Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Mismatch 'never events' in hip and knee arthroplasty: a cohort and intervention study

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Should instrumented spinal fusion in nonambulatory children with neuromuscular scoliosis be extended to L5 or the pelvis?

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Early patient-reported outcomes versus objective function after total hip and knee arthroplasty: a prospective cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Prediction of survival after surgery due to skeletal metastases in the extremities

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Meropenem to Children With Febrile Neutropenia Induces Monoresistant Pseudomonas aeruginosa

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Reference equations for pulmonary diffusing capacity of carbon monoxide and nitric oxide in adult Caucasians

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. An Extended Hypofractionated Palliative Radiotherapy Regimen for Head and Neck Carcinomas

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Importance of Comprehensive Molecular Profiling for Clinical Outcome in Children With Recurrent Cancer

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

Aims The aim of this study was to give estimates of the incidence of component incompatibility in hip and knee arthroplasty and to test the effect of an online, real-time compatibility check. Materials and Methods Intraoperative barcode registration of arthroplasty implants was introduced in Denmark in 2013. We developed a compatibility database and, from May 2017, real-time compatibility checking was implemented and became part of the registration. We defined four classes of component incompatibility: A-I, A-II, B-I, and B-II, depending on an assessment of the level of risk to the patient (A/B), and on whether incompatibility was knowingly accepted (I/II). Results A total of 26 524 arthroplasties were analyzed. From 12 307 procedures that were undertaken before implementation of the compatibility check, 21 class A incompatibilities were identified (real- or high-risk combinations; 0.17%; 95% confidence interval (CI) 0.11 to 0.26). From 5692 hip and 6615 knee procedures prior to implementation of the compatibility check, we found rates of class A-I incompatibility (real- or high-risk combinations unknowingly inserted) of 0.14% (95% CI 0.06 to 0.28) and 0.17% (95% CI 0.08 to 0.30), respectively. From 14 217 procedures after the introduction of compatibility checking (7187 hips and 7030 knees), eight class A incompatibilities (0.06%; 95% CI 0.02 to 0.11) were identified. This difference was statistically significant (p = 0.008). Conclusion Our data presents validated estimates of the baseline incidence of incompatibility events for hip and knee arthroplasty procedures and shows that a significant reduction in class A incompatibility events is possible using a web-based recording system.

Original languageEnglish
JournalThe bone & joint journal
Volume101-B
Issue number8
Pages (from-to)960-969
Number of pages10
ISSN2049-4394
DOIs
Publication statusPublished - 1 Jan 2019

ID: 57715200