METHODS: A comprehensive review of the major English-speaking knee arthroplasty registries across the globe was performed. Given the expanding large number of registries worldwide, it was not possible to perform a comprehensive review of all registries and so, a detailed review of the major English-speaking knee arthroplasty registries was included. Key trends and developments in implant performance were identified and presented in the current article.
RESULTS: Total knee replacements have lower revision rates than both unicompartmental and patellofemoral joint replacement procedures. Patellofemoral joint replacements have the highest failure rate of all knee replacement procedures. Cruciate-Retaining (CR) TKR designs have superior outcomes to Posterior-Stabilized (PS) designs across all registries. Patellar resurfacing appears to confer an advantage over non-resurfaced patellas in primary TKR.
CONCLUSIONS: We present current global trends in the utility and performance of TKA based on data from English-speaking arthroplasty registries.
方法:对全球主要的英语膝关节置换注册进行了全面审查。鉴于全球注册管理机构的数量不断扩大,不可能对所有登记册进行全面审查,因此,我们对主要的英语膝关节置换术注册进行了详细的回顾.本文确定并介绍了植入物性能的主要趋势和发展。
结果:全膝关节置换手术的翻修率低于单室和髌股关节置换手术。在所有膝关节置换手术中,髌股关节置换的失败率最高。交叉保留(CR)TKR设计在所有注册表中都比后路稳定(PS)设计具有更好的结果。在原发性TKR中,髌骨重铺似乎比未重铺的髌骨具有优势。
结论:我们基于来自英语关节成形术注册的数据,介绍了TKA的效用和性能的当前全球趋势。