The 2004 Implant Yearbook on Orthopaedic Endoprostheses

Publicatios of the Natioal Agecy for Medicies 2/2006 The 2004 Implat Yearbook o Orthopaedic Edoprostheses Fiish Arthroplasty Register Pekka Ratae Aeli Keioe Aui Mäkelä

The 2004 Implat Yearbook o Orthopaedic Edoprostheses Fiish Arthroplasty Register Pekka Ratae Aeli Keioe Aui Mäkelä Distributio: Natioal Agecy for Medicies P.O. Box 55, FI-00301 Helsiki FINLAND Tel. +358 9 473 341 Fax +358 9 714 469 Orders: tilaukset@am.fi www.am.fi ISSN 1238-8777 ISBN-10 952-5099-92-8 ISBN-13 978-952-5099-92-8 Prit: Tikkurila paio Oy, Vataa

Foreword Dear Reader The Fiish Arthroplasty Register has a log history. The Register was origially fouded by the Fiish Associatio of Orthopaedic Surgeos ad sice 1980 has collected iformatio cocerig orthopaedic edoprosthetic surgery. Juha Nevalaie, M.D., the previous editor-i-chief, started to publish the data collected systematically, thus brigig this iformatio ito cliical use ad to assist decisio-makig. Over the years, the structure of this publicatio has become established ad its readers leared to use it to search for the iformatio they eeded. This is testified by the fact that the last editio is almost sold out, the coutless dowloads from our website ad the may eager requests for a ew Yearbook. Dr. Juha Nevalaie has really doe groud-breakig work ad deserves the warmest thaks from us all. For the ew editor-i-chief it has bee easy to build o the previous publicatios. O the other had, there have bee distict difficulties i brigig some ew perspectives to existig iformatio whilst keepig the readers happy. The aim was to streamlie the book, to make it easier to read ad, perhaps, to provide some ew iformatio. At the same time, the purpose was to preserve iformatio that the readers have become familiar with. A ew feature is that the comparability of a sigle edoprosthesis to other edoprostheses by survival curves is ow possible at a glace. The structure of the tables places more emphasis o the preset data rather tha the historical iformatio that still has bee preserved. I additio, there is a attempt to take a look ahead by assessig future treds i orthopaedic edoprosthetic surgery. This assessmet was based o curret operatio statistics i the populatio over 40 years. The assumptio was that characteristic operatio umbers will remai costat i each age group ad thus the forecast will oly reflect the ifluece of the populatio ageig. It is comprehesible that this type of forecast fails to take ito accout progress made i treatmet methods ad the chage i the icidece of osteoarthritis ad other joit diseases. The assessmet of these issues will remai beyod the scope of this publicatio. Still, this forecast shows that it is ot possible to eglect the growig problem of multiple joit diseases. It is importat to remid the reader that this publicatio is ot a scietific oe but merely a descriptio of the cotet of the Register. Iterpretatio of the figures thus remais solely the resposibility of the reader. Nevertheless, aalytical methods are widely used i medical statistics. The descriptio of some methods that are ot self-evidet ca be dowloaded from our website. Cofidece itervals (95%) are widely used i survival curves ad the upper limit is show as CI_max ad lower limit CI_mi, correspodigly. The reader may become embarrassed by the fact that edoprosthetic survival just after implatatio is worse after 1996 tha it was earlier. This declie is based o the chage i data recordig methods. Before 1996, the early problems after edoprosthetic surgery were cosidered as primary complicatios eve though they resulted i a ew operatio ad revisio arthroplasty. Sice the, ew surgical procedure less tha 4 moths after the primary oe has bee similarly viewed as other subsequet operatios. Cosequetly, the survival curves reveal more clearly the early problems of edoprosthetic surgery tha the previous recordig method. Still, all differet moder edoprostheses are assessed i the same way. We hope this iformatio will give a more realistic picture of the early results of edoprosthetic surgery. Therefore, we have added some ew figures as a survival curve for shoulder, akle ad elbow edoprostheses, too. I have bee pleased to receive may wishes for the future developmet of the Register, its data cotet ad the form of the preset publicatio. Some of these wishes will materialise i the form of scietific published studies. Ufortuately, it is ot possible to fulfil most of these wishes due to the atioal ature of the Register. It is importat to maitai comparability of the curret data to the previous oe. All chages i the Register cotet will ecessitate atioal chages i data collectig ad trasfer systems. Such chages are time ad labour cosumig. It is probably ot possible to make major chages util data collectig, processig ad trasmissio systems have become automatic alog with atioal electroic patiet records. The data cotet of the Register has frequetly bee compared to other cetralised atioal patiet registers i the Natioal Research ad Developmet Cetre for Welfare ad Health (Stakes) by comparig the few overlappig data. The coverage of the Register data cotet has repeatedly bee excellet: some of our data is lackig from Stakes ad vice versa. The Register covers practically 100% of Fiish arthroplasties. Thus, the lackig data does ot affect the essetial iformatio that ca be extracted from the Register data. Such exceptioal coverage i the data cocerig early after surgery data would ot be possible without the work of umerous people workig i operatio theatres ad hospital departmets. However, the data cocerig the later stages of the patiet history is probably ot complete ad should thus be treated with cautio. Co-operatio with Stakes has expaded the data cotet of the preset publicatio. Stakes has e.g. produced iformatio cocerig the time spet i hospital at the time of arthroplasty. It is ecouragig that this time has slightly decreased durig the past 10 years. Whether this is the reaso for the cocomitat decrease i otified early complicatios or whether the complicatio rate really has decreased remais obscure. Mr. Simo Pelateri is ackowledged for his work i processig the data i Stakes. I wat to express my thaks to Mr. Jyrki Kettue, Ph.D. for his help i estimatig future surgical treds, to my colleagues i the Departmet of Medical Devices ad to the Natioal Agecy for Medicies that has agai made the publicatio of this data possible. Fially, I have to metio System Aalyst Aeli Keioe who has mostly bee resposible for the statistical aalysis ad creatig publishable data; ad Register Secretary Aui Mäkelä who has checked ad recorded the origial data ad checked the figures. I additio, she has give may ivaluable hits for the improvemet of this publicatio. They both deserve my warmest thaks for their prompt work. Pekka Ratae, M.D. Seior Medical Officer

