Analiza kolenskih protez
Transcript of Analiza kolenskih protez
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ANALIZA KOLENSKIH ENDOPROTEZ IZ
REGISTRA ARTROPLASTIKE ORTOPEDSKE
BOLNIŠNICE VALDOLTRA
Vesna Levašič
avgust 2013
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RAZMERJE PRIMARNE
KOLČNE/KOLENSKE PROTEZE
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RAZMERJE TOTALNE/PARCIALNE KOLENSKE PROTEZE
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Primarne/revizijske proteze kolen
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Moški Ženske
2006 67 (40-80) 70 (43-84)
2007 69 (51-87) 71 (27-87)
2008 68 (40-85) 70 (32-87)
2009 68 (43-83) 71 (41-88)
2010 67 (33-86) 69 (40-87)
2011 67 (27-90) 70 (34-90)
2012 67 (41-82) 70 (48-89)
Povprečna starost po spolu pri primarnih kolenskih protezah
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Struktura po ITM l. 2012: povprečno
32,1; min 18 in max 48
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Struktura po strani op. kolena
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Struktura glede na diagnozo l. 2012
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UNIKONDILARNE KOLENSKE PROTEZE OD 2002 DO 2012
3 2
21 1615
25
8
12
31
2527
23
48
7
7
12
10
4
3
8
10
10
4
1
2
0
10
20
30
40
50
60
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
PFJ Sigma Jo&J
Patellofemoral Nexgen
Uni Parcial NexGen
Preservation Jo&J
Oxford Biomet
PFC Sigma Uni Knee Jo&J
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PRIMARNE TOTALNE KOLENSKE PROTEZE 2012 Vstavljena tudi:• patela: 11• infibuli: 4
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PRIMARNE TOTALNE KOLENSKE PROTEZE 2011
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PRIMARNE TOTALNE KOLENSKE PROTEZE 2010
216
139
101
89
67
37 37
28
102 2
0
50
100
150
200
250
2010
12
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
220
136107
8970
4216 12 1
0
50
100
150
200
250
2009
13
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
222
138
9475
54 47
10 2 1
0
50
100
150
200
250
2008
14
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
164
116103
88
53
2210 3 2
0
20
40
60
80
100
120
140
160
180
2007
15
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
116103
82
6047
2010
1 1
0
20
40
60
80
100
120
140
2006
16
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
10191 87
81
23
1 1 1
0
20
40
60
80
100
120
2005
17
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
131 129
39
20
5 2 1
0
20
40
60
80
100
120
140
2004
18
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
97
68
32
102 2 2
0
20
40
60
80
100
120
2003
19
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
62
52
16 14
8
1
0
10
20
30
40
50
60
70
2002
20
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
69
48
29
3 3
0
10
20
30
40
50
60
70
80
2001
21
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
70
44
11 11
3 2
0
10
20
30
40
50
60
70
80
2000
22
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PRIMARNE TOTALNE ENDOPROTEZE
KOLENA
34
27 27
19
62 2
0
10
20
30
40
1999
23
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REVIZIJSKE OPERACIJE KOLEN
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5 glavnih vzrokov za revizijo kolenskih protez od 2005 do 2012 (%)
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
dodana patelarnakomponenta
16
zamenjan PE vložek 11
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH 2011
15
6
3 3 3
2
1
16
8
3
0
2
4
6
8
10
12
14
16
18
NexGen
LCCK
Zimmer
SIGMA PFC
TC3 Jo&J
AGC
BIOMET
ENDO
MODEL
