31-186
Oferta de implantes de prótesis total de cadera en Cataluña
Offer of total hip arthroplasty implants
J. MARTI-VALLS. A. DEL ARCO. X. HERNANDEZ y E. CACERES PALOU Servicio de COT. Hospital de la Santa Cruz y San Pablo. Barcelona.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
07/11/2008
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Resumen (ES)
The exponential growth of the different models of THA actually in offer makes
difficult to the orthopaedic surgeon to find sound criteria for the selection of the proper implant.
This paper is an attempt to analyse the models actually in offer. We have identified 67 primary
THAs types and 19 revision models, commercialised by 24 companies at the catalonian community.
The number of variables, materials or designs between different patterns, independently of the size
of femoral and acetabular components, has been of 55. Only 25% of implants are supported by
reports in the orthopaedic literature. The cost range of implants varied from 70,000 to 300,570 pts.
for cemented prosthesis (average: 172,895); from 375,654 to 648,606 pts. for cementless models
(average: 480,391); the cost range for revision models varied from 412,552 to 713,000 pts., with an
average of 568,138 pts. Such a variety of designs and prices is greater than in other countries
of our environment, and the percentage of reports about clinical results that we have found is
smaller than the noticed by some authors. We believe that it would be necessary some long term
prospective studies and standarized evaluation systems in order to decide if the newer implants,
with more expensive price, have enough advantages to substitute the classic implants widely used.
difficult to the orthopaedic surgeon to find sound criteria for the selection of the proper implant.
This paper is an attempt to analyse the models actually in offer. We have identified 67 primary
THAs types and 19 revision models, commercialised by 24 companies at the catalonian community.
The number of variables, materials or designs between different patterns, independently of the size
of femoral and acetabular components, has been of 55. Only 25% of implants are supported by
reports in the orthopaedic literature. The cost range of implants varied from 70,000 to 300,570 pts.
for cemented prosthesis (average: 172,895); from 375,654 to 648,606 pts. for cementless models
(average: 480,391); the cost range for revision models varied from 412,552 to 713,000 pts., with an
average of 568,138 pts. Such a variety of designs and prices is greater than in other countries
of our environment, and the percentage of reports about clinical results that we have found is
smaller than the noticed by some authors. We believe that it would be necessary some long term
prospective studies and standarized evaluation systems in order to decide if the newer implants,
with more expensive price, have enough advantages to substitute the classic implants widely used.
Palabras clave (ES):
Artroplastia
Incidencia
Oferta
Implante
Prótesis
Total
Cadera
Cataluña
Resumen (EN)
The exponential growth of the different models of THA actually in offer makes
difficult to the orthopaedic surgeon to find sound criteria for the selection of the proper implant.
This paper is an attempt to analyse the models actually in offer. We have identified 67 primary
THAs types and 19 revision models, commercialised by 24 companies at the catalonian community.
The number of variables, materials or designs between different patterns, independently of the size
of femoral and acetabular components, has been of 55. Only 25% of implants are supported by
reports in the orthopaedic literature. The cost range of implants varied from 70,000 to 300,570 pts.
for cemented prosthesis (average: 172,895); from 375,654 to 648,606 pts. for cementless models
(average: 480,391); the cost range for revision models varied from 412,552 to 713,000 pts., with an
average of 568,138 pts. Such a variety of designs and prices is greater than in other countries
of our environment, and the percentage of reports about clinical results that we have found is
smaller than the noticed by some authors. We believe that it would be necessary some long term
prospective studies and standarized evaluation systems in order to decide if the newer implants,
with more expensive price, have enough advantages to substitute the classic implants widely used.
difficult to the orthopaedic surgeon to find sound criteria for the selection of the proper implant.
This paper is an attempt to analyse the models actually in offer. We have identified 67 primary
THAs types and 19 revision models, commercialised by 24 companies at the catalonian community.
The number of variables, materials or designs between different patterns, independently of the size
of femoral and acetabular components, has been of 55. Only 25% of implants are supported by
reports in the orthopaedic literature. The cost range of implants varied from 70,000 to 300,570 pts.
for cemented prosthesis (average: 172,895); from 375,654 to 648,606 pts. for cementless models
(average: 480,391); the cost range for revision models varied from 412,552 to 713,000 pts., with an
average of 568,138 pts. Such a variety of designs and prices is greater than in other countries
of our environment, and the percentage of reports about clinical results that we have found is
smaller than the noticed by some authors. We believe that it would be necessary some long term
prospective studies and standarized evaluation systems in order to decide if the newer implants,
with more expensive price, have enough advantages to substitute the classic implants widely used.
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