Cotets G1a. Total Joit Arthroplasty operatios performed i differet muicipalities / 100 000 ihabitats i 2004 8 G1b. Total Joit Arthroplasty operatios performed i differet muicipalities / 100 000 ihabitats average of the year 1995-2004 8 Figure G3. Predicted umber of primary hip ad kee joit arthroplasty operatios by 2030 i the populatio over 40 years 9 Figure G4. The umber of revisio arthroplasties 9 Table 1. Total joit arthroplasty procedures betwee 1995-2004 i differet hospitals 10 Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 14 Figure L1. The umber of total hip arthroplasties betwee 1980-2004 24 Figure L2. Primary hip joit arthroplasties i me betwee 1980-2004 i differet age groups 25 Figure L3. Primary hip joit arthroplasties i wome betwee 1980-2004 i differet age groups 25 Figure L4. Idicatios for primary total hip arthroplasties betwee 1980-2004 26 Figure L5. Complicatio rate i primary hip joit arthroplasties betwee 1995-2004 26 Figure L6. The average legth of hospitalisatio due to edoprosthetic surgery i hip osteoarthritis, me 27 Figure L7. The average legth of hospitalisatio due to edoprosthetic surgery i hip osteoarthritis, wome 27 Figure L8. Primary total hip joit arthroplasties i differet types of hospitals betwee 1995-2004 28 Figure L9. Total hip joit revisio arthroplasties i differet types of hospitals betwee 1995-2004 28 Figure L10. Total hip joit arthroplasties i primary osteoarthritis betwee 1980-2004 29 Figure L11. The use of cemeted fixatio techique of prosthetic compoets i primary total hip arthroplasties betwee 1993-2004 29 Figure L12. Total hip joit edoprostheses i primary osteoarthritis betwee 1996-2004 30 Figure L13. Atibiotic prophylaxis i primary hip joit operatios betwee 1996-2004 30 Figure L14. Hip joit arthroplasty revisios i me durig 1980-2004 i differet age groups 31 Figure L15. Hip joit arthroplasty revisios i wome betwee 1980-2004 i differet age groups 31 Figure L16. Idicatios for total hip joit arthroplasty revisios i 2004 32 Figure L17. Allograft ad autograft i hip joit revisios betwee 1996-2004 32 Figure L18. Total hip joit edoprostheses i primary osteoarthritis, first revisio betwee 1980-2004 33 Figure L19. Aual umber of hip joit revisio arthroplasties due to ifectio 33 Figure L20. Time to revisio arthroplasty after the removal of the hip joit edoprosthesis due to ifectio 34 Figure L21. The proportio of the first, the secod ad the third total hip joit revisio operatios i 2004 34 Table 3a. Primary hip joit arthroplasties i me with rheumatoid arthritis betwee 1990-2004 35 Table 3b. Primary hip joit arthroplasties i wome with rheumatoid arthritis betwee 1990-2004 35 Figure L22. Total hip joit edoprostheses i rheumatoid arthritis betwee 1980-2004 36 Figure L23. Total hip joit edoprostheses i rheumatoid arthritis, first revisio betwee 1980-2004 36 Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 37 Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs 42 Figure L24a. EXETER UNIVERSAL+ ABG II cup hip prosthesis i primary operatios betwee 1996-2004 50 Figure L24b. EXETER UNIVERSAL+ ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 Me 50 Figure L24c. EXETER UNIVERSAL+ ABG II cup hip prosthesis i primary osteoarthritis betwee 1996-2004 Wome 51 Figure L25a. EXETER UNIVERSAL + CONTEMPORARY cup hip edoprosthesis i primary arthroplasties betwee 1996-2004 52 Figure L25b. EXETER UNIVERSAL + CONTEMPORARY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 52 Figure L25c. EXETER UNIVERSAL+ CONTEMPORARY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 53 Figure L25e. EXETER UNIVERSAL + CONTEMPORARY cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 53 Figure L26a. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 54 Figure L26b. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 54 Figure L26c. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 55 Figure L26e. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 55

