Different incidences of knee arthroplasty in the Nordic countries

Niemeläinen, Mika; Mäkelä, Keijo; Robertsson, Otto; W‐Dahl, Annette; Furnes, Ove; Fenstad, Anne Marie; Pedersen, Alma B; Schrøder, Henrik Morville; Huhtala, Heini; Eskelinen, Antti

doi:10.1080/17453674.2016.1275200

Cited by 43 publications

(30 citation statements)

References 38 publications

(35 reference statements)

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“…A recent study reported rises in incidence of knee arthroplasty across Nordic countries between 1997 and 2012 (Niemelainen et al. 2017 ). Moreover, the rate of hospital admissions due to knee and hip OA increased by 50% and 32% between 1998 and 2015 in Sweden ( http://www.socialstyrelsen.se ).…”

Section: Discussionmentioning

confidence: 99%

High and rising burden of hip and knee osteoarthritis in the Nordic region, 1990–2015

et al. 2017

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Background and purposeOsteoarthritis (OA) imposes a substantial burden on individuals and societies. We report on the burden of knee and hip OA in the Nordic region.Patients and methodsWe used the findings from the 2015 Global Burden of Diseases Study to explore prevalence, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) of OA in the 6 Nordic countries during 1990–2015 (population of about 27 million in 2015).ResultsDuring 1990–2015, the number of prevalent OA cases increased by 43% to 1,507,587 (95% uncertainty interval [UI] 1,454,338–1,564,778) in the region. OA accounted for 1.3% (UI 1.0–1.7) of YLDs in 1990, increasing to 1.6% (UI 1.2–2.0) in 2015. Of 315 causes studied, OA was the 15th leading cause of YLDs, causing 52,661 (UI 34,056–77,499) YLDs in 2015; of these 23% were attributable to high body mass index. The highest relative importance of OA was reported for women aged 65–74 years (8th leading cause of YLDs in 2015). Among the top 30 leading causes of YLDs in the region, OA had the 5th greatest relative increase in total YLDs during 1990–2015. From 1990 to 2015, increase in age-standardized YLDs from OA in the region was slightly lower than increase at the global level (7.5% vs. 10.5%). OA was, however, responsible for a higher proportional burden of DALYs in the region compared with the global level.InterpretationThe OA burden is high and rising in the Nordic region. With population growth, aging, and the obesity epidemic, a substantial rise in the burden of OA is expected and should be addressed in health policies.

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Section: Discussionmentioning

confidence: 99%

High and rising burden of hip and knee osteoarthritis in the Nordic region, 1990–2015

et al. 2017

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“… 45 This result is supported by the increasing incidence in younger TKA or UKA patients in the 2005 to 2015 period. 45 , 46 TKA and UKA revisions resulting from aseptic loosening and polyethylene wear/breakage are related to younger patients with high-level activity and participation in contact sports. The use of more ‘patient-specific’ new materials in accordance with the level of physical activity may help to reduce the risk of loosening in younger patients.…”

Section: Discussionmentioning

confidence: 99%

Return to sport after total or unicompartmental knee arthroplasty

et al. 2017

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Knee arthroplasty survival rate — either UKA or TKA — is currently 95%, greater than it was ten years ago, but has not been specifically evaluated in very active patients practicing sport at a high intensity.The terms and conditions of return to physical activities are decided by the surgeon, the rehabilitation or Sports Medicine doctor, who needs to make sure that postoperative rehabilitation has been conducted optimally. Specifically, range of movement must be complete, muscular strengthening has to be sufficient and balance must be recovered by proprioception. Only after this stage (i.e. three to six months after surgery) can physical activities be resumed.Return to sport must be gentle and progressive, with moderate activities limited to short sessions. Progressively the patient will be able to return to intermediate activities, provided that he/she possesses the adequate level of technique for the sport.This up-to-date review for young surgeons and residents aims to provide an informative guide for patients regarding sport following knee arthroplasty.Cite this article: EFORT Open Rev 2017;2:496–501. DOI: 10.1302/2058-5241.2.170037

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“…Total knee arthroplasty (TKA) has been performed successfully to treat moderate to severe osteoarthritis. In the last decades, the number of TKAs and the prevalence of OA have increased severely and are expected to increase further because of obesity, older age and TKAs performed in younger patients [1–3]. Although TKA has demonstrated effectiveness with substantive and sustained improvement in quality of life, clinical performance in patients one year after TKA remains lower than for healthy adults [4].…”

Section: Introductionmentioning

confidence: 99%

Patient reported outcomes and implant survivorship after Total knee arthroplasty with the persona knee implant system: two year follow up

Mathijssen

Verburg

London

et al. 2019

BMC Musculoskelet Disord

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Background More personalized implant designs for total knee arthroplasty might optimize the clinical outcome after surgery. One of these personalized implant designs is the Persona knee implant system (Zimmer Biomet, Warsaw, Indiana, USA). The primary objective of this study was to determine patient reported outcomes and implant survivorship of the Persona Knee system used in primary total knee arthroplasty, up to two years after surgery. Methods From November 2013 to July 2016 consecutive patients undergoing primary total knee arthroplasty were enrolled in a prospective observational cohort study at three centers. Preoperatively, at 6 weeks, 6 months, 1 and 2 years after surgery, patients completed the Knee Injury and Osteoarthritis Outcome Score (KOOS), the Oxford Knee Score (OKS), the Knee Society Score (KSS, 2011, modified version) and the EQ-5D. Adverse Events were captured, assessed for relationship to device, and recorded in the study database. Furthermore, physical functioning was assessed by the orthopedic surgeon. Repeated measures analyses were performed on PROM scores. Kaplan Meier was used to calculate survivorship of the Persona Knee Implant System. Results A total of 146 total knee arthroplasties were performed. 61% (89/146) of the patients were female and mean age was 64.7 (± 6.9) years. Two years after surgery, one patient had a revision of the polyethylene insert because of a periprosthetic joint infection. Therefore, the Kaplan-Meier survival estimate at 2 years was 0.99 (0.95–1.00 95% CI). OKS increased from 22.1 (95% CI 20.9–23.3) to 41.8 (95% CI 40.6–43.1) two years after surgery. Furthermore, all other PROMs also increased from before surgery to 2 year postoperatively. Conclusion The Persona Knee implant is safe and effective and the clinical results up to two years after surgery are promising. PROMs results are very good; pain, function and quality of life all improved greatly after TKA. Further studies are needed to determine the long term clinical performance of the Persona prosthesis. Trial registration Clinicaltrials.gov ( NCT02337244 ). Registered June 1st, 2015. Retrospectively registered.

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Different incidences of knee arthroplasty in the Nordic countries

Cited by 43 publications

References 38 publications

High and rising burden of hip and knee osteoarthritis in the Nordic region, 1990–2015

High and rising burden of hip and knee osteoarthritis in the Nordic region, 1990–2015

Return to sport after total or unicompartmental knee arthroplasty

Patient reported outcomes and implant survivorship after Total knee arthroplasty with the persona knee implant system: two year follow up

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