Recent trends in revision knee arthroplasty in Germany

Abstract We aimed to answer the following questions: (1) How did numbers of revision knee arthroplasty procedures develop in Germany over the last decade compared to primary TKA? (2) How high was the percentage of septic interventions in knee prosthesis revisions? (3) Which treatment strategy was ch...

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Autores principales:	Markus Rupp, Nike Walter, Edmund Lau, Michael Worlicek, Steven M. Kurtz, Volker Alt
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/28a208ad7ca444a1a9d5419e1f7be40e
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spelling	oai:doaj.org-article:28a208ad7ca444a1a9d5419e1f7be40e2021-12-02T16:06:43ZRecent trends in revision knee arthroplasty in Germany10.1038/s41598-021-94988-72045-2322https://doaj.org/article/28a208ad7ca444a1a9d5419e1f7be40e2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94988-7https://doaj.org/toc/2045-2322Abstract We aimed to answer the following questions: (1) How did numbers of revision knee arthroplasty procedures develop in Germany over the last decade compared to primary TKA? (2) How high was the percentage of septic interventions in knee prosthesis revisions? (3) Which treatment strategy was chosen for surgical treatment of knee PJI? Revision arthroplasty rates as a function of age, gender, infection and type of prosthesis were quantified based on Operation and Procedure Classification System codes using revision knee arthroplasty data from 2008 to 2018, provided by the Federal Statistical Office of Germany (Destatis). In 2018, a total number 23,812 revision knee arthroplasties were performed in Germany, yielding an overall increase of 20.76% between 2008 and 2018. In comparison, primary TKA procedures increased by 23.8% from 152,551 performed procedures in 2008 to 188,866 procedures in 2018. Hence, 12.6% of knee arthroplasties required a revision in 2018. Septic interventions increased by 51.7% for all revisions. A trend towards higher numbers in younger patients was observed. Compared to 2008, 17.41% less DAIR procedures were performed, whereby single-stage and two- or multi-stage change increased by 38.76% and 42.76% in 2018, respectively. The increasing number of revision knee arthroplasty in Germany, especially in younger patients and due to infection, underlines the need for future efforts to improve treatment strategies to delay primary arthroplasty and avoid periprosthetic joint infection.Markus RuppNike WalterEdmund LauMichael WorlicekSteven M. KurtzVolker AltNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Markus Rupp Nike Walter Edmund Lau Michael Worlicek Steven M. Kurtz Volker Alt Recent trends in revision knee arthroplasty in Germany
description	Abstract We aimed to answer the following questions: (1) How did numbers of revision knee arthroplasty procedures develop in Germany over the last decade compared to primary TKA? (2) How high was the percentage of septic interventions in knee prosthesis revisions? (3) Which treatment strategy was chosen for surgical treatment of knee PJI? Revision arthroplasty rates as a function of age, gender, infection and type of prosthesis were quantified based on Operation and Procedure Classification System codes using revision knee arthroplasty data from 2008 to 2018, provided by the Federal Statistical Office of Germany (Destatis). In 2018, a total number 23,812 revision knee arthroplasties were performed in Germany, yielding an overall increase of 20.76% between 2008 and 2018. In comparison, primary TKA procedures increased by 23.8% from 152,551 performed procedures in 2008 to 188,866 procedures in 2018. Hence, 12.6% of knee arthroplasties required a revision in 2018. Septic interventions increased by 51.7% for all revisions. A trend towards higher numbers in younger patients was observed. Compared to 2008, 17.41% less DAIR procedures were performed, whereby single-stage and two- or multi-stage change increased by 38.76% and 42.76% in 2018, respectively. The increasing number of revision knee arthroplasty in Germany, especially in younger patients and due to infection, underlines the need for future efforts to improve treatment strategies to delay primary arthroplasty and avoid periprosthetic joint infection.
format	article
author	Markus Rupp Nike Walter Edmund Lau Michael Worlicek Steven M. Kurtz Volker Alt
author_facet	Markus Rupp Nike Walter Edmund Lau Michael Worlicek Steven M. Kurtz Volker Alt
author_sort	Markus Rupp
title	Recent trends in revision knee arthroplasty in Germany
title_short	Recent trends in revision knee arthroplasty in Germany
title_full	Recent trends in revision knee arthroplasty in Germany
title_fullStr	Recent trends in revision knee arthroplasty in Germany
title_full_unstemmed	Recent trends in revision knee arthroplasty in Germany
title_sort	recent trends in revision knee arthroplasty in germany
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/28a208ad7ca444a1a9d5419e1f7be40e
work_keys_str_mv	AT markusrupp recenttrendsinrevisionkneearthroplastyingermany AT nikewalter recenttrendsinrevisionkneearthroplastyingermany AT edmundlau recenttrendsinrevisionkneearthroplastyingermany AT michaelworlicek recenttrendsinrevisionkneearthroplastyingermany AT stevenmkurtz recenttrendsinrevisionkneearthroplastyingermany AT volkeralt recenttrendsinrevisionkneearthroplastyingermany
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Recent trends in revision knee arthroplasty in Germany

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