Figure L27a. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary arthroplasties betwee 1998-2004 56 Figure L27b. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 56 Figure L27c. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 57 Figure L28a. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 58 Figure L28b. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 58 Figure L28c. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 59 Figure L28e. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 59 Figure L29a. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary arthroplasties betwee 2000-2004 60 Figure L29b. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary osteoarthritis betwee 2000-2004 Me 60 Figure L29c. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary osteoarthritis betwee 2000-2004 Wome 61 Figure L30a. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 62 Figure L30b. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 Me 62 Figure L30c. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 Wome 63 Figure L30e. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004 Wome 63 Figure L31a. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary arthroplasties betwee 1999-2004 64 Figure L31b. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 64 Figure L31c. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 65 Figure L32a. ABG II + ABG II cup hip joit edoprosthesis i primary arthroplasties betwee 1999-2004 66 Figure L32b. ABG II + ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 66 Figure L32c. ABG II + ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 67 Figure L33a. BIRMINGHAM + BIRMINGHAM cup hip joit edoprosthesis i primary arthroplasties betwee 2001-2004 68 Figure L33b. BIRMINGHAM+ BIRMINGHAM cup hip joit edoprosthesis i primary osteoarthritis betwee 2001-2004, Me 68 Figure L33c. BIRMINGHAM+ BIRMINGHAM cup hip joit edoprosthesis i primary osteoarthritis betwee 2001-2004, Wome 69 Figure P1. Primary ad revisio total kee joit arthroplasties betwee 1980-2004 70 Figure P2. Primary kee arthroplasties i differet age groups i me betwee 1980-2004 71 Figure P3. Primary kee arthroplasties i differet age groups i wome betwee 1980-2004 71 Figure P4. Primary idicatios for total kee joit arthroplasties betwee 1980-2004 72 Figure P5. Complicatio rate i primary kee joit arthroplasties betwee 1995-2004 72 Figure P6. The average legth of hospitalisatio due to edoprosthetic surgery i kee osteoarthritis, me 73 Figure P7. The average legth of hospitalisatio due to edoprosthetic surgery i kee osteoarthritis, wome 73 Figure P8. Primary total kee joit arthroplasties i differet types of hospitals betwee 1995-2004 74 Figure P9. Total kee joit revisio arthroplasties i differet types of hospitals betwee 1995-2004 74 Figure P10. Total kee edoprostheses i primary osteoarthritis betwee 1980-2004 75 Figure P11. The use of cemeted fixatio techique of prosthetic compoets i primary kee arthroplasties betwee 1993-2004 75 Figure P12. Kee edoprostheses i primary osteoarthritis betwee 1996-2004 76 Figure P13. Atibiotic prophylaxis i pimary kee arthroplasties betwee 1996-2004 76 Figure P14. Kee arthroplasty revisios i differet age groups i me betwee 1980-2004 77 Figure P15. Kee arthroplasty revisios i differet age groups i wome betwee 1980-2004 77 Figure P16. Idicatios for total kee joit arthroplasty revisios i 2004 78

