Bansal Ankit, Khatib Omar N, Zuckerman Joseph D
Northeast Ohio Medical University, Rootstown, Ohio.
J Arthroplasty. 2014 Jan;29(1):23-7. doi: 10.1016/j.arth.2013.04.006. Epub 2013 May 13.
Recent evidence suggests a substantial rise in the number of revision total joint arthroplasty (TJA) procedures performed. The New York State SPARCS inpatient database was utilized to identify revision total shoulder, knee, and hip arthroplasty procedures between 1993 and 2010. Yearly incidence and related epidemiology were analyzed. A total of 1,806 revision TSA, 26,080 revision TKA, and 35,254 revision THA cases were identified. The population-based incidence of these procedures increased 288%, 246%, and 44% respectively (P<0.001). Revision burden for hip arthroplasty decreased from 16.1% in 2001 to 11.5% in 2010 (P<0.001). The rates of revision TSAs and TKAs increased at a substantially faster rate than that of revision THAs. Revision burden for hip arthroplasty steadily has decreased since 2001.
近期证据表明，翻修全关节置换术（TJA）的手术数量大幅上升。利用纽约州SPARCS住院患者数据库，确定1993年至2010年间的翻修全肩关节、膝关节和髋关节置换手术。分析了年度发病率及相关流行病学情况。共识别出1806例翻修全肩关节置换术（TSA）、26080例翻修全膝关节置换术（TKA）和35254例翻修全髋关节置换术（THA）病例。这些手术的基于人群的发病率分别增加了288%、246%和44%（P<0.001）。髋关节置换术的翻修负担从2001年的16.1%降至2010年的11.5%（P<0.001）。翻修TSA和TKA的发生率增长速度明显快于翻修THA。自2001年以来，髋关节置换术的翻修负担稳步下降。
