Patellafrakturen in der Knieendoprothetik

Röth, Andreas; Ghanem, Mohamed; Fakler, Johannes K. M.

doi:10.1007/s00132-016-3254-9

Cited by 4 publications

(2 citation statements)

References 39 publications

(94 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4):• Type I: Fracture of tibial plateau • Type II: Fracture adjacent to tibial stem • Type III: Fracture of tibial shaft, distal to component • Type IV: Fracture of tibial tubercle Patellar periprosthetic fractures are classified in a similar way to tibial and femoral fractures while taking into Type I Rorabeck and Tylor: a non-displaced fracture and the prosthesis is intact account both component stability and quality of the bone, together with integrity of the extensor mechanism (Fig. 5)[27].…”

mentioning

confidence: 99%

Periprosthetic fractures of the knee: a comprehensive review

Benkovich

Klassov

Mazilis

et al. 2019

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Demographic changes have resulted in an increase in the number of older patients diagnosed with degenerative joint disease. Developments in the field of joint arthroplasty allow a broader population to improve their lifestyles. An increased demand for knee arthroplasty has led to a rise in operations performed worldwide. Although there has been a constant propagation of technology and an increase in medical staffing at a professional level, many patients still encounter complications. Though rare, these factors may lead to life-threatening scenarios and a devastating effect on the success of the operation. One such rare complication includes periprosthetic fractures around the knee, a complex injury which requires a cautious and experienced approach. In this review, we analyze the prevalence, risk factors and classification, investigation and treatment options for periprosthetic fractures with total knee arthroplasty.

show abstract

mentioning

confidence: 99%

Periprosthetic fractures of the knee: a comprehensive review

Benkovich

Klassov

Mazilis

et al. 2019

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…Although recovery after arthroplasties is facilitated by the application of protocols such as Enhanced Recovery After Surgery for primary hip and knee arthroplasty [ 15 , 16 , 17 ], as well as the provision of basic elements in improvement pathways [ 18 ], there is an increase in the incidence of the total hip and knee revision procedures [ 19 ]. At the same time, the number of operated fractures [ 20 , 21 ] and bone tumors [ 22 , 23 ] are also increasing. All this will lead to an increase in healthcare expenses in the future [ 24 , 25 ], even during periods of economic recession [ 10 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

A Comprehensive Research on the Prevalence and Evolution Trend of Orthopedic Surgeries in Romania

Moldovan

Bățagă

2023

Healthcare

View full text Add to dashboard Cite

Accurate knowledge of the prevalence and trends of orthopedic surgeries can facilitate the design of medical plans for effective treatments. The National Endoprosthetic Registry (NER) in Romania provides statistics on endoprosthetic activity (hip, knee), cases of fractures and bone tumors as a result of the legal obligations to report interventions performed by all orthopedic traumatology hospitals/wards in the country. The aim of this study is to describe the annual volumes of orthopedic surgeries between 2001 and 2022 in Romania and analyze the current and future evolution trends of the studied surgeries, gender differences and regional differences based on a complete survey carried out at a national level. For the period 2001–2022, we extracted from the NER the annual volumes of orthopedic interventions performed. With these data, we studied the prevalence and estimated, with the support of an original calculation methodology, the variation trends of orthopedic surgeries in two situations: over the entire 21-year period, respectively, and over the period 2001–2020, which does not include the pandemic period. For hip replacement surgery and knee replacement surgery, we showed the prevalence by subcategory of interventions, gender distribution, regional prevalence and regional density calculated by the annual averages of the total number of cases reported per 100,000 people in the 40 counties of the country and the capital, Bucharest. We also determined the variations in hip and knee arthroplasty revision burdens, calculated as a percentage between the number of revisions and the number of primary interventions in the same period. We determined the regional densities of revision burdens. The total number of orthopedic surgeries in the period 2001–2022 was 1,557,247, of which 189,881 were hip replacement surgeries; 51,035 were knee replacement surgeries; 11,085 were revision hip arthroplasty; 1497 were revision knee arthroplasty; 541,440 were operated fractures; and 16,418 were operated bone tumors. The growth rates of surgical interventions are hip replacement surgery, +8.19%; knee replacement surgery, +19.55%; revision hip arthroplasty, +9.43%; and revision knee arthroplasty, +28.57%. With these data, we have estimated a doubling of the volume of primary and revision interventions of the hip until 2034 and the knee until 2027, respectively. Operated bone tumors register an annual decrease of −4.52% thanks to modern treatments. There are clear gender differences; for primary hip interventions, the proportion of women is 58.82%, and for knee interventions, the proportion of women is 76.42%. This is the first research that, with the support of exhaustive data from the NER, analyzes for the period 2001–2022 the annual number of orthopedic surgeries in Romania. It allows knowledge of the large, anticipated increases in orthopedic surgery and provides a quantitative basis for future policy decisions related to the need for medical personnel and material resources.

show abstract