Figure P17. Allograft ad autograft i kee revisios betwee 1996-2004 78 Figure P18. Total kee joit edoprostheses i primary osteoarthritis, first revisio betwee 1980-2004 79 Figure P19. The proportio of the first, the secod ad the third total kee joit revisio operatios i 2004 79 Table 6a. Primary kee arthroplasties i me with rheumatoid arthritis betwee 1990-2004 80 Table 6b. Primary kee arthroplasties i wome with rheumatoid arthritis betwee 1990-2004 80 Figure P20. Total kee joit edoprostheses i rheumatoid arthritis betwee 1980-2004 81 Figure P21. Total kee joit edoprostheses i rheumatoid arthritis, first revisio betwee 1988-2004 81 Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 82 Figure P22a. DURACON kee edoprosthesis i primary arthroplasties betwee 1996-2004 87 Figure P22b. DURACON kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 87 Figure P22c. DURACON kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 88 Figure P22d. DURACON kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Me 88 Figure P22e. DURACON kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 89 Figure P23a. AGC V2 kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 90 Figure P23b. AGC V2 kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 90 Figure P23c. AGC V2 kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 91 Figure P23d. AGC V2 kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Me 91 Figure P23e. AGC V2 kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 92 Figure P24a. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary arthroplasties betwee 1997-2004 93 Figure P24b. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Me 93 Figure P24c. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Wome 94 Figure P25a. P.F.C SIGMA kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 95 Figure P25b. P.F.C SIGMA kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 95 Figure P25c. P.F.C SIGMA kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 96 Figure P25e. P.F.C SIGMA kee joit edoprosthesis i rheumatoid arthritis betwee 1998-2004, Wome 96 Figure P26a. P.F.C SIGMA STAB kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 97 Figure P26b. P.F.C SIGMA STAB kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 97 Figure P26c. P.F.C SIGMA STAB kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 98 Figure P27a. NEXGEN LPS kee joit edoprosthesis i primary arthroplasties betwee 1997-2004 99 Figure P27b. NEXGEN LPS kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Me 99 Figure P27c. NEXGEN LPS kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Wome 100 Figure P28a. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary arthroplasties betwee 1999-2004 101 Figure P28b. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 101 Figure P28c. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 102 Figure P29a. MAXIM PRIMARY kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 103 Figure P29b. MAXIM PRIMARY kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 103 Figure P29c. MAXIM PRIMARY kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 104 Figure P30a. ARGE kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 105 Figure P30b. ARGE kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 105 Figure P30c. ARGE kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 106 Figure P31a. NEXGEN CR kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 107 Figure P31b. NEXGEN CR kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 107 Figure P31c. NEXGEN CR kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 108 Figure P32a. DURACON Stabilizer box kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 109 Figure P32b. DURACON stabilizer box kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 109 Figure P32c. DURACON Stabilizer box kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 110 Figure M1. Primary ad revisio arthroplasties of other joit operatios betwee 1980-2004 111 Figure M2. Primary arthroplasties of other joits i 2004 111 Figure M3. Primary idicatios for arthroplasties of other joits betwee 1980-2004 112 Figure M4. Shoulder prostheses i primary arthroplasties betwee 1996-2004 112 Figure M5. Akle prostheses i primary arthroplasties betwee 1996-2004 113 Figure M6. Elbow prostheses i primary arthroplasties betwee 1996-2004 113 Figure M7. Idicatios for revisio arthroplasties of other joits i 2004 114 FORMS Notificatio to the implat register; orthopaedic edoprostheses 115 Notificatio to the implat register; log-term complicatios 117

