The National Arthroplasty Registry Of Slovenia (RES) 1st .
The National ArthroplastyRegistry of Slovenia (RES)1st Annual Report – KneeReplacement(data from 2019)Authors: dr. Vesna Levašič, PhD, MD, Denia Savarin, dr. Simon Kovač, PhD, MDThe National Arthroplasty Registry of Slovenia– RESRegistry Holder: Valdoltra Orthopaedic HospitalNovember 2020
Registry compliance: 100 % of all KneeReplacement in SloveniaDemographic data:Surgery 2019AverageAge( SD)Men (%)Primary TKR70 ( 8)35Primary Partial KR67 ( 9)Revision KR69 ( 10)Women (%)Right (%)Left (%)6554464159465439614951
N of operations per surgeon (primary and revision)Hospital
InfectionOtherAVNNPMenisctearLig tearTraumaRAOATKR by preoperative diagnosesHospital
parapatelarTKA approachHospital
TKA by manufacturers
Primary 2019N N of revision % of revisionTotal kneereplacementPart 1
Primary 2019LIMAPhysica CR-Physica FBcementedPhysica KR-Physica FBcementedPhysica PS-Physica FBcementedMATHYSBalanSys PS-BalanSyscementedSMITH-NEPHEWGenesis II CR Oxinium-Genesis IIcementedGenesis II CR-Genesis IIcementedGenesis II PS-Genesis IIcementedRT-Plus RH-RT-Plus RHcementedUNITED ORTHOPEDIC CORPORATIONU2 PS-U2cementedN 5113311180180180145887979505088111N of revision % of revision21,411111,31,32,02,0Total kneereplacementPart 2
Primary 2019N N of revision % of revisionTotal kneereplacementPart 3
Ligament tearRATraumaOtherAVNMenisc tearPrimary unicndylararthrosisOAUnicondylar KR by preoperative diagnosesHospital
atellarMedialminiinvasiveUnicondylar KR by approachHospital
Primary 2019AMPLITUDEUni Score HA-Uni Score FBhybridUni Score HA-Uni Score HAuncementedUni Score-Uni Score FBcementedreverse hybridATRHROSURFACEHemiCAPcementedPF rd HAcementlessreverse hybridPersona Partial-Persona PartialcementedLIMAPhysica ZUK-Physica ZUKcementedSMITH-NEPHEWJourney Uni Oxinium-Journey UnicementedZIMMERGender PFJcementedPatellofemoralcementedGrand TotalN N of revision % of revision14,5115,35,6Unicondylar kneeprostheses2220,80,80,830,8
PatellectomyReplacementof tibial partReplacementof femoral partArthrodesisOtherReplacementof the linerRemoval ofcomponentsReplacementof wholeprosthPrimary op.Revisons of knee replacements by previousprocedure, sum 221Hospital
DislocationInstability oflateral ligamentsImplant brokenPatellardislocationLiner wearFemoral otal prosthesislooseningPoor ROMInstabilityNPOA of othercompartmentOtherPain2-stage revisionTibial componentremovalEarly infection 3Chronic infection( 3 months)Revision KR by reason for revisionHospital
ision KR by approachHospital
Revision knee prosthesis by manufacturers – femoralparts
Revision knee prosthesis bymanufacturers – tibial parts
% of revision and revision burden in 2019StateSlovenijaN of priamarykneereplacementsRevized kneereplacements#N% and revision burden of allrevisions in 2019 *320023 (0,7%)221 (6,5%)# % of revisions Nº of revisions in this year x 100 / Nº of primaries in the same year* RB (revision burden) Nº of revisions*100/(Nº of primaries Nº of revisions) in %
THANK YOU!Citation:Levašič V, Savarin D, Kovač S. The National Arthroplasty Registry of Slovenia (RES) [Internet].Orthopaedic Hospital Valdoltra. [cited 2020 Dec 28]. Available from: https://www.obvaldoltra.si/sl/international
Unicondylar knee prostheses AMPLITUDE 22 1 4,5 Uni Score HA-Uni Score FB 2 hybrid 2 Uni Score HA-Uni Score HA 1 uncemented 1 Uni Score-Uni Score FB 19 1 5,3 cemented 18 1 5,6 reverse hybrid 1 ATRHROSURFACE 2 HemiCAP 1 cemented 1 PF Wave 1 cemented 1 BIOMET 54 Oxford-Oxford 1 cemented 1 Oxford-Oxford HA 47 cementless 45 reverse hybrid 2 Persona .
May 02, 2018 · D. Program Evaluation ͟The organization has provided a description of the framework for how each program will be evaluated. The framework should include all the elements below: ͟The evaluation methods are cost-effective for the organization ͟Quantitative and qualitative data is being collected (at Basics tier, data collection must have begun)
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Chính Văn.- Còn đức Thế tôn thì tuệ giác cực kỳ trong sạch 8: hiện hành bất nhị 9, đạt đến vô tướng 10, đứng vào chỗ đứng của các đức Thế tôn 11, thể hiện tính bình đẳng của các Ngài, đến chỗ không còn chướng ngại 12, giáo pháp không thể khuynh đảo, tâm thức không bị cản trở, cái được
Knee 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) 27486 Revision of total knee arthroplasty, with or without allograft; 1 component 27487 Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
What will happen if I submit a claim with a procedure code that doesn’t match the code . Knee arthroplasty Unicompartmental/ bicompartmental knee replacement Hip arthroplasty Shoulder arthroplasty Elbow arthroplasty Ankle arthroplasty
Shoulder Arthroplasty Therapy Protocol for Hemiarthroplasty, Total Shoulder Arthroplasty, and Reverse Shoulder Arthroplasty Patient to begin Phase 1 exercises at home daily, 5 times a day on the morning after surgery. Patient will begin an outpatient PT program 12 weeks after surgery. Do not add or skip any part of this program.
New Name Old Name CPT Code Service ARTHROPLASTY, KNEE, BILATERAL, UNICOMPARTMENTAL ARTHROPLASTY UNICOMPARTMENTAL KNEE BILATERAL 27446 Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Orthopedics ARTHROPLASTY