过去三十年的全膝关节置换术：患者特征和假体生存率的趋势。
Total knee arthroplasty in the past three decades: Trends in patient characteristics and implant survivorship.
机构信息
Department of Orthopedic Surgery, Faculty of Medicine, Tottori University, Tottori, Japan.
School of Health Science, Faculty of Medicine, Tottori University, Tottori, Japan.
出版信息
Mod Rheumatol. 2022 Feb 28;32(2):432-437. doi: 10.1080/14397595.2021.1913823.
OBJECTIVE
To explore the trends in patient characteristics and implant survivorship (IS) for primary total knee arthroplasty (TKA) over the past three decades.
METHODS
This retrospective study enrolled a total of 635 knees who underwent TKA from 1985 to 2014. They were divided into three groups: group A, 125 knees in 1985-1994; group B, 203 knees in 1995-2004; and group C, 307 knees A in 2005-2014. The patient characteristics and IS were compared.
RESULTS
The mean age of patients undergoing TKA was getting older: 65.3 ± 9.7, 69.1 ± 10.0, and 74.6 ± 8.4 years, in groups A, B, and C, respectively (p = .001). The proportion of patients <60 years old with RA decreased (p < .001), whereas that of patients ≥ 80 years old with OA increased dramatically, it was 7.0%, 14.5%, and 32.0% in groups A, B, and C, respectively (p < .001). The IS free from infection was over 98% in all groups. Alternatively, the IS free from aseptic loosening become better, it was 83.7%, 95.2%, and 98.2% in groups A, B, and C, respectively (p = .014).
CONCLUSIONS
From these trends, we can estimate that the number of patients undergoing TKA will further increase in the future in an aging society.
目的
探讨过去三十年中初次全膝关节置换术（TKA）患者特征和植入物存活率（IS）的趋势。
方法
本回顾性研究共纳入 1985 年至 2014 年期间接受 TKA 的 635 例膝关节。他们被分为三组：A 组，125 例膝关节，1985-1994 年；B 组，203 例膝关节，1995-2004 年；C 组，307 例膝关节，2005-2014 年。比较了患者特征和 IS。
结果
接受 TKA 的患者平均年龄越来越大：A、B 和 C 组分别为 65.3±9.7、69.1±10.0 和 74.6±8.4 岁（p=0.001）。患有类风湿关节炎且年龄小于 60 岁的患者比例下降（p<0.001），而患有骨关节炎且年龄大于 80 岁的患者比例显著增加，分别为 7.0%、14.5%和 32.0%（p<0.001）。所有组中，无感染的 IS 均超过 98%。相反，无无菌性松动的 IS 变得更好，A、B 和 C 组分别为 83.7%、95.2%和 98.2%（p=0.014）。
结论
从这些趋势来看，我们可以估计在老龄化社会中，未来接受 TKA 的患者数量将进一步增加。
Zotero 插件