ArticleScientific reports2021
A retrospective analysis of trends in primary knee arthroplasty in Germany from 2008 to 2018.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Rehabilitation during early postoperative period following total knee arthroplasty using single-joint hybrid assistive limb as new therapy device: a randomized, controlled clinical pilot study.Archives of orthopaedic and trauma surgery · 2022Trial
- Epidemiology and healthcare burden of implant-associated complications in Germany: a nationwide population-based analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Inpatient Recovery of Function After Knee Replacement: A Longitudinal Evaluation Across Four Sequential Care Pathway Redesigns.Learning health systems · 2026Article
- Lower re-revision rates after UKA-to-TKA than UKA-to-UKA revision for failed medial unicompartmental knee arthroplasty at mid-term follow-up.Journal of experimental orthopaedics · 2026Article
- Factors Associated With Concurrent Benzodiazepine and Opioid Use Following Total Hip and Knee Arthroplasty: A Nationwide Cohort Study.Pharmacoepidemiology and drug safety · 2026Article
- Observational
- Global Trends in Joint Arthroplasty: A Systematic Review and Future Projections.Journal of clinical medicine · 2025Review
- 10-year trends in benzodiazepine, opioid, and concurrent use in hip and knee arthroplasty: a nationwide cohort study from the Netherlands.Acta orthopaedica · 2025Article
- Revision of medial unicompartmental knee arthroplasty-Not as uncomplicated as one thought? Analysis of survival and re-revisions from a single centre.Journal of experimental orthopaedics · 2025Article
- Incidence rate of total knee arthroplasties in eleven European countries: Do they reach a plateau?PloS one · 2025Article
- Subcuticular suture achieves better esthetics, healing, and similar functional outcomes following unicompartmental knee arthroplasty: a single center retrospective comparative study.Frontiers in medicine · 2025Article
- High expression of transcription factor EGR1 is associated with postoperative muscle atrophy in patients with knee osteoarthritis undergoing total knee arthroplasty.Journal of orthopaedic surgery and research · 2024Article
- The COVID-19 pandemic caused gender-specific declines in knee surgery rates in Sweden from 2020 to 2021.Journal of experimental orthopaedics · 2024Article
- [Unicondylar knee arthroplasties demonstrate a significantly increased risk of aseptic revisions compared with unconstrained and constrained TKA : Analysis of aseptic revisions after unicondylar and primary total knee arthroplasty of the German Arthroplasty Register].Orthopadie (Heidelberg, Germany) · 2024Article
- The reimbursement system can influence the treatment choice and favor joint replacement versus other less invasive solutions in patients affected by osteoarthritis.Journal of experimental orthopaedics · 2023Article
- Revision arthroplasty after unicompartimental knee arthroplasty.Journal of orthopaedic surgery and research · 2021Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Unicompartimental and total knee arthroplasty is one of the most successful and most performed operations worldwide. In the last years the number of primary knee arthroplasty increased constantly. The aim of this study is to analyze the rising numbers of primary knee arthroplasty and to see how it is used in Germany. In this retrospective study data, provided by the Federal Statistical Office of Germany from 2008 to 2018 was analyzed, using operation codes from the German procedure classification system and characteristics like age, sex and type of the prosthesis. We found a slight increase of unicompartimental and total knee arthroplasty over the investigated 10 years from 150.504 in 2008 up to 168.479 procedures in 2018, with a maximum of 169.334 in 2017. Most patients were female and over 65 years old. Interestingly, there was an obvious decrease of regular TKA in the year 2013, with a relevant impact on the total number of procedures. In the following years the number rised again reaching the former level in 2015 and is still increasing. The highest increase was found in partial knee arthroplasty, with a constant rise every year, starting with 7988 in 2008 up to 21.072 in 2018. In contrast, we found a relevant reduction of constrained prosthesis in primary TKA, whereas the number of semi-constrained prosthesis in primary TKA is again rising after a decrease in 2015. We found that the number of bicondylar TKA and especially UKA increased from 2008 to 2018. Regarding an aging population, we can expect a rising number for Primary knee arthroplasty and in consequence a rising number of revision arthroplasty in the future. This will be a challenging cost factor for the healthcare system in Germany.
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