Padhya Ishwor Ghimire, Subedi Suman, Gyawali Prakash, Regmi Sushant
Department of Orthopedics, Pokhara Academy of Health Sciences, Pokhara, Nepal.
Gorkha District Hospital, Gorkha, Nepal.
JNMA J Nepal Med Assoc. 2024 Nov;62(279):761-764. doi: 10.31729/jnma.8821. Epub 2024 Nov 30.
Hip and knee arthroplasty surgeries are essential for treating end-stage osteoarthritis, providing significant functional improvements. Despite a global rise in these procedures, Nepal lacks a National Joint Registry, resulting in a gap in tracking the exact number of surgeries, outcomes, and complications. This study aims to address this gap regarding the demographics of hip and knee arthroplasties in Nepal.
An observational study was conducted after obtaining the ethical approval from the Nepal Health Research Council (Reference number: 2024/136) with data collected from prosthesis supplier. The study included all primary hip and knee arthroplasties performed in 2022 and 2023, excluding revision cases and those requiring mega prostheses. Data analysis was performed using Microsoft Excel for descriptive statistics.
There were a total of 1259 surgeries, 916 (72.77%) total knee replacements were performed, with a female predominance of 741 (81.42%) and a median age of 67 years(IQR: 62-71). There were 343 (27.23%) total hip replacements surgeries of which 200 (58.31%) were done in males. Most surgeries 1148 (91.18%) occurred within the Kathmandu Valley.
Total knee arthroplasty accounted for the majority of cases, showing a predominance of female patients with the majority of surgeries in the capital city.
髋关节和膝关节置换手术对于治疗终末期骨关节炎至关重要，能显著改善功能。尽管全球此类手术数量有所增加，但尼泊尔缺乏国家关节登记系统，导致在追踪手术的确切数量、结果和并发症方面存在差距。本研究旨在填补尼泊尔髋关节和膝关节置换手术人口统计学方面的这一差距。
在获得尼泊尔卫生研究委员会伦理批准（参考编号：2024/136）后进行了一项观察性研究，数据从假体供应商处收集。该研究纳入了2022年和2023年进行的所有初次髋关节和膝关节置换手术，不包括翻修病例和需要大型假体的病例。使用Microsoft Excel进行数据分析以进行描述性统计。
总共进行了1259例手术，其中916例（72.77%）为全膝关节置换，女性占主导，为741例（81.42%），中位年龄为67岁（四分位间距：62 - 71岁）。有343例（27.23%）全髋关节置换手术，其中200例（58.31%）在男性中进行。大多数手术1148例（91.18%）发生在加德满都谷地。
全膝关节置换占大多数病例，显示女性患者占主导，且大多数手术在首都进行。
