Epidemiology of Hip And Knee Arthroplasty and Periprosthetic Joint Infection in Russian Federation

Abstract

Background. Since there is no national arthroplasty registry in the Russian Federation, the exact number of arthroplasty operations performed is unknown. Aim of the study — to evaluate the epidemiology of primary, revision hip and knee arthroplasty and periprosthetic joint infection in Russian Federation. Materials and Methods. The inquires were made to 85 subjects, 73 federal state budget institutions and 30 private hospitals. Results. Answers were received from 76 subjects of Russian Federation, 41 federal and 18 private hospitals. The studied indicators revealed to be pretty much heterogenic. The decrease of operations number from 20% to 40% in subjects of Russian Federation due to SARS-CoV-2 pandemic forced us to make no analysis for these 2020 indicators in Russian Federation generally. 147 061 primary hip and knee arthroplasties were performed in 2019 in Russian Federaion. 7 770 revison hip and knee arthroplasties were done. 6 606 cases of severe orthopaedic implant-assosiated infection were cured including 4 282 cases post hip and knee arthroplasties that constitutes 2,91 % from primary arthroplasties. Conclusions. The frequency of periprosthetic joint infection in Russian Federation correlates to the world data. High complexity for patients routing with implant-assosiated infection and strong demand for Federal Center of implant-assosiated orthopaedic infection are revealed.

Keywords

primary artroplasty / revision arthroplasty / periprosthetic joint infection / patient routing

References

[1] Ferguson R.J., Palmer A.J., Taylor A., Porter M.L., Malchau H., Glyn-Jones S. Hip replacement. Lancet. 2018;392(10158):1662-1671. doi: 10.1016/S0140-6736(18)31777-X.

[2] Tan Z., Cao G., Wang G., Zhou Z., Pei F. Total hospital cost, length of stay, and complications between simultaneous and staged bilateral total hip arthroplasty: A nationwide retrospective cohort study in China. Medicine (Baltimore). 2019;98(11):e14687. doi: 10.1097/MD.0000000000014687.

[3] Sloan M., Premkumar A., Sheth N.P. Projected Volume of Primary Total Joint Arthroplasty in the U.S., 2014 to 2030. J Bone Joint Surg Am. 2018;100(17):1455-1460. doi: 10.2106/JBJS.17.01617.

[4] Sloan M., Premkumar A., Sheth N.P. Future Demand for Total Joint Arthroplasty Drives Renewed Interest in Arthroplasty Fellowship. HSS J. 2020;16(Suppl 2):210-215. doi: 10.1007/s11420-019-09678-y.

[5] Patel A., Pavlou G., Mújica-Mota R.E., Toms A.D. The epidemiology of revision total knee and hip arthroplasty in England and Wales: a comparative analysis with projections for the United States. A study using the National Joint Registry dataset. Bone Joint J. 2015;97-B(8):1076-1081. doi: 10.1302/0301-620X.97B8.35170.

[6] Pilz V., Hanstein T., Skripitz R. Projections of primary hip arthroplasty in Germany until 2040. Acta Orthop. 2018;89(3):308-313. doi: 10.1080/17453674.2018.1446463.

[7] Травматизм, ортопедическая заболеваемость, состояние травматолого-ортопедической помощи населению России в 2018 году. Москва : ЦИТО, 2019. [Trauma cases, orthopadic morbidity, state of trauma and orthopaedic assistance service for population of Russian Federation in 2018]. Mosсow : CITO, 2019.

[8] Schwartz A.M., Farley K.X., Guild G.N., Bradbury T.L. Jr. Projections and Epidemiology of Revision Hip and Knee Arthroplasty in the United States to 2030. J Arthroplasty. 2020;35(6S):S79-S85. doi: 10.1016/j.arth.2020.02.030.

[9] Шубняков И.И., Тихилов Р.М., Денисов А.О., Ахмедилов М.А. и др. Что изменилось в структуре ревизионного эндопротезирования тазобедренного сустава в последние годы? Травматология и ортопедия России. 2019;25(4):9-27. doi:10.21823/2311-2905-2019-25-4-9-27. Shubnyakov I.I., Tikhilov R.M., Denisov A.O., Akhmedilov M.A., Cherny A.Z. et al. [What Has Changed in the Structure of Revision Hip Arthroplasty?] Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia]. 2019;25(4):9-27. (In Russian). doi:10.21823/2311-2905-2019-25-4-9-27.

