• J Arthroplasty · Jun 2013

    Implant use for primary hip and knee arthroplasty: are we getting it right first time?

    • Stephen Ng Man Sun, Elizabeth Gillott, Jagmeet Bhamra, and Tim Briggs.
    • Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, HA7 4LP.
    • J Arthroplasty. 2013 Jun 1;28(6):908-12.

    AbstractImplants used for hip and knee arthroplasties have recently come under increased scrutiny. In England, a large variety of prostheses are currently being used. With the need for savings within the NHS of up to £20 billion over the next five years, we should be 'getting it right first time' by using the most reliable implants with proven survivorship. The 8th Annual Report from the NJR (2011) reporting on prostheses used in 2010 was analysed to determine whether implants had published survivorship data. This study demonstrates that the majority of implants did have long-term results but a small percentage had no published data. The cost of these implants was calculated to see if the implants provided best value for money based on survivorship. Implant choice was also correlated to revision rates published in the NJR report (2011) to help determine whether their continued use was justified.Copyright © 2013 Elsevier Inc. All rights reserved.

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