对在滨海韦斯顿国民保健服务治疗中心进行的Kinemax膝关节置换术的回顾。

Review of Kinemax knee arthroplasty performed at the NHS Treatment Centre, Weston-Super-Mare.

作者信息

Kempshall P J, Metcalfe A, Forster M C

机构信息

University Hospital of Wales, Heath Park, Cardiff CF14 4XW, UK.

出版信息

J Bone Joint Surg Br. 2009 Feb;91(2):229-33. doi: 10.1302/0301-620X.91B2.21609.

DOI:10.1302/0301-620X.91B2.21609

PMID:19190059

Abstract

As part of the government's initiative to reduce waiting times for major joint surgery in Wales, the Cardiff and Vale NHS Trust sent 224 patients (258 knees) to the NHS Treatment Centre in Weston-Super-Mare for total knee replacement. The Kinemax total knee replacement system was used in all cases. The cumulative survival rate at three years was 79.2% (95% confidence interval (CI) 69.2 to 86.8) using re-operation for any cause as an endpoint and 85.3% (95% CI 75.9 to 91.8) using aseptic revision as an endpoint. This is significantly worse than that recorded in the published literature. These poor results have resulted in a significant impact on our service.

摘要

作为威尔士政府减少重大关节手术等待时间倡议的一部分，加的夫和韦尔国民保健服务信托基金将224名患者（258个膝关节）送往滨海韦斯顿的国民保健服务治疗中心进行全膝关节置换。所有病例均使用了Kinemax全膝关节置换系统。以因任何原因再次手术作为终点指标时，三年累积生存率为79.2%（95%置信区间（CI）为69.2至86.8）；以无菌翻修作为终点指标时，三年累积生存率为85.3%（95%CI为75.9至91.8）。这明显比已发表文献中记录的结果更差。这些糟糕的结果对我们的服务产生了重大影响。