Cargando…

Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?

Objectives: The purpose of this study is to evaluate Italian surgeons’ behavior during knee arthroplasty. Materials and Methods: All orthopedic surgeons who specialized in knee replacement surgeries and were members of the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopedic Technol...

Descripción completa

Detalles Bibliográficos
Autores principales: Moretti, Lorenzo, Coviello, Michele, Rosso, Federica, Calafiore, Giuseppe, Monaco, Edoardo, Berruto, Massimo, Solarino, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504315/
https://www.ncbi.nlm.nih.gov/pubmed/36143840
http://dx.doi.org/10.3390/medicina58091164
_version_ 1784796184822415360
author Moretti, Lorenzo
Coviello, Michele
Rosso, Federica
Calafiore, Giuseppe
Monaco, Edoardo
Berruto, Massimo
Solarino, Giuseppe
author_facet Moretti, Lorenzo
Coviello, Michele
Rosso, Federica
Calafiore, Giuseppe
Monaco, Edoardo
Berruto, Massimo
Solarino, Giuseppe
author_sort Moretti, Lorenzo
collection PubMed
description Objectives: The purpose of this study is to evaluate Italian surgeons’ behavior during knee arthroplasty. Materials and Methods: All orthopedic surgeons who specialized in knee replacement surgeries and were members of the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopedic Technologies (SIGASCOT) between January 2019 and August 2019 were asked to complete a survey on the management of knee arthroplasty. Data were collected, analyzed, and presented as frequencies and percentages. Results: One-hundred and seventy-seven surgeons completed the survey and were included in the study. Ninety-five (53.7%) surgeons were under 40 years of age. Eighty-five surgeons (48%) worked in public hospitals and 112 (63.3%) were considered “high volume surgeons”, with more than 100 knee implants per year. Postero-stabilized total knee arthroplasty was the most commonly used, implanted with a fully cemented technique by 162 (91.5%) surgeons. Unicompartmental knee arthroplasty (UKA) was a rarer procedure compared to TKA, with 77% of surgeons performing less than 30% of UKAs. Most common TKA pre-operative radiological planning included complete antero-posterior (AP) weight-bearing lower limb radiographs, lateral view and patellofemoral view (used by 91%, 98.9% and 70.6% of surgeons, respectively). Pre-operative UKA radiological images included Rosenberg or Schuss views, patellofemoral view and magnetic resonance imaging (66.1%, 71.8% and 46.3% of surgeons, respectively). One hundred and thirty-two surgeons (74.6%) included an AP weight-bearing lower limb X-ray one year after surgery in the post-operative radiological follow-up. Furthermore, 119 surgeons (67.2%) did not perform a post-operative patellofemoral view because it was not considered useful for radiological follow-up. There was no uniformity in the timing and features of post-operative follow-up, with 13 different combinations. Conclusions: Italian surgeons perform TKA more commonly than UKA. Pre-operative TKA planning is quite uniform rather than UKA planning. Despite literature evidence, there is no agreement on follow-up. It may be useful to create a uniform checklist, including correct timing and exams needed. This analysis is also part of a society surgical educational project for training doctor.
format Online
Article
Text
id pubmed-9504315
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-95043152022-09-24 Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected? Moretti, Lorenzo Coviello, Michele Rosso, Federica Calafiore, Giuseppe Monaco, Edoardo Berruto, Massimo Solarino, Giuseppe Medicina (Kaunas) Article Objectives: The purpose of this study is to evaluate Italian surgeons’ behavior during knee arthroplasty. Materials and Methods: All orthopedic surgeons who specialized in knee replacement surgeries and were members of the Italian Society of Knee, Arthroscopy, Sport, Cartilage and Orthopedic Technologies (SIGASCOT) between January 2019 and August 2019 were asked to complete a survey on the management of knee arthroplasty. Data were collected, analyzed, and presented as frequencies and percentages. Results: One-hundred and seventy-seven surgeons completed the survey and were included in the study. Ninety-five (53.7%) surgeons were under 40 years of age. Eighty-five surgeons (48%) worked in public hospitals and 112 (63.3%) were considered “high volume surgeons”, with more than 100 knee implants per year. Postero-stabilized total knee arthroplasty was the most commonly used, implanted with a fully cemented technique by 162 (91.5%) surgeons. Unicompartmental knee arthroplasty (UKA) was a rarer procedure compared to TKA, with 77% of surgeons performing less than 30% of UKAs. Most common TKA pre-operative radiological planning included complete antero-posterior (AP) weight-bearing lower limb radiographs, lateral view and patellofemoral view (used by 91%, 98.9% and 70.6% of surgeons, respectively). Pre-operative UKA radiological images included Rosenberg or Schuss views, patellofemoral view and magnetic resonance imaging (66.1%, 71.8% and 46.3% of surgeons, respectively). One hundred and thirty-two surgeons (74.6%) included an AP weight-bearing lower limb X-ray one year after surgery in the post-operative radiological follow-up. Furthermore, 119 surgeons (67.2%) did not perform a post-operative patellofemoral view because it was not considered useful for radiological follow-up. There was no uniformity in the timing and features of post-operative follow-up, with 13 different combinations. Conclusions: Italian surgeons perform TKA more commonly than UKA. Pre-operative TKA planning is quite uniform rather than UKA planning. Despite literature evidence, there is no agreement on follow-up. It may be useful to create a uniform checklist, including correct timing and exams needed. This analysis is also part of a society surgical educational project for training doctor. MDPI 2022-08-26 /pmc/articles/PMC9504315/ /pubmed/36143840 http://dx.doi.org/10.3390/medicina58091164 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Moretti, Lorenzo
Coviello, Michele
Rosso, Federica
Calafiore, Giuseppe
Monaco, Edoardo
Berruto, Massimo
Solarino, Giuseppe
Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title_full Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title_fullStr Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title_full_unstemmed Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title_short Current Trends in Knee Arthroplasty: Are Italian Surgeons Doing What Is Expected?
title_sort current trends in knee arthroplasty: are italian surgeons doing what is expected?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504315/
https://www.ncbi.nlm.nih.gov/pubmed/36143840
http://dx.doi.org/10.3390/medicina58091164
work_keys_str_mv AT morettilorenzo currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT coviellomichele currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT rossofederica currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT calafioregiuseppe currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT monacoedoardo currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT berrutomassimo currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected
AT solarinogiuseppe currenttrendsinkneearthroplastyareitaliansurgeonsdoingwhatisexpected