Avtor/Urednik		Silvester, Tomaž; Milošev, Ingrid; Levašič, Vesna
Naslov		Pomen uvedbe registra totalne endoprotetike v Sloveniji (RETEPS)
Prevedeni naslov		Importance of foundation of the national total joint arthroplasty registry
Tip		članek
Vir		Zdrav Vestn
Vol. in št.		Letnik 73, št. 6
Leto izdaje		2004
Obseg		str. 489-92
Jezik		slo
Abstrakt		Background. Total arthroplasty is one of the most interesting and fast developing fields in orthopaedic surgery. Practicaly every joint in the human body is involved with total hip arthroplasties being the most frequent and with the longest history. The major complication of total arthroplasty is aseptic loosening of one or hoth prosthetic components. Revision procedures are very difficult due to changed anatomical situation and the results are worse than after primary operations. With the growing number of total arthroplasties there is also an increase in revision procedures. Conclusions. Information on long-term results and survival of different types of prosthesis is invaluable for both patients and surgeons. The purpose of the National Registry is to provide treatment outcome information concerning the choice of prosthesis and the optimal surgical technique in individual cases. Special emphasis is to be paid on identifying risk factors for poor outcomes related to a patient, the implant and the surgicad technique. Sharing this information within the profession shall cause individuals to act according to the good example. Treatment results will be improved, patients satisfaction will be considerable and the economic impact on the whole society is considerable.
Izvleček		Izhodišča. Vstavitev umetnega sklepa ali totalna artroplastika je v ortopediji trenutno med najbolj zanimivimi in hitro razvijajočimi se področji. Najpogostejše in najstarejše so totalne artroplastike kolka. Življenjsko dobo umetnega kolčnega sklepa najpogosteje omeji proces aseptičnega omajanja ene ali obeh delov proteze, kar zahteva njeno zamenjavo. Zaradi spremenjenih anatomskih razmer so revizijski posegi zelo zahtevni, rezultati pa so slabši kot pri primarnih operacijah. Z naraščanjem števila primarnih operacij narašča tudi število revizijskih posegov. Zaključki. Podatki o dolgoročnih rezultatih delovanja in življenjski dobi posameznih vrst ortopedskih protez so neprecenljivi, tako za bolnike kot tudi za kirurge. Žal tovrstnih podatkov ni veliko. Register umetnih sklepov (totalnih endoprotez, TEP) je učinkovit vir informacij, potrebnih za bolj z dejstvi podprto obravnavo vstavitev totalnih artroplastik. Namen tovrstnega registra je zagotoviti sodelujočim informacijo o rezultatih zdravljenja in tako omogočiti ustrezen izbor proteze in optimalno tehniko pri posameznih primerih.
Deskriptorji		JOINT PROSTHESIS ARTHROPLASTY REGISTRIES SLOVENIA HIP PROSTHESIS PROSTHESIS FAILURE REOPERATION