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A Prospective Study of 80,000 Total Joint and 5000 Anterior Cruciate Ligament Reconstruction Procedures in a Community-Based Registry in the United States.

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Presentation on theme: "A Prospective Study of 80,000 Total Joint and 5000 Anterior Cruciate Ligament Reconstruction Procedures in a Community-Based Registry in the United States."— Presentation transcript:

1 A Prospective Study of 80,000 Total Joint and 5000 Anterior Cruciate Ligament Reconstruction Procedures in a Community-Based Registry in the United States by Elizabeth W. Paxton, Robert S. Namba, Gregory B. Maletis, Monti Khatod, Eric J. Yue, Mark Davies, Richard B. Low, Ronald W.B. Wyatt, Maria C.S. Inacio, and T. Ted Funahashi J Bone Joint Surg Am Volume 92(Supplement 2):117-132 December 1, 2010 ©2010 by The Journal of Bone and Joint Surgery, Inc.

2 Total joint replacement registry database structure. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

3 Kaplan-Meier curve showing implant survival after total knee arthroplasty (TKA), according to fixation technique, with revision for aseptic causes as the end point. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

4 Relative risk plot showing the risk factors (and 95% confidence intervals) for aseptic revision after total knee arthroplasty (TKA). Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

5 Kaplan-Meier curve showing implant survival after total hip arthroplasty (THA), according to femoral head size, with revision for aseptic causes as the end point. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

6 Kaplan-Meier curve showing implant survival after total hip arthroplasty (THA), according to insert type, with revision for aseptic causes as the end point. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

7 Fig. 6 Kaplan-Meier curve showing implant survival after total hip arthroplasty (THA), according to fixation technique, with revision for aseptic causes as the end point. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

8 Relative risk plot showing the risk factors (and 95% confidence intervals) for aseptic revision after total hip arthroplasty (THA). Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

9 Graph showing anterior cruciate ligament reconstruction registry validated outcomes, including the rates of revision, reoperation, deep infection, superficial infection, deep-vein thrombosis (DVT), and pulmonary embolism (PE). Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

10 Kaplan-Meier curve showing survival after anterior cruciate ligament reconstruction according to graft type. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

11 Kaplan-Meier curve showing implant survival after total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA), with aseptic revision as the end point. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

12 Graph showing the annual percentage of knee arthroplasties that were unicompartmental. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

13 Graph showing annual percentage of total hip arthroplasties (THA) involving 28-mm femoral head implants. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

14 Graph showing the volume of total knee arthroplasty (TKA) without cement. Elizabeth W. Paxton et al. J Bone Joint Surg Am 2010;92:117-132 ©2010 by The Journal of Bone and Joint Surgery, Inc.

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