Hip and Knee Arthroplasty - Surface Hippy Guide to Hip Resurfacing

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Figure HG3: Trends in Usage of Hip Replacement by State/Territory and Year 100% 80% 60% 40% 20% 0% 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 2003 2004 2005 2006 2007 AUST NSW VIC QLD WA SA TAS ACT/NT Partial Hips Total Hips Revision Hips Table HG3: Time between Procedures for Bilateral Primary Hip Replacement Bilateral Procedures Same Day 1day-6months ≥6months Total N % N % N % N % Both Conventional Total 618 3.8 3437 21.3 9383 58.2 13438 83.4 Both Total Resurfacing 231 1.4 279 1.7 760 4.7 1270 7.9 Both Partial 13 0.1 278 1.7 566 3.5 857 5.3 Total/ Partial 2 0.0 45 0.3 232 1.4 279 1.7 Conventional Total/Other Total 7 0.0 17 0.1 227 1.4 251 1.6 Both Thrust Plate 1 0.0 8 0.0 18 0.1 27 0.2 Total 872 5.4 4064 25.2 11186 69.4 16122 100.0 Note: ‘Other Total’ includes total resurfacing and thrust plate hip replacement. ‘Partial’ includes partial resurfacing, unipolar monoblock, unipolar modular and bipolar. ‘Total’ includes conventional total and total resurfacing. 20
Table HG4: Primary Hip Replacement requiring Revision Type of Hip Replacement Number Revised Total Number Observed Component Years Revisions per 100 Observed Component Years Exact 95% CI Partial Hip 970 32092 66115 1.5 (1.38, 1.56) Unipolar Monoblock 580 16503 32729 1.8 (1.63, 1.92) Unipolar Modular 168 7404 12742 1.3 (1.13, 1.53) Bipolar 222 8177 20631 1.1 (0.94, 1.23) Partial Resurfacing 0 8 12 0.0 (0.00, 30.76) Conventional Total 3145 125004 388461 0.8 (0.78, 0.84) Cemented 380 15864 57336 0.7 (0.60, 0.73) Cementless 1779 66736 195750 0.9 (0.87, 0.95) Hybrid 986 42404 135374 0.7 (0.68, 0.78) Total Resurfacing 340 10623 32455 1.0 (0.94, 1.17) Thrust Plate 4 172 672 0.6 (0.16, 1.52) Total 4459 167891 487703 0.9 (0.89, 0.94) Table HG5: Yearly Cumulative Percent Revision of Primary Hip Replacement CPR 1 Yr 2 Yrs 3 Yrs 5 Yrs 7 Yrs Partial Hip 2.4 (2.3, 2.6) 3.5 (3.3, 3.7) 4.1 (3.8, 4.4) 5.2 (4.8, 5.6) 5.9 (5.4, 6.4) Unipolar Monoblock 3.0 (2.7, 3.3) 4.3 (3.9, 4.7) 5.0 (4.6, 5.5) 6.2 (5.6, 6.8) 6.8 (6.0, 7.6) Unipolar Modular 1.7 (1.4, 2.1) 2.7 (2.3, 3.2) 3.3 (2.7, 3.9) 5.0 (4.1, 6.2) 6.8 (5.2, 8.9) Bipolar 2.1 (1.8, 2.4) 2.8 (2.4, 3.3) 3.1 (2.7, 3.6) 4.0 (3.4, 4.6) 4.2 (3.6, 4.9) Partial Resurfacing 0 Conventional Total 1.5 (1.4, 1.6) 2.1 (2.0, 2.2) 2.5 (2.5, 2.6) 3.4 (3.2, 3.5) 4.2 (4.0, 4.4) Cemented 1.1 (1.0, 1.3) 1.6 (1.4, 1.9) 2.1 (1.9, 2.4) 3.1 (2.8, 3.5) 3.8 (3.3, 4.3) Cementless 1.7 (1.6, 1.8) 2.3 (2.2, 2.5) 2.8 (2.7, 3.0) 3.6 (3.4, 3.8) 4.4 (4.1, 4.8) Hybrid 1.4 (1.3, 1.5) 1.9 (1.8, 2.0) 2.3 (2.1, 2.5) 3.1 (2.9, 3.3) 3.9 (3.6, 4.2) Total Resurfacing 1.9 (1.7, 2.2) 2.6 (2.3, 2.9) 3.1 (2.8, 3.5) 4.4 (3.9, 5.0) 5.4 (4.6, 6.2) Thrust Plate 1.2 (0.3, 4.7) 1.2 (0.3, 4.7) 1.9 (0.6, 6.0) 3.0 (1.1, 7.9) 3.0 (1.1, 7.9) Note: Cumulative Percent Revision equal to zero indicates that the procedure type has been followed up to this time with no revisions recorded. 21
Page 1 and 2: Hip and Knee Arthroplasty ANNUAL RE
Page 3: Australian Orthopaedic Association
Page 6 and 7: PRIMARY PARTIAL KNEE REPLACEMENT...
