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Medicina is published by MDPI from Volume 54 Issue 1 (2018). Articles in this Issue were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence. Articles are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Lithuanian Medical Association, Lithuanian University of Health Sciences, and Vilnius University.
Open AccessArticle

First outcome results after total knee and hip replacement from the Lithuanian arthroplasty register

1
Department of Orthopaedics and Traumatology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
2
Department of Orthopaedics, Klaipėda University Hospital, Klaipėda, Lithuania
3
Department of Orthopaedics, Lund University and Lund University Hospital, Lund, Sweden
*
Author to whom correspondence should be addressed.
Medicina 2014, 50(2), 87-91; https://doi.org/10.1016/j.medici.2014.06.004
Received: 30 October 2013 / Accepted: 30 May 2014 / Published: 27 June 2014
Background and objective: In 2010, the Lithuanian Association of Arhtroplasty was established and on January 1, 2011, initiated a national study of all reoperations after total knee (TKR) and total hip replacement (THR) in Lithuania. The aim of the study was to investigate the revision rates after TKR and THR at two years follow-up.
Materials and methods: Lithuanian patients undergoing primary TKR and THR from January 1, 2011, to December 31, 2012, were included in the study. The patient, surgery and prosthetic implantation data were collected via internet database. For reoperations we recorded the reason and type of revision, primary implantation date. We analyzed implant survival rates using any revision as an endpoint on included primary procedures, performed until September 1, 2013.
Results: The completeness of the register verified with state patients fund data reached 85% of all replacements. Out of 3823 primary TKR during the study period 25 revisions were performed with overall implant survival rate 99%. The main reason for knee revision was infections. During the inclusion period we registered 6072 primary THR and 149 revisions with overall implant survival rate 97%. Recurrent dislocation of prosthetic component was the main reason for hip revision. Significantly inferior survival results for femoral neck fracture patients were observed as compared with patients operated for osteoarthritis. Posterior approach as compared to others significantly affected inferior implant survival rates for femoral neck fracture patients.
Conclusions: The overall survival after total knee and hip replacements revealed a high treatment quality of this surgery in Lithuania.
Keywords: Arthroplasty register; Total knee replacement; Total hip replacement; Revision Arthroplasty register; Total knee replacement; Total hip replacement; Revision
MDPI and ACS Style

Tarasevičius, Š.; Čebatorius, A.; Valavičienė, R.; Stučinskas, J.; Leonas, L.; Robertsson, O. First outcome results after total knee and hip replacement from the Lithuanian arthroplasty register. Medicina 2014, 50, 87-91.

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