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Abstract：
BACKGROUND: Revision knee replacement (KR) is both challenging for the surgical team and expensive for the healthcare provider. Limited high quality evidence is available to guide decision-making.
OBJECTIVE: To provide guidelines for surgeons and units delivering revision KR services.
METHODS: A formal consensus process was followed by BASK\'s Revision Knee Working Group, which included surgeons from England, Wales, Scotland and Northern Ireland. This was supported by analysis of National Joint Registry data.
RESULTS: There are a large number of surgeons operating at NHS sites who undertake a small number of revision KR procedures. To optimise patient outcomes and deliver cost-effective care high-volume revision knee surgeons working at high volume centres should undertake revision KR. This document outlines practice guidelines for units providing a revision KR service and sets out: The current landscape of revision KR in England, Wales and Northern Ireland. Service organisation within a network model. The necessary infrastructure required to provide a sustainable revision service. Outcome metrics and auditable standards. Financial mechanisms to support this service model.
CONCLUSIONS: Revision KR patients being treated in the NHS should be provided with the best care available. This report sets out a framework to both guide and support revision KR surgeons and centres to achieve this aim.
OBJECTIVE: To provide guidelines for surgeons and units delivering revision KR services.
METHODS: A formal consensus process was followed by BASK\'s Revision Knee Working Group, which included surgeons from England, Wales, Scotland and Northern Ireland. This was supported by analysis of National Joint Registry data.
RESULTS: There are a large number of surgeons operating at NHS sites who undertake a small number of revision KR procedures. To optimise patient outcomes and deliver cost-effective care high-volume revision knee surgeons working at high volume centres should undertake revision KR. This document outlines practice guidelines for units providing a revision KR service and sets out: The current landscape of revision KR in England, Wales and Northern Ireland. Service organisation within a network model. The necessary infrastructure required to provide a sustainable revision service. Outcome metrics and auditable standards. Financial mechanisms to support this service model.
CONCLUSIONS: Revision KR patients being treated in the NHS should be provided with the best care available. This report sets out a framework to both guide and support revision KR surgeons and centres to achieve this aim.
摘要：
背景：膝关节置换术（KR）对手术团队来说既具有挑战性，对医疗保健提供者来说也是昂贵的。可用于指导决策的高质量证据有限。
目的：为提供KR翻修服务的外科医生和单位提供指南。
方法：BASK的修订膝盖工作组遵循了正式的共识程序，其中包括来自英国的外科医生，威尔士,苏格兰和北爱尔兰。这得到了对国家联合登记数据的分析的支持。
结果：有大量外科医生在NHS中心工作，他们进行了少量的修订KR程序。为了优化患者的预后并提供具有成本效益的护理，在高容量中心工作的高容量翻修膝关节外科医生应进行翻修KR。本文件概述了提供修订KR服务的单位的实践指南，并列出：英格兰修订KR的现状，威尔士和北爱尔兰。网络模型中的服务组织。提供可持续修订服务所需的必要基础设施。结果指标和可审计标准。支持这一服务模式的财务机制。
结论：在NHS中接受治疗的修订KR患者应获得最佳护理。本报告提出了指导和支持修订KR外科医生和中心以实现这一目标的框架。
目的：为提供KR翻修服务的外科医生和单位提供指南。
方法：BASK的修订膝盖工作组遵循了正式的共识程序，其中包括来自英国的外科医生，威尔士,苏格兰和北爱尔兰。这得到了对国家联合登记数据的分析的支持。
结果：有大量外科医生在NHS中心工作，他们进行了少量的修订KR程序。为了优化患者的预后并提供具有成本效益的护理，在高容量中心工作的高容量翻修膝关节外科医生应进行翻修KR。本文件概述了提供修订KR服务的单位的实践指南，并列出：英格兰修订KR的现状，威尔士和北爱尔兰。网络模型中的服务组织。提供可持续修订服务所需的必要基础设施。结果指标和可审计标准。支持这一服务模式的财务机制。
结论：在NHS中接受治疗的修订KR患者应获得最佳护理。本报告提出了指导和支持修订KR外科医生和中心以实现这一目标的框架。
