Lubinuksen puoliproteesin komplikaatiot akuutin reisiluun kaulan murtuman hoidossa Keski-Suomen keskussairaalassa

A total of 250 acute femoral neck fractures (244 patients) were operated using cementedunipolar hemiarthroplasty (Lubinus sp II) in Central Finland Hospital, Jyväskyläbetween 2007–2008. We retrospectively searched the patient records forcomplications. Women composed 70 % (n=171) of the study population. The averageage of the women was 82,5 years and that of men 79,6 years. All operationswere performed using posterior approach. We found 29 (11,6 %) complications in28 patients during mean follow-up of 4 years. There were 12 dislocations (4,8 % ofall patients), 3 (1,2 %) periprosthetic fractures, 2 (0,8 %) super! cial wound infections,5 (2,0 %) deep (prosthetic) infections, 1 (0,4 %) protrusions of the prosthesis, 2(0,8 %) intraoperative iatrogenic fractures, 2 (0,8 %) paralysis of the peroneal nerveand 2 (0,8 %) conversions to total hip artroplasty (THA) due to groin pain. A conversionto THA for any reason was performed in 9 cases (3,6 %) and revision surgerywas required in 14 (5,6 %) cases. Complication rate in our hospital is at par with thelevel described in international literature. The need for conversion to THA and revisionsurgery is low.</p

Increasing incidence of primary shoulder arthroplasty in Finland - a nationwide registry study

Background: The incidence of shoulder arthroplasties is reportedly increasing and the types of arthroplasty are changing. The purpose of this study was to investigate the incidence of primary shoulder arthroplasty in Finland.Methods: We analyzed nationwide data from the Finnish Arthroplasty Register (FAR) and the Finnish National Hospital Discharge Register (NHDR) during time period 2004-2015. The primary outcome variable was the incidence of shoulder arthroplasty per 100,000 person-years stratified by age, sex and year of surgery. The secondary outcome variables were surgical indication, arthroplasty type and prosthesis model.Results: The number of primary shoulder arthroplasties was 7504 (women = 4878, men = 2625). The rate of operations increased from 6 to 15 per 100,000 person-years among men, and 11 to 26 per 100,000 person-years among women. The indication for arthroplasty was osteoarthritis in 56%, acute fracture in 21%, inflammatory arthritis in 13%, and rotator cuff arthropathy in 4% of the cases. Hemiarthroplasties accounted for 66%, total shoulder arthroplasties 8%, and reverse shoulder arthroplasties 12% of the cases, 14% of the cases was missing. During the 12-year study period the incidence of hemiarthroplasties decreased by 23% and the number of total shoulder and reverse shoulder arthroplasty increased by 500 and 4500%, respectively.Conclusions: The incidence of primary shoulder arthroplasty has increased by 160% during the study period in Finland. The incidence of hemiarthroplasties decreased while total and reverse shoulder arthroplasties increased

Trends of shoulder instability surgery in Finland: a nationwide register study

Objective Rate of shoulder instability surgery (SIS) has increased in different specific populations. We analysed nationwide trend of SIS in adults in Finland between 1997 and 2014. Design A retrospective register study. Setting National Hospital Discharge Register of Finland. Participants A total of 22 550 adult patients with SIS in Finland (1997-2014). Primary and secondary outcome measures Analysis included appropriate diagnosis (International Classification of Diseases 10) and procedure coding combinations applicable for SIS. The primary outcome variable was the incidence of SIS per 100 000 person-years, and the secondary outcomes were the study year, sex, age groups (18-29, 30-49 and over 50 years of age) and the type of hospital (public or private). Results The overall nationwide rate of SIS in adults increased 177% between 1997 and 2014 in Finland. The rate was the lowest (13/100 000 person-years) in 1997, and the peak rate (40/100 000 person-years) was noted in 2007. The increase in rate was rapid between 1997 and 2007, after which the rate became stable. During the study period, the highest increases were noted in the young adults age group (270%), and especially in the middle-aged group who were operated on in private hospitals (930%). Conclusions The rate of SIS increased almost threefold in Finland from 1997 to 2014. The increase was most significant in young and middle-aged adults (18-50 years), in men, and in private hospitals

Consumption of medical resources and outcome of shoulder disorders in primary health care consulters

Peer reviewe

Reliability and validity of the Finnish version of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, patient self-report section

Peer reviewe

Hanging suicides in northern Finland : A descriptive epidemiological study

The authors examined all hanging-suicides during 1988-2013 (N=851) in the province of Oulu, northern Finland. Using death-certificate data and ICD-diagnoses from the Finnish Hospital Discharge Register, we focused on gender differences in suicide, mental health, and somatic health. Male victims were more likely to have intoxication or problematic alcohol use; female victims were more likely to have somatic or mental hospitalization. Previous physical or mental hospitalization was related with absence of intoxication at the time of suicide. Suicide prevention should focus on acute alcohol abuse in the presence of acute stressors, suicidal thoughts and mental illness.Peer reviewe

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

Background and purpose — Knee arthroscopy is commonly performed to treat degenerative knee disease symptoms and traumatic meniscal tears. We evaluated whether the recent high-quality randomized control trials not favoring arthroscopic surgery for degenerative knee disease affected the procedure incidence and trends in Finland and Sweden. Patients and methods — We conducted a bi-national registry-based study including all adult (aged ≥18 years) inpatient and outpatient arthroscopic surgeries performed for degenerative knee disease (osteoarthritis (OA) and degenerative meniscal tears) and traumatic meniscal tears in Finland between 1997 and 2012, and in Sweden between 2001 and 2012. Results — In Finland, the annual number of operations was 16,389 in 1997, reached 20,432 in 2007, and declined to 15,018 in 2012. In Sweden, the number of operations was 9,944 in 2001, reached 11,711 in 2008, and declined to 8,114 in 2012. The knee arthroscopy incidence for OA was 124 per 105 person-years in 2012 in Finland and it was 51 in Sweden. The incidence of knee arthroscopies for meniscal tears coded as traumatic steadily increased in Finland from 64 per 105 person-years in 1997 to 97 per 105 person-years in 2012, but not in Sweden. Interpretation — The incidence of arthroscopies for degenerative knee disease declined after 2008 in both countries. Remarkably, the incidence of arthroscopy for degenerative knee disease and traumatic meniscal tears is 2 to 4 times higher in Finland than in Sweden. Efficient implementation of new high-quality evidence in clinical practice could reduce the number of ineffective surgeries