G1a. Total Joit Arthroplasty operatios performed i differet muicipalities / 100 000 ihabitats i 2004 G1b. Total Joit Arthroplasty operatios performed i differet muicipalities / 100 000 ihabitats average of the year 1995-2004 Copyright Geimap, L6694/06 8

Figure Figure G3. Predicted G3. Predicted umber umber of primary of hip primary ad kee hip joit ad arthroplasty kee joit operatios arthroplasty by 2030 operatios i the populatio by 2030 over 40 years i the populatio over 40 years 25000 Number of operatios 20000 15000 10000 Kee Hip Hip ad kee joit together 5000 0 2000 2005 2010 2015 2020 2025 2030 2035 Year Figure G4. The umber of revisio arthroplasties, Figure G4. The umber of revisio arthroplasties, by courtesy of STAKES by courtesy of STAKES 1600 1400 1200 Hip revisio arthroplasties, all Kee revisio arthroplasties, all 1000 Number 800 600 400 200 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year 9

Table 1. Total joit arthroplasty procedures betwee 1995-2004 i differet hospitals Cotiued HOSPITAL DISTRICT HOSPITAL 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIP KNEE OTHER JOINT Helsiki ja Uusimaa HUS / Surgical Hospital 0 0 0 0 0 727 722 1132 1217 993 557 367 69 Peijas Hospital 111 148 161 188 181 195 177 295 371 525 329 193 3 Hyvikää Hospital 143 167 142 150 201 215 232 238 259 265 117 146 2 Jorvi Hospital 205 221 213 217 233 218 231 282 222 222 99 121 2 Porvoo Hospital 24 35 69 60 77 56 87 149 158 181 86 92 3 Lohja Regioal Hospital 63 72 98 79 103 84 91 94 126 112 49 63 0 Läsi-Uusimaa Hospital 94 63 80 83 79 95 108 81 121 105 51 54 0 HUS / Töölö Hospital / Otrhopedics 238 326 349 311 376 180 80 107 80 49 20 2 27 HUS 369 449 565 473 529 0 0 0 0 0 0 0 0 Varsiais-Suomi Turku Uiversity Cetral Hospital 300 409 416 503 460 557 589 670 729 1284 521 603 160 Salo Regioal Hospital 188 213 179 183 138 120 139 180 165 181 71 110 0 Loimaa Regioal Hospital 138 149 174 155 122 164 173 227 191 151 61 90 0 Turumaa Hospital 61 82 90 98 102 118 124 113 127 125 67 58 0 Vakka-Suomi Hospital 56 98 57 61 48 35 37 27 38 48 22 26 0 Raisio Regioal Hospital 165 181 119 98 110 84 98 70 106 0 0 0 0 Turku Surgical Hospital 0 0 139 212 197 243 261 323 306 0 0 0 0 Satakuta Satakuta Cetral Hospital 304 258 304 328 299 333 322 325 481 425 192 229 4 Rauma Regioal Hospital 120 150 122 171 183 188 193 224 271 224 92 123 9 Kata-Häme Kata-Häme Cetral Hospital 139 180 156 149 122 243 218 211 289 359 154 205 0 Forssa Hospital 0 0 0 0 0 0 102 142 122 121 56 65 0 Louais-Häme Regioal Hospital 95 103 101 94 111 110 0 0 0 0 0 0 0 Riihimäki Regioal Hospital 35 67 73 78 74 84 70 55 55 0 0 0 0 10

