ArticleActa orthopaedica2020
Increases in the rates of primary and revision knee replacement are reducing: a 15-year registry study across 3 continents.
Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 29 citations in OpenAlex.
- Incidence of Total Knee Arthroplasty After Arthroscopic Surgery for Knee Osteoarthritis: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- High early complication risk but low risk of re-revision beyond 5 years following revision knee arthroplasty in the elderly: An analysis of 2833 cases using real-world data from an international database.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- A feasibility and acceptability of virtual reality as a pain relief measure post primary and revision total knee replacement surgery in a hospital setting: quasi-experimental study.BMC musculoskeletal disorders · 2026Article
- Surgical Technique for Imageless Robotic-Assisted Revision Total Knee Arthroplasty.Arthroplasty today · 2025Article
- Biosensor-Integrated Tibial Components in Total Knee Arthroplasty: A Narrative Review of Innovations, Challenges, and Translational Frontiers.Bioengineering (Basel, Switzerland) · 2025Review
- Higher hospital volume reduces early failure rates in single-stage revision TKR for infection: An analysis of the United Kingdom National Joint Registry and National Administrative Databases.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Periprosthetic Joint Infection After Total Knee Arthroplasty With or Without Antibiotic Bone Cement.JAMA network open · 2024Article
- Aseptic midterm survival rates between different cemented tibial stem designs in hinged total knee arthroplasty: a 6-year evaluation from the German Arthroplasty Registry.Archives of orthopaedic and trauma surgery · 2024Article
- Radiolucent line assessment in cemented stemmed total knee (RISK) arthroplasty: validation of a modernized classification system.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Epidemiology of revision hip replacement surgery in the UK over the past 15 years-an analysis from the National Joint Registry.BMJ open · 2023Article
- Does stem profile have an impact on the failure patterns in revision total knee arthroplasty?Archives of orthopaedic and trauma surgery · 2023Article
- Gender related results in total knee arthroplasty: a 15-year evaluation of the Italian population.Archives of orthopaedic and trauma surgery · 2023Article
- Robotic-assisted revision total knee arthroplasty: a novel surgical technique.Arthroplasty (London, England) · 2023Article
- Impact of stem profile on the revisability and the need for osteotomy in well-fixed cemented revision total knee arthroplasty implants.Archives of orthopaedic and trauma surgery · 2023Article
- Impact of Nordic Arthroplasty Register Association (NARA) collaboration on demographics, methods and revision rates in knee arthroplasty: a register-based study from NARA 2000-2017.Acta orthopaedica · 2022Article
- The Hidden Cost of Revision Hip and Knee Arthroplasty.Arthroplasty today · 2022Article
- Variation and trends in reasons for knee replacement revision: a multi-registry study of revision burden.Acta orthopaedica · 2021Article
- Quality of life post total knee arthroplasty: Saudi Arabian experience.Annals of African medicineArticle
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and purpose - Rates of knee replacement (KR) are increasing worldwide. Based on population and practice changes, there are forecasts of a further exponential increase in primary knee replacement through to 2030, and a corresponding increase in revision knee replacement. We used registry data to document changes in KR over the past 15 years, comparing practice changes across Sweden, Australia, and the United States. This may improve accuracy of future predictions.Patients and methods - Aggregated data from the Swedish Knee Arthroplasty Register (SKAR), the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), and the Kaiser Permanente Joint Replacement Registry (KPJRR) were used to compare surgical volume of primary and revision KR from 2003 to 2017. Incidence was calculated using population census statistics from Statistics Sweden and the Australian Bureau of Statistics, as well as the yearly active membership numbers from Kaiser Permanente. Further analysis of KR by age < 65 and ≥ 65 years was carried out.Results - All registries recorded an increase in primary and revision KR, with a greater increase seen in the KPJRR. The rate of increase slowed during the study period. In Sweden and Australia, there was a smaller increase in revision surgery compared with primary procedures. There was consistency in the mean age at surgery, with a steady small decrease in the proportion of women having primary KR. The incidence of KR in the younger age group remained low in all 3 registries, but the proportional increases were greater than those seen in the ≥ 65 years of age group.Interpretation - There has been a generalized deceleration in the rate of increase of primary and revision KR. While there are regional differences in KR incidence, and rates of change, the rate of increase does not seem to be as great as previously predicted.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.