Arthroplasty knee registry of Catalonia: What scientific evidence supports the implantation of our prosthesis?

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 stabilized, 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 (1,358 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.

• Publication year

  2018

• Venue

  Revista Española de Cirugía Ortopédica y Traumatología

• Publication date

  2018-07-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1016/j.recot.2017.12.006PMID 29501394
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• A decade of the Catalonian Arthroplasty Register (RACat): Variability, exhaustivity, and survival of prostheses between 2005 and 2014.

  2017cited by this paper
• Finding the Right Hip Implant for Patient and Surgeon: The Dutch Strategy – Empowering Patients

  2015cited by this paper
• Registries in orthopaedics.

  2015cited by this paper
• Response to the letter «Spanish arthoplasty register» from M. Fernández Fairén, R. Llopis and A. Rodríguez.

  2015cited by this paper
• [Spanish arthroplasty register].

  2014cited by this paper
• International comparative evaluation of fixed-bearing non-posterior-stabilized and posterior-stabilized total knee replacements.

  2014cited by this paper
• Joint registries as continuous surveillance systems: the experience of the Catalan Arthroplasty Register (RACat).

  2014cited by this paper
• Primary hip replacement prostheses and their evidence base: systematic review of literature

  2013cited by this paper
• Existing data sources for clinical epidemiology: The Danish Knee Arthroplasty Register

  2012cited by this paper
• The Swedish Hip Arthroplasty Register (www.shpr.se)

  2010cited by this paper
• Arthroplasty registers: A review of international experiences

  2009cited by this paper
• PRESIDENTIAL GUEST ADDRESS: The Swedish Hip Registry: Increasing the Sensitivity by Patient Outcome Data

  2005cited by this paper
• The Swedish Knee Arthroplasty Register 1975-1997: An update with special emphasis on 41,223 knees operated on in 1988-1997

  2001cited by this paper
• The Finnish Arthroplasty Register: Report of the hip register

  2001cited by this paper
• The Norwegian Arthroplasty Register: 11 years and 73,000 arthroplasties

  2000cited by this paper
• Long-term registration has improved the quality of hip replacement: A review of the Swedish THR Register comparing 160,000 cases

  2000cited by this paper

• Gaps in the evidence underpinning high-risk medical devices in Europe at market entry, and potential solutions

  2023cites this paper