Table 1. Total joit arthroplasty procedures betwee 1995-2004 i differet hospitals Cotiued HOSPITAL DISTRICT HOSPITAL 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIP KNEE Pirkamaa Tampere Uiveristy Hospital 417 490 525 532 540 666 691 495 145 89 75 0 14 Valkeakoski Hospital 126 125 126 116 131 144 181 115 10 9 9 0 0 Vammala Regioal Hospital 85 108 106 112 110 110 110 114 6 7 7 0 0 Hatapää Hospital 166 157 194 190 180 206 184 136 2 0 0 0 0 OTHER JOINT Päijät-Häme Päijät-Häme Cetral Hospital 123 125 330 372 420 382 397 426 304 326 174 152 0 Heiola Health Cetre 0 0 0 0 10 23 2 32 48 52 10 42 0 Lahti Health Cetre 144 207 0 0 0 0 0 0 0 0 0 0 0 Kymelaakso Kymelaakso Cetral Hospital 210 298 231 224 245 310 343 307 309 351 144 207 0 Kuusakoski Regioal Hospital 100 110 119 103 121 117 126 133 136 131 51 80 0 Hamia Hospital 0 24 78 92 111 101 74 107 100 59 31 28 0 Etelä-Karjala South Karelia Cetral Hospital 143 217 221 155 197 191 169 172 188 187 87 100 0 Etelä-Savo Mikkeli Cetral Hospital 87 151 157 169 208 218 318 312 334 302 144 152 6 Pieksämäki Hospital 0 0 0 0 0 36 67 69 89 132 55 77 0 Pieksämäki Regioal Hospital 46 72 70 9 0 0 0 0 0 0 0 0 0 Itä-Suomi Savolia Cetral Hospital 117 201 194 227 242 225 242 197 145 151 68 82 1 Pohjois-Karjala North Karelia Cetral Hospital 280 270 303 285 233 400 380 491 651 375 193 178 4 Pohjois-Savo Kuopio Uiversity Hospital 505 581 633 675 578 734 681 813 1021 894 407 439 48 Iisalmi Regioal Hospital 81 92 111 134 180 84 163 201 203 139 51 88 0 Varkaus Regioal Hospital 55 75 93 108 121 115 132 116 138 118 43 76 0 Keski-Suomi Cetral Filad Cetral Hospital 496 419 513 461 436 448 480 520 613 507 333 169 5 Jokilaakso Hospital 172 172 220 220 211 212 234 233 253 229 90 136 3 11

Table 1. Total joit arthroplasty procedures betwee 1995-2004 i differet hospitals Cotiued HOSPITAL DISTRICT HOSPITAL 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIP KNEE OTHER JOINT Etelä-Pohjamaa Seiäjoki Cetral Hospital 330 402 430 423 384 348 331 351 427 385 208 154 23 Ähtäri Hospital 13 10 5 33 46 103 214 246 247 243 109 134 0 Vaasa Vaasa Cetral Hospital 98 121 162 146 125 169 213 223 180 223 113 102 8 Pietarsaari Hospital 19 41 80 88 71 112 107 103 103 107 60 47 0 Selkämeri Hospital 23 25 38 30 39 48 72 47 0 0 0 0 0 Keski-Pohjamaa Keski-Pohjamaa Cetral Hospital 199 160 173 232 240 235 216 226 309 293 160 123 10 Pohjois-Pohjamaa Oulu Uiversity Hospital 447 518 615 554 635 560 500 704 690 727 366 273 88 Oulaskakas Hospital 0 0 0 0 0 4 49 102 162 223 97 126 0 Raahe Hospital 0 0 0 0 0 17 36 68 66 88 38 50 0 Kuusamo Health Cetre Hospital 0 0 0 20 61 26 50 55 34 40 19 20 1 Raahe Regioal Hospital 59 43 48 36 48 41 0 0 0 0 0 0 0 Kaiuu Kaiuu Cetral Hospital 195 201 209 188 165 154 174 251 251 197 123 74 0 Läsi-Pohja Läsi-Pohja Cetral Hospital 102 82 131 125 148 159 163 154 168 205 102 102 1 Lappi Lappi Cetral Hospital 149 143 205 226 241 173 159 181 308 262 139 123 0 Hospital Lappoia 0 0 0 0 32 134 100 186 188 149 61 85 3 Kemijärvi Regioal Hospital 80 74 29 1 0 0 0 0 0 0 0 0 0 Ahveamaa Ålad Cetral Hospital 40 31 44 44 43 32 44 64 43 67 49 18 0 12

Table 1. Total joit arthroplasty procedures betwee 1995-2004 i differet hospitals Cotiued HOSPITAL DISTRICT HOSPITAL 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 HIP KNEE OTHER JOINT Private Hospitals COXA 0 0 0 0 0 0 0 453 1493 1787 876 860 51 Orto Orthopaedic Hospital 566 586 582 598 588 622 769 733 621 659 399 232 28 Rheuma Foudatio Hospital