[The German Cartilage Registry (KnorpelRegister DGOU) for evaluation of surgical treatment for cartilage defects: experience after six months including first demographic data].
The German Cartilage Registry (KnorpelRegister DGOU) has been introduced in October 2013 and aims on the evaluation of patients who underwent cartilage repair for symptomatic cartilage defects. It represents a nation-wide cohort study which has been introduced by the working group "Tissue Regeneration" of the Germany Society of Orthopaedic Surgery and Traumatology and is technically based upon a web-based remote data entry (RDE) system. The present article describes first experiences with the registry including patient and treatment characteristics. Between October 2013 and April 2014, a total of 230 patients who had undergone surgical cartilage repair for symptomatic full-thickness cartilage defects of the knee has been included in the German Cartilage Registry from 23 cartilage repair centres. Mean age was 37.11 years (SD 13.61) and mean defect size was 3.68 cm(2) (SD 0.23). Since the introduction of the KnorpelRegister DGOU the total number of registered patients has increased steadily up to the most recent figure of 72 patients within one month. Patients were treated mainly according to the recommended therapies. The highest percentage in therapy is represented by the bone marrow stimulation techniques (55.02 %) as well as by the autologous chondrocyte transplantation (34.92 %). Unlike the patient collective in the majority of prospective randomised controlled trials, the patient population within the registry shows a high proportion of patients with accompanying pathologies, with an age of more than 50 years at the time of treatment and with unfavourably assessed accompanying pathologies such as an affection of the opposite cartilage surface or a previously resected meniscus. In summary, the technical platform and forms of documentation of the KnorpelRegister DGOU have proved to be very promising within the first six months. Unlike data from other clinical trials, the previous analysis of the patients' data and therapies reflects successfully the actual medical care situation of patients with cartilage defects of the knee joint. This analysis also provides new information on subgroups of patients that have not yet been recorded in the scientific literature. This will be part of the first analysis of clinical treatment data. An expansion of the KnorpelRegister DGOU to patients with cartilage defects of the ankle and hip joints is already decided upon and initialised.
Department für Orthopädie und Traumatologie, Universitätsklinikum Freiburg.
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P
Niemeyer
Department für Orthopädie und Traumatologie, Universitätsklinikum Freiburg.
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K
Schweigler
Studienzentrum, Universitätsklinikum Freiburg.
B
B
Grotejohann
Studienzentrum, Universitätsklinikum Freiburg.
J
J
Maurer
Sportorthopaedicum Regensburg/Straubing, Straubing.
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P
Angele
Klinik für Orthopädische Chirurgie, Unfall- und Handchirurgie, Kliniken Leipziger Land, Borna.
M
M
Aurich
Orthopädische Klinik im Annastift, Medizinische Hochschule Hannover.
C
C
Becher
Unfall- und Arthroskopische Chirurgie, Lubinus-Clinicum Kiel.
J
J
Fay
Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Kath. Marienkrankenhaus, Hamburg.
R
R
Feil
Sportorthopaedicum Regensburg/Straubing, Straubing.
S
S
Fickert
Orthopädisch-Chirurgisches Zentrum, Tübingen, Deutschland.
J
J
Fritz
Charité Berlin, Klinik für Orthopädische, Unfall- und Wiederherstellungschirurgie.
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A
Hoburg
Universitätskllinikum Rostock, Orthopädische Klinik und Poliklinik.
P
P
Kreuz
Klinik für Orthopädie und Unfallchirurgie, DRK Krankenhaus Luckenwalde.
T
T
Kolombe
Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, Kath. Marienkrankenhaus, Hamburg.
J
J
Laskowski
UniversitätsCentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Dresden, Deutschland.
J
J
Lützner
Klinik für Unfallchirurgie, Medizinische Universität Wien, Österreich.
S
S
Marlovits
Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Ludwig-Maximilians-Universität, München.
P E
PE
Müller
Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Ludwig-Maximilians-Universität, München.
T
T
Niethammer
Klinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation, Ludwig-Maximilians-Universität, München.
M
M
Pietschmann
Fachklinik für Orthopädie und Orthopädische Chirurgie, Viktoriaklinik Bochum.
K
K
Ruhnau
Praxisklinik für Orthopädie und Unfallchirurgie, Eisenach.
G
G
Spahn
Universitätskllinikum Rostock, Orthopädische Klinik und Poliklinik.
T
T
Tischer
Klinik für Orthopädie und Unfallchirurgie mit Sportmedizin und Alterstraumatologie, St. Vinzenz Hospital, Dinslaken.
W
W
Zinser
Chirurgie, Klinik im Kronprinzenbau, Reutlingen.
D
D
Albrecht
D000328:Adult; D001178:Arthroplasty / Q000706:statistics & numerical data*; D005260:Female; D050724:Fractures, Cartilage / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007718:Knee Injuries / Q000453:epidemiology* / Q000601:surgery*; D008297:Male; D010865:Pilot Projects; D015995:Prevalence; D012042:Registries / Q000706:statistics & numerical data*; D016896:Treatment Outcome