Page 8 and 9: PRIMARY TOTAL HIP REPLACEMENT......
Page 10 and 11: PRIMARY TOTAL KNEE REPLACEMENT ....
Page 12 and 13: viii
Page 14 and 15: RIMARY TOTAL RESURFACING HIP REPLAC
Page 17 and 18: EXECUTIVE SUMMARY This executive su
Page 19 and 20: INTRODUCTION This is the eighth Ann
Page 21 and 22: supply aggregate data and negotiati
Page 23 and 24: PARTICIPATING HOSPITALS & COORDINAT
Page 25 and 26: VICTORIA PUBLIC HOSPITALS Austin He
Page 27 and 28: QUEENSLAND PUBLIC HOSPITALS Bundabe
Page 29 and 30: WESTERN AUSTRALIA PUBLIC HOSPITALS
Page 31 and 32: HIP REPLACEMENT GENERAL INTRODUCTIO
Page 33 and 34: difference is also evident when com
Page 35: Table HG2: Number of Hip Replacemen
Page 39 and 40: Table HG8: Primary Total Resurfacin
Page 41 and 42: The use of monoblock prostheses in
Page 43 and 44: PRIMARY PARTIAL HIP REPLACEMENT 1/9
Page 45 and 46: Table HP2: 10 Most Common Unipolar
Page 47 and 48: Table HP4: 10 Most Common Bipolar H
Page 49 and 50: Table HP6: Primary Partial Hip Repl
Page 51 and 52: Table HP14: Primary Partial Hip Rep
Page 53 and 54: Table HP15: Primary Unipolar Monobl
Page 55 and 56: Table HP19: Primary Bipolar Hip Rep
Page 57 and 58: Table HP24: Primary Unipolar Monobl
Page 61 and 62: Table HP32: Primary Unipolar Modula
Page 65 and 66: Primary Unipolar Modular Hip Replac
Page 67 and 68: Primary Bipolar Hip Replacement Pro
Page 69 and 70: PRIMARY TOTAL HIP REPLACEMENT The a
Page 71 and 72: Effect of Bearing Surface For the f
Page 73 and 74: since 2004. The three total resurfa
Page 75 and 76: combination has been used in 1,649
Page 77 and 78: Table HT2: Primary Conventional Tot
Page 79 and 80: Table HT6: 10 Most Common Femoral C
Page 81 and 82: Table HT8: 10 Most Common Femoral C
Page 83 and 84: Table HT10: 10 Most Common Acetabul
Page 85 and 86: Table HT12: 10 Most Common Primary
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Primary Conventional Total Hip Repl
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Table HT19: Primary Conventional To
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Figure HT18: Cumulative Percent Rev
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Primary Total Resurfacing Hip Repla
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Table HT39: Primary Total Resurfaci
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Table HT48: Yearly Cumulative Perce
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Figure HT34-43: Cumulative Percent
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Primary Total Resurfacing Hip Repla
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REVISION HIP REPLACEMENT This repor
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REVISION HIP REPLACEMENT 1/9/1999 -
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‘Revision of Known Primary’ Hip
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Table HR10: Outcomes of ‘Revision
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knee increased from 29.4% in 2003 t
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Table KG2: Number of Knee Replaceme
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Table KG4: Primary Knee Replacement
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PRIMARY PARTIAL KNEE REPLACEMENT Th
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Effect of Age and Gender The risk o
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Primary Partial Resurfacing Knee Re
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Table KP6: Primary Patella/Trochlea
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Table KP12: Primary Unicompartmenta
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Primary Patella/Trochlear Knee Repl
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Figure KP11-14: Cumulative Percent
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decrease in use and now accounts fo
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as having a higher than anticipated
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Table KT2: 10 Most Common Femoral C
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Table KT4: 10 Most Common Femoral C
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Figure KT5: Trends in Prosthesis Fi
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Table KT10: Primary Total Knee Repl
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Figure KT10: Primary Total Knee Rep
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Table KT23: Yearly Cumulative Perce
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Table KT30: Primary Unicompartmenta
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Figure KT24-KT33: Cumulative Percen
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REVISION KNEE REPLACEMENT This repo
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p
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Figure KR1: Trends in Usage for Rev
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‘Revision of Known Primary’ Kne
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Table KR10: Outcome of ‘Revision
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Table KR14: Outcome of ‘Revision
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CEMENT IN HIP AND KNEE REPLACEMENT
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CEMENT IN HIP AND KNEE REPLACEMENT
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Table C3: Top 10 Cements used in Re
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Table C7: Yearly Cumulative Percent
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Table C11: Yearly Cumulative Percen
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MORTALITY FOLLOWING PRIMARY HIP AND
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Table M5: Mortality following Prima
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Appendices APPENDIX 1 Glossary of S
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APPENDIX 2 Patient Consent and Conf
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INTRODUCTION - about the Registry A
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APPENDIX 5 ICD-10-AM Codes PRIMARY
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Hip and Knee Arthroplasty - Surface Hippy Guide to Hip Resurfacing

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