[10] Bozic K.J., Kamath A.F., Ong K., Lau E., Kurtz S., Chan V. et al. Comparative Epidemiology of Revision Arthroplasty: Failed THA Poses Greater Clinical and Economic Burdens Than Failed TKA. Clin Orthop Relat Res. 2015;473(6):2131-2138. doi: 10.1007/s11999-014-4078-8.

[11] Мурылев В. Ю., Холодаев М. Ю., Рукин Я. А., Лычагин А.В., Карпов В.В., Римашевский Д.В., Елизаров П.М. Применение спейсеров для лечения глубокой перипротезной инфекции тазобедренного и коленного суставов. Вестник травматологии и ортопедии им. Н.Н. Приорова. 2013;20(3):18-24. doi: 10.17816/vto201320318-24. Murylyov V.Y., Kholodaev M.Y., Rukin Y.A., et al. [Use of Spacers for the Treatment of Deep Periprosthetic Infection of Hip and Knee Joints]. Vestnik travmatologii i ortopedii im. N.N. Priorova [ N.N. Priorov Journal of Traumatology and Orthopedics]. 2013;20(3):18-24. (In Russian). doi: 10.17816/vto201320318-24.

[12] Ермаков А.М., Клюшин Н.М., Абабков Ю.В., Тряпичников А.,С., Коюшков А.Н. Оценка эффективности двухэтапного хирургического лечения больных с перипротезной инфекцией коленного и тазобедренного суставов. Гений ортопедии. 2018;24(3):321-326. doi: 10.18019/1028-4427-2018-24-3-321-326. Ermakov A.M., Kliushin N.M., Ababkov Iu.V., Triapichnikov A.S., Koiushkov A.N. [Efficiency of two-stage revision arthroplasty in management of periprosthetic knee and hip joint infection] Genij Ortopedii. 2018;24(3):321-326. (In Russian). doi: 10.18019/1028-4427-2018-24-3-321-326

[13] Klouche S., Sariali E., Mamoudy P. Total hip arthroplasty revision due to infection: a cost analysis approach. Orthop Traumatol Surg Res. 2010;96(2):124-132. doi: 10.1016/j.rcot.2010.02.005.

[14] Shohat N., Goswami K., Tan T.L., Yayac M., Soriano A., Sousa R. et al. ESCMID Study Group of Implant Associated Infections (ESGIAI) and the Northern Infection Network of Joint Arthroplasty (NINJA). 2020 Frank Stinchfield Award: Identifying who will fail following irrigation and debridement for prosthetic joint infection. Bone Joint J. 2020;102-B(7_Supple_B):11-19. doi: 10.1302/0301-620X.102B7.BJJ-2019-1628.R1.

[15] Середа А.П., Богдан В.Н., Андрианова М.А., Беренштейн М. Лечение перипротезной инфекции: где и кто? Травматология и ортопедия России. 2019;25(4):33-55. doi: 10.21823/2311-2905-2019-25-4-33-55. Sereda A.P., Bogdan V.N., Andrianova M.A., Berenstein M. [Treatment of Periprosthetic Infection: Where and Who?] Travmatologiya i ortopediya Rossii [Traumatology and Orthopedics of Russia] 2019;25(4):33-55. (In Russian). doi: 10.21823/2311-2905-2019-25-4-33-55.

[16] Vuorinen M., Mäkinen T., Rantasalo M., Huotari K. Effect of a multidisciplinary team on the treatment of hip and knee prosthetic joint infections: a single-centre study of 154 infections. Infect Dis (Lond). 2021;53(9):700-706. doi: 10.1080/23744235.2021.1925341.

[17] Carlson V.R., Dekeyser G.J., Certain L., Pupaibool J., Gililland J.M., Anderson L.A. Сlinical experience with a coordinated multidisciplinary approach to treating prosthetic joint infection. Arthroplast Today. 2020;6(3):360-362. doi: 10.1016/j.artd.2020.05.003.

RIGHTS & PERMISSIONS

Sereda A.P., Kochish A.A., Cherny A.A., Antipov A.P., Aliev A.G., Veber E.V., Vorontsova T.N., Bozhkova S.A., Shubnyakov I.I., Tikhilov R.M.