Supervivencia a cinco años de 20.946 reemplazos de rodilla unicondilares y factores de riesgo para el fracaso: un análisis de datos de seguros alemanes.

Five-Year Survival of 20,946 Unicondylar Knee Replacements and Patient Risk Factors for Failure: An Analysis of German Insurance Data.

 

Fuente
Este artículo es originalmente publicado en:

 

https://www.ncbi.nlm.nih.gov/pubmed/27869619

http://jbjs.org/content/98/20/1691

 

 

De:

Jeschke E1, Gehrke T2, Günster C3, Hassenpflug J4, Malzahn J5, Niethard FU6, Schräder P7, Zacher J8, Halder A9.

J Bone Joint Surg Am. 2016 Oct 19;98(20):1691-1698.

 

Todos los derechos reservados para:

Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated.

 

 

Abstract

BACKGROUND:

Improvements in implant design and surgical technique of unicondylar knee arthroplasty have led to reduced revision rates, but patient selection seems to be crucial for success of such arthroplasties. The purpose of the present study was to analyze the 5-year implant survival rate of unicondylar knee replacements in Germany and to identify patient factors associated with an increased risk of revision, including >30 comorbid conditions.

CONCLUSIONS:

Apart from known risk factors, this study showed a significant negative influence of obesity, depression, and complicated diabetes on the 5-year unicondylar knee replacement survival rate. Surgical indications and preoperative patient counseling should consider these findings.

 

Resumen

ANTECEDENTES:
Las mejoras en el diseño del implante y la técnica quirúrgica de la artroplastia unicondilar de rodilla han llevado a una reducción de las tasas de revisión, pero la selección de pacientes parece ser crucial para el éxito de tales artroplastias. El objetivo del presente estudio fue analizar la tasa de supervivencia a 5 años de los implantes unicondulares de rodilla en Alemania e identificar los factores asociados con un mayor riesgo de revisión, incluyendo> 30 trastornos comórbidos.

 
CONCLUSIONES:
Aparte de los factores de riesgo conocidos, este estudio mostró una influencia negativa significativa de la obesidad, la depresión y la diabetes complicada en la tasa de supervivencia de reemplazo de rodilla unicondilar de 5 años. Las indicaciones quirúrgicas y la orientación preoperatoria del paciente deben considerar estos hallazgos.

LEVEL OF EVIDENCE:

Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.

PMID: 27869619    DOI:  10.2106/JBJS.15.01060
[PubMed – in process]

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