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Published, Version of Record (VoR)CC BY-NC V4.0, Open
Journal article
The epidemiology of revision total knee arthroplasty in the United States
Clinical orthopaedics and related research, v 468(1), pp 45-51
Jan 2010
PMID: 19554385
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Understanding the cause of failure and type of revision total knee arthroplasty (TKA) procedures performed in the United States is essential in guiding research, implant design, and clinical decision making in TKA. We assessed the causes of failure and specific types of revision TKA procedures performed in the United States using newly implemented ICD-9-CM diagnosis and procedure codes related to revision TKA data from the Nationwide Inpatient Sample (NIS) database. Clinical, demographic, and economic data were reviewed and analyzed from 60,355 revision TKA procedures performed in the United States between October 1, 2005 and December 31, 2006. The most common causes of revision TKA were infection (25.2%) and implant loosening (16.1%), and the most common type of revision TKA procedure reported was all component revision (35.2%). Revision TKA procedures were most commonly performed in large, urban, nonteaching hospitals in Medicare patients ages 65 to 74. The average length of hospital stay (LOS) for all revision TKA procedures was 5.1 days, and the average total charges were $49,360. However, average LOS, average charges, and procedure frequencies varied considerably by census region, hospital type, and procedure performed.
Level II, economic and decision analysis. See Guidelines for Authors for a complete description of levels of evidence.
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Details
- Title
- The epidemiology of revision total knee arthroplasty in the United States
- Creators
- Kevin J Bozic - University of California, San FranciscoSteven M Kurtz - Exponent (United States)Edmund Lau - ExponentKevin Ong - Exponent (United States)Vanessa Chiu - University of California, San FranciscoThomas P Vail - University of California, San FranciscoHarry E Rubash - Massachusetts General HospitalDaniel J Berry - Mayo Clinic
- Publication Details
- Clinical orthopaedics and related research, v 468(1), pp 45-51
- Publisher
- Springer Nature
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- School of Biomedical Engineering, Science, and Health Systems
- Web of Science ID
- WOS:000274767200008
- Scopus ID
- 2-s2.0-73449108398
- Other Identifier
- 991019189206304721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Orthopedics
- Surgery