The Japanese Society For Replacement Arthroplasty The Japan Arthroplasty Register 2017/3/31

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1 The Japanese Society For Replacement Arthroplasty The Japan Arthroplasty Register 2017/3/31

2 90000 Total:88038 cases

3 unknow n 0.10% unknow n 0.15% male 18.64% male 21.08% female 81.26% female 78.77%

4 cases cases , ,284 22, , age age

5 Trauma 0.34% ION 3.26% RA 7.24% Charcot's joint 0.12% The others 0.68% 0.28% joint Trauma0.22% 0.89% ION 2.74% Charcot's The others 2.03% 5.25% OA 88.09% RA 16.75% OA 72.13%

6 cases min cases min

7 lateralthe others 0.89% 2.60% QS 2.35% sub-vastus 4.45% 0.22% sub-vastus 0.78% lateral 1.11% QS 1.67% mid-vastus 9.43% The others 2.26% blank 0.56% mid-vastus 28.35% parapatella 61.14% parapatella 84.19%

8 Hybrid 0.24% 5.20% cementless 11.11% cement 83.45% unknow n 0.15% cement 26.01% cementl ess 73.84% ALAC 0.88% Hybrid 2.43% cementless 14.68% unknow n 0.09% cementl ess 41.00% cement 58.91% cement 82.02% ALAC

9 none 86.53% 80.21% chip, small autograft (femur) 6.07% 4.12% chip, small autograft (femur+tibia) 2.32% 2.76% chip, small autograft (femur+tibia+patella) 0.01% - chip, small autograft (femur+patella) 0.01% - chip, small autograft (tibia) 3.75% 3.93% chip, small autograft (tibia+patella) 0.005% 0.08% chip, small autograft (patella) 0.02% 0.12% chip, small allograft (femur) 0.05% 0.62% chip, small allograft (femur+tibia) 0.02% 0.74% chip, small allograft (femur+tibia+patella) % chip, small allograft (tibia) 0.04% 0.74% chip, small allograft (patella) 0.001% - block, large autograft (femur) 0.20% 0.70% block, large autograft (femur+tibia) 0.12% 0.93% block, large autograft (femur+tibia+patella) 0.004% 0.04% block, large autograft (femur+patella) 0.001% - block, large autograft (tibia) 0.79% 0.97% block, large autograft (patella) 0.005% - block, large allograft (femur) 0.01% 0.97% block, large allograft (femur+tibia) 0.01% 1.48% block, large allograft (femur+tibia+patella) % block, large allograft (femur+patella) % block, large allograft (tibia) 0.02% 1.21% block, large allograft (tibia+patella) % block, large allograft (patella) 0.001% 0.08%

10 0.43% Navi+ 9.09% 0.90% Navi+ 1.28% Navi % Navi %

11 unknow n 0.26% Non-MIS 71.64% MIS 28.10% Non- MIS 19.84% UKA MIS 79.96% unkno wn 0.19% unknow n 0.64% Non-MIS 90.07% MIS 9.29% UKA Non- MIS 55.56% MIS 44.44%

12 0.23% 1.05% No replace 47.50% replace 52.26% No replace 57.97% replace 40.98%

13 0.40% use 2.58% 0.54% Non-use 97.02% Non-use 50.60% use 48.86%

14 n=2694 multiple answers allowed Loosening (femur) 502 Loosening (patella) 43 Loosening (tibia) 668 Infection 884 Polyethylene wear (tibia) 362 Polyethylene wear (patella) 63 Implant breakage (femur) 20 Implant breakage (tibia) 78 Implant breakage (patella) 27 Trauma 56 Dislocation instability 319 Excursion restrictions 78 The others 377

15 cases para-patella mid-vastus sub-vastus lateral QS cases ~60 61~90 91~ ~ ~ ~ ~ min para-patella mid-vastus sub-vastus lateral QS ~60 61~90 91~ ~ ~ ~ ~ min

16 para-patella mid-vastus sub-vastus lateral QS 6% 3% 14% 80% 14% 83% 7% 4% 89% 1% 16% 83% 2% 15% 83% 25% 5% 70% 5% 4% 91% 4% 8% 88% 1% 2% 97% 42% 58% 0%

17 cases cases age cement Hybrid cementless cement Hybrid cementless age

18 Implant companies Target operation:85219 cases Maker s name Zimmer Biomet 46.64% Stryker 16.91% Depuy Synthes 13.73% Smith&Nephew 7.38% Kyocera Medical 5.63% Teijin Nakashima Medical 3.71% MicroPort Orthopedics 2.64% B.Braun Aesculap 0.95% Exactech 0.80% ORTHO DEVELOPMENT 0.75% Target operation: 1696 cases Maker s name Zimmer Biomet 56.43% Stryker 19.58% Depuy Synthes 8.49% Smith&Nephew 7.08% Kyocera Medical 3.54% Waldemar LINK 1.59% Teijin Nakashima Medical 1.12% MicroPort Orthopedics 0.88% ORTHO DEVELOPMENT 0.83% Exactech 0.29% Senko Medical Instrument Mfg(Mera) 0.39% Medacta 0.32%

19 Implant goods Target operation:85218 cases Target operation:1696 cases Maker s name Product name Maker s name Product name Zimmer Biomet NEXGEN 22.52% Zimmer Biomet VANGUARD 15.35% Stryker Scorpio 9.95% Depuy Synthes LCS 4.96% Stryker Triathlon 6.68% Smith&Nephew GENESIS 3.73% Zimmer Biomet UNICOMPARTMENTAL KNEE SYSTEM 4.13% Zimmer Biomet Oxford 3.50% Kyocera Medical Total knee prosthesis femur component GB03 KU % Zimmer Biomet PERSONA 4.72% Depuy Synthes ATTUNE 3.40% Teijin Nakashima Medical FINE Total knee prosthesis 2.07% Smith&Nephew LEGION 2.17% Kyocera Medical Bi-Surface 2.67% MicroPort Orthopedics ADVANCE 1.29% Teijin Nakashima Medical FNK Total knee prosthesis 1.28% Zimmer Biomet NEXGEN 41.04% Stryker Scorpio 9.96% Zimmer Biomet VANGUARD 11.32% Stryker Triathlon 7.19% Smith&Nephew GENESIS 3.60% Depuy Synthes P.F.C. SIGMA 2.89% Depuy Synthes SIGMA 4.01% Waldemar LINK LINK Total knee prosthesis system 1.53% Depuy Synthes LCS 1.30% Zimmer Biomet OSS 1.53% Zimmer Biomet PERSONA 1.18% Teijin Nakashima Medical FNK Total knee prosthesis 1.00% Kyocera Medical Hinge type 1.12% Kyocera Medical PHYSIO-KNEE SYSTEM 1.12% MicroPort Orthopedics ADVANCE 0.83% The others 10.38% Depuy Synthes P.F.C. SIGMA 1.21% MicroPort Orthopedics EVOLUTION 1.34% The others 7.66%

20 Bioactive materials Target operation:2379 cases Product name Superpore 55.40% Artificial bone implant apaceram 19.36% Bone prosthetic material β bone 10.92% Boneceram-P 10.21% Neobone 2.90% Bone prosthetic material OSferion 0.46% Bone prosthetic material OSferion % The others 0.42% Target operation:117 cases Product name Boneceram-P 39.83% Artificial bone implant apaceram 11.86% Biopex(R) 11.02% Bone prosthetic material OSferion 8.47% Neobone 5.93% Bone prosthetic material OStinato 5.08% Superpore 5.08% The others 12.71%

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