过去十年德国足踝外科中关节融合术和人工关节置换术的趋势——回到融合术？
Trends in arthrodeses and total joint replacements in Foot and Ankle surgery in Germany during the past decade-Back to the fusion?
机构信息
Department of Trauma-, Hand- and Reconstructive Surgery, Westfaelische Wilhelms University, Albert Schweitzer Campus 1, W1, 48149 Muenster, Germany.
Department of Trauma-, Hand- and Reconstructive Surgery, Westfaelische Wilhelms University, Albert Schweitzer Campus 1, W1, 48149 Muenster, Germany.
出版信息
Foot Ankle Surg. 2021 Apr;27(3):301-304. doi: 10.1016/j.fas.2020.05.008. Epub 2020 May 26.
BACKGROUND
The goal of this study was to analyze trends in Foot and Ankle surgery in Germany during the past ten years.
METHODS
Data of the German Federal Statistical Office from 2008 until 2018 were screened. We focused on the analysis of fusions and total joint replacements.
RESULTS
The total amount of the surgeries increased (+39.5%). Especially fusions like arthrodesis of the ankle (+31%) and of the MTP-1 joint (+77%) were on the rise. In 2017 60% of ankle arthrodesis were conducted in men, while 69% of MTP-1 arthrodesis were performed in women. The amount of joint replacements showed a decline during the last decade, in TAR (-39%) and in the MTP-1 (-48%). Regarding the patients age while undergoing a TAR, we observed a shift of the peak age group from 65 to 70 years in 2008 towards 55-60 years in 2017.
CONCLUSION
Our study represents actual health care reality in Germany and shows a constant increase of ankle arthritis surgeries in the last decade, while there was a massive shift regarding the ratio of TAR in favour of fusion procedures.
背景
本研究旨在分析过去十年德国足踝外科手术的趋势。
方法
对 2008 年至 2018 年德国联邦统计局的数据进行了筛选。我们重点分析了融合术和全关节置换术。
结果
手术总量增加了（+39.5%）。特别是踝关节（+31%）和第一跖趾关节（+77%）融合术呈上升趋势。2017 年，60%的踝关节融合术在男性中进行，而 69%的第一跖趾关节融合术在女性中进行。在过去十年中，TAR（-39%）和 MTP-1（-48%）的关节置换数量有所下降。关于接受 TAR 的患者年龄，我们观察到 2008 年 65-70 岁的高峰年龄组向 2017 年 55-60 岁的年龄组转移。
结论
本研究代表了德国实际的医疗保健现状，表明过去十年踝关节关节炎手术不断增加，而 TAR 的比例发生了巨大变化，有利于融合手术。
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