Trends in arthrodeses and total joint replacements in Foot and Ankle surgery in Germany during the past decade-Back to the fusion?
Epidemiology
Foot and Ankle
Fusion
Incidence
TAR
Journal
Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
09
02
2020
revised:
13
04
2020
accepted:
20
05
2020
pubmed:
17
6
2020
medline:
24
6
2021
entrez:
17
6
2020
Statut:
ppublish
Résumé
The goal of this study was to analyze trends in Foot and Ankle surgery in Germany during the past ten years. Data of the German Federal Statistical Office from 2008 until 2018 were screened. We focused on the analysis of fusions and total joint replacements. The total amount of the surgeries increased (+39.5%). Especially fusions like arthrodesis of the ankle (+31%) and of the MTP-1 joint (+77%) were on the rise. In 2017 60% of ankle arthrodesis were conducted in men, while 69% of MTP-1 arthrodesis were performed in women. The amount of joint replacements showed a decline during the last decade, in TAR (-39%) and in the MTP-1 (-48%). Regarding the patients age while undergoing a TAR, we observed a shift of the peak age group from 65 to 70 years in 2008 towards 55-60 years in 2017. Our study represents actual health care reality in Germany and shows a constant increase of ankle arthritis surgeries in the last decade, while there was a massive shift regarding the ratio of TAR in favour of fusion procedures.
Sections du résumé
BACKGROUND
BACKGROUND
The goal of this study was to analyze trends in Foot and Ankle surgery in Germany during the past ten years.
METHODS
METHODS
Data of the German Federal Statistical Office from 2008 until 2018 were screened. We focused on the analysis of fusions and total joint replacements.
RESULTS
RESULTS
The total amount of the surgeries increased (+39.5%). Especially fusions like arthrodesis of the ankle (+31%) and of the MTP-1 joint (+77%) were on the rise. In 2017 60% of ankle arthrodesis were conducted in men, while 69% of MTP-1 arthrodesis were performed in women. The amount of joint replacements showed a decline during the last decade, in TAR (-39%) and in the MTP-1 (-48%). Regarding the patients age while undergoing a TAR, we observed a shift of the peak age group from 65 to 70 years in 2008 towards 55-60 years in 2017.
CONCLUSION
CONCLUSIONS
Our study represents actual health care reality in Germany and shows a constant increase of ankle arthritis surgeries in the last decade, while there was a massive shift regarding the ratio of TAR in favour of fusion procedures.
Identifiants
pubmed: 32540176
pii: S1268-7731(20)30102-8
doi: 10.1016/j.fas.2020.05.008
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
301-304Informations de copyright
Copyright © 2020 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.