Medicina; Volume 50; Issue 2; Pages: 87-91 |
| ISSN: | 1010-660X |
| DOI: | 10.1016/j.medici.2014.06.004 |
| Popis: | Background and objective: In 2010, the Lithuanian Association of Arhtroplasty was established and on January 1, 2011, initiated a national study of all reoperations after total knee (TKR) and total hip replacement (THR) in Lithuania. The aim of the study was to investigate the revision rates after TKR and THR at two years follow-up. Materials and methods: Lithuanian patients undergoing primary TKR and THR from January 1, 2011, to December 31, 2012, were included in the study. The patient, surgery and prosthetic implantation data were collected via internet database. For reoperations we recorded the reason and type of revision, primary implantation date. We analyzed implant survival rates using any revision as an endpoint on included primary procedures, performed until September 1, 2013. Results: The completeness of the register verified with state patients fund data reached 85% of all replacements. Out of 3823 primary TKR during the study period 25 revisions were performed with overall implant survival rate 99%. The main reason for knee revision was infections. During the inclusion period we registered 6072 primary THR and 149 revisions with overall implant survival rate 97%. Recurrent dislocation of prosthetic component was the main reason for hip revision. Significantly inferior survival results for femoral neck fracture patients were observed as compared with patients operated for osteoarthritis. Posterior approach as compared to others significantly affected inferior implant survival rates for femoral neck fracture patients. Conclusions: The overall survival after total knee and hip replacements revealed a high treatment quality of this surgery in Lithuania. |
| Databáze: | OpenAIRE |
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