LINK
NexGen
Flex
ZIMMER
Sigma
Knee CS
Jo&J
NexGen
CR-Flex
ZIMMER
dodani
infibuli
dodana
patela
zamenjan
PE vložek
revizije kolen 2011
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
4 4
3 3
2 2 2
1 1
0
1
2
3
4
5
2009
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
2008
11
2 21 1 1
6
0
2
4
6
8
10
12
Ne
xG
en
LC
CK
ZIM
ME
R
Ne
xG
en
ZIM
ME
R
So
luti
on
En
do
plu
s
Sig
ma
PF
C
Jo&
J
En
do
mo
de
l
LIN
K
Do
da
na
pa
tela
Do
da
n
po
da
ljše
k
ste
ma
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
2007
8
3
1 12
3
0123456789
NexGen
LCCK
ZIMMER
Sigma PFC
Jo&J
NexGen
Flex
ZIMMER
Solution
Endoplus
Dodana
patela
Dodan
podaljšek
stema 31
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GRAF - VSTAVLJEN MATERIAL PRI REVIZIJAH
2002 DO 2006
1 22 2
4
1
63
2
3 3
1 74
1
2
1
1
11
1211
1
4 1
2
1
0
2
2
2
0
5
10
15
20
25
2002 2003 2004 2005 2006
PATELE
PE vložek
Nexgen Monobloc ZIMMER
Solution Endoplus
Genesis Smith&Nephew
Sigma Knee Jo&J
AGC BIOMET
913 CREM
I.B. CREM
NexGen ZIMMER
Sigma PFC Jo&J
Endomodel LINK
MC system LIMA
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REVIZIJSKE OPERACIJE PPG IN TPG OD DRUGODPredhodna operacija drugje
Vse revizije Število tujih Procent
2002 10 2 20 %
2003 5 1 20 %
2004 21 5 24 %
2005 19 2 11 %
2006 30 4 13 %
2007 22 2 9 %
2008 26 2 8 %
2009 28 2 7 %
2010 56 8 7 %
2011 49 6 12 %
2012 91 12 13%
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PROCENT REVIZIJ KOLENSKIH PROTEZ OD 02 DO 12
ime odstranjeni vsi vstavljeni % revizij
Uni Parcial NexGen Zimmer 0 35 0,00
Sigma Knee HIBRID Jo&J 0 33 0,00
Vanguard Biomet 0 29 0,00
Sigma Knee (CS) Jo&J 1 290 0,34
Solution Endoplus S&N 16 1151 1,39
Sigma PFC (CR) Jo&J 22 1297 1,70
Nexgen Monobloc ZIMMER 12 688 1,74
AGC Biomet 16 747 2,14
Preservation Jo&J 1 40 2,50
Nexgen ZIMMER 32 859 3,73
Advance WRIGHT 12 300 4,00
Nexgen LCCK Zimmer 2 31 6,45
Endomodel LINK 3 39 7,69
Oxford Biomet 20 251 7,97
Genesis S&N 3 33 9,09
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BREME REVIZIJ ZA KOLENSKE PROTEZE V OB VALDOLTRA PO
LETIH – VSE REVIZIJE IN OKUŽBERB (revision burden) = št.
revizij*100/(št. primarnih + št. revizijkolen)
št. revizij zaradi okužbe*100 / (št. primarnih + št. revizij kolen)
2003 2,12 % 0,00 %
2004 5,65 % 0,81 %
2005 4,41 % 0,93 %
2006 6,12 % 1,22 %
2007 3,64 % 1,49 %
2008 3,54 % 1,27 %
2009 3,71 % 0,93 %
2010 6,83 % 1,46 %
2011 5,47 % 1,68 %
2012 11,23 % 2,22 %
Popr. OBV 5,27 % 1,20 %
Norveška 09 8,90 % 1,02 %
Slovaška 10 4,23 % 1,45 % 35
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ŠT. REVIZIJ NA 100 LET OPAZOVANJA - KOLENA
Leto
Povprečno obdobje sledenja
(leta)
Delež vseh
revizij
Št. prim.
operacij
Št. vseh
revizij
Št. prvih revizij v tem
obdobju sledenja
Delež prvih revizij za to
obdobje sledenja
Leta opazovanja komponent
Revizije na 100 let
opazovanja komponent
2002 0,33 5,41 175 10 0 0,00 57,01 0,00
2003 0,75 3,56 406 15 0 0,00 303,22 0,00
2004 1,11 4,54 757 36 6 0,76 842,45 0,71
2005 1,50 4,49 1169 55 12 0,98 1755,74 0,68
2006 1,94 4,96 1629 85 21 1,23 3158,47 0,66
2007 2,28 4,61 2212 107 29 1,25 5036,09 0,58
2008 2,61 4,40 2892 133 39 1,29 7559,61 0,52
2009 2,98 4,26 3618 161 54 1,43 10774,70 0,50
2010 3,36 4,72 4382 217 82 1,78 14736,73 0,56
2011 3,73 4,84 5228 266 99 1,80 19515,48 0,51
2012 4,22 5,66 5947 357 136 2,16 25086,56 0,5436
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Vesna Levašič, dr. med.
Raziskovalni oddelek
Ortopedska bolnišnica Valdoltra
Ankaran, Slovenija
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