Clinical Orthopaedics and Related Research®

, Volume 471, Issue 5, pp 1441–1450

Trends in Use of Total Knee Arthroplasty in Korea From 2001 to 2010

  • In Jun Koh
  • Tae Kyun Kim
  • Chong Bum Chang
  • Hyung Joon Cho
  • Yong In
Symposium: Special Considerations for TKA in Asian Patients

DOI: 10.1007/s11999-012-2622-y

Cite this article as:
Koh, I.J., Kim, T.K., Chang, C.B. et al. Clin Orthop Relat Res (2013) 471: 1441. doi:10.1007/s11999-012-2622-y

Abstract

Background

The use of total knee arthroplasty (TKA) has increased substantially in most Western countries. However, the trends in TKA use and changes in demographic characteristics of patients having TKA in Korea remain unclear.

Questions/purposes

We documented the trends in TKA use and in the demographics of patients undergoing TKA in Korea over the past decade and determined whether current TKA use in Korea corresponds to worldwide trends.

Methods

Using the Health Insurance Review and Assessment Service of Korea database, we analyzed TKA records (n = 398,218) from 2001 to 2010 in Korea. Trends in TKA use and demographics, including numbers and rates of primary and revision TKA, growth rate and the revision burden, and age- and sex-specific rates, were estimated. They were compared with nationwide TKA registry reports from other countries, and a systematic review was performed.

Results

Over the past decade, the primary and revision TKA rates increased by 407% and 267%, respectively. However, the revision burden remained 2%. The highest proportion was observed in 65 to 74 years old and the greatest increase in 75 to 84 years old, but a decrease was observed in those 55 to 64 years old. Women consistently had a ninefold higher TKA rate. The primary TKA rate was comparable with that of other countries, but the revision burden remained lower. In addition, old and female patients comprised considerably higher proportions in Korea.

Conclusions

During the past decade, TKA use in Korea has markedly increased and caught up with the use levels of most developed Western countries. Trends toward consistent growth in elderly patients and higher rates in females were observed. Appropriate healthcare strategies reflecting these trends in demographics are urgently needed in Korea.

Copyright information

© The Association of Bone and Joint Surgeons® 2012

Authors and Affiliations

  • In Jun Koh
    • 1
    • 2
  • Tae Kyun Kim
    • 3
    • 4
  • Chong Bum Chang
    • 3
    • 4
  • Hyung Joon Cho
    • 5
  • Yong In
    • 2
    • 6
  1. 1.Department of Orthopaedic SurgeryUijeongbu St Mary’s HospitalGyunggidoKorea
  2. 2.Department of Orthopaedic SurgeryCatholic University of Korea College of MedicineSeoulKorea
  3. 3.Joint Reconstruction CenterSeoul National University Bundang HospitalGyunggidoKorea
  4. 4.Department of Orthopaedic SurgerySeoul National University College of MedicineSeoulKorea
  5. 5.Department of Orthopaedic SurgeryPusan National University College of MedicinePusanKorea
  6. 6.Department of Orthopaedic SurgerySeoul St Mary’s HospitalSeoulKorea

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