ABSTRACT

This study aimed to investigate the rate of increase in primary and revision knee arthroplasty procedures performed in Türkiye between 2013 and 2017, as well as the reasons for undergoing revision arthroplasty. The data include primary arthroplasty of knee and revision arthroplasty of knee procedures performed in public hospitals of Türkiye. This research is a retrospective study covering primary and revision knee arthroplasty procedures between 2013-2017. The data were obtained in Microsoft Excel format and made ready for analysis by making the necessary arrangements in Excel. 2x2 χ² test and independent-sample t-test were used for the comparisons between the two groups. Binary logistic regression analysis was performed to determine the reasons for undergoing a revision procedure. Data analysis was performed using the IBM SPSS Statistics 23 software. A significance level of 0.05 and a confidence interval of 95% were employed in the analyses. A total of 219.607 knee arthroplasty procedures were conducted, comprising 210.519 primary knee arthroplasties and 8939 knee revision arthroplasties, spanning a five-year timeframe. It has been found that revision arthroplasty of the knee is performed nearly 1.5 times more often in males than in females, approximately 1000 times more frequently in patients with mechanical complications of the implant, about 500 times more often in patients with infection complications, roughly 1.3 times more frequently in patients without hypertension, and approximately 4.7 times more often in patients without hip implants. Anticipating the healthcare requirements in the forthcoming years and strategizing the provision of health services stand as crucial concerns within the scope of public health in Türkiye. The execution of projection studies is believed to be advantageous, enhancing the precision of healthcare planning efforts.