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Vol. 62. Issue 4.
Pages 290-296 (July - August 2018)
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Vol. 62. Issue 4.
Pages 290-296 (July - August 2018)
Original Article
DOI: 10.1016/j.recote.2017.12.012
Arthroplasty knee registry of Catalonia: What scientific evidence supports the implantation of our prosthesis?
Registro de artroplastias de rodilla de Cataluña: ¿qué evidencia científica respalda la implantación de nuestras prótesis?
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R. Samaniego Alonsoa,
Corresponding author
raquelsamaniegoalonso@gmail.com

Corresponding author.
, E. Gaviria Paradaa, M. Pons Cabrafigaa, M. Espallargues Carrerasb, O. Martinez Cruzb
a Departamento de Cirugía Ortopédica y Traumatología, Hospital Sant Rafael, Barcelona, Spain
b Registre d’Artroplàsties de Catalunya, Agència de Qualitat i Avaluació Sanitàries de Catalunya (AquAS), Barcelona, Spain
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Tables (11)
Table 1. Total sample of prostheses implanted and evaluated.
Table 2. Overall evidence of the implants.
Table 3. Overall classification of the evidence.
Table 4. Classification of the evidence for CR type implants.
Table 5. List of the 10 models of CR prosthesis implanted most in Catalonia, according to data notified to the RACat.
Table 6. List of CR knee prosthesis models notified to the RACat with the highest level of evidence (ODEP 10A*).
Table 7. Classification of the evidence for PS implants.
Table 8. List of the 10 models of PS knee prostheses most implanted in Catalonia, according to data notified to the RACat.
Table 9. List of PS knee prostheses notified to the RACat with the highest level of evidence (ODEP 10A*).
Table 10. Classification of the evidence for constricted implants.
Table 11. Classification of the evidence for rotating implants.
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Abstract
Introduction

In our environment, it is increasingly necessary to perform an activity based on scientific evidence and the field of prosthetic surgery should be governed by the same principles. The national arthroplasty registries allow us to obtain a large amount of data in order to evaluate this technique. The aim of our study is to analyse the scientific evidence that supports the primary total knee arthroplasties implanted in Catalonian public hospitals, based on the Arthoplasty Registry of Catalonia (RACat).

Material and methods

A review of the literature was carried out on knee prostheses (cruciate retaining, posterior stabilised, constricted and rotational) recorded in RACat between the period 2005–2013 in the following databases: Orthopedic Data Evaluation Panel, PubMed, TripDatabase and Google Scholar. The prostheses implanted in fewer than 10 units (1358 prostheses corresponding to 62 models) were excluded.

Results

41,947 prostheses (96.86%) were analysed out of 43,305 implanted, corresponding to 74 different models. In 13 models (n=4,715) (11.24%) no clinical evidence to support their use was found. In the remaining 36 models (n=13,609) (32.45%), level IV studies were the most predominant evidence.

Conclusions

There was a significant number of implanted prostheses (11.24%) for which no clinical evidence was found. The number of models should be noted, 36 out of 110, with fewer than 10 units implanted. The use of arthroplasty registries has proved an extremely useful tool that allows us to analyse and draw conclusions in order to improve the efficiency of this surgical technique.

Keywords:
Knee arthroplasty
Registries
Evidence-based practice
Resumen
Introducción

En nuestro medio es cada vez más necesario realizar una actividad basada en evidencia científica y el campo de la cirugía protésica deberían regirse por los mismos principios. Los registros nacionales de artroplastias permiten evaluar los resultados de esta práctica. El objetivo de nuestro trabajo es analizar la evidencia científica que respalda los modelos de artroplastia total de rodilla implantados en los hospitales públicos catalanes sobre la base del Registro de Artroplastias de Cataluña (RACat).

Material y métodos

Se realizó una revisión de la literatura de las prótesis de rodilla (conserva cruzado posterior, estabilizada posterior, constreñida y rotacional) registradas en el RACat entre 2005 y 2013 en las siguientes bases de datos: Orthopaedic Data Evaluation Panel, PubMed, TripDatabase y Google Académico. Se excluyeron aquellas prótesis implantadas en número inferior a 10 unidades (1.358 prótesis correspondientes a 62 modelos).

Resultados

De las 43.305 prótesis implantadas, se analizaron 41.947 (96,86%), correspondientes a 74 modelos diferentes. En 13 modelos (n = 4.715) (11,24%) no se encontraron evidencias clínicas que respaldasen su uso. En los 36 modelos restantes (n = 13.609) (32,45%) predominaban los estudios de nivel iv, con una baja evidencia.

Conclusiones

Existe un número significativo de prótesis implantadas (11,24%) en las cuales no se ha encontrado evidencia científica. Cabe destacar el número de modelos, 36 de un total de 110, con implantación inferior a 10 unidades. La implantación de un registro de artroplastias se ha revelado como una herramienta extremadamente útil que permite analizar y extraer conclusiones que permitan mejorar la eficiencia de esta técnica quirúrgica.

Palabras clave:
Prótesis total de rodilla
Registro
Medicina basada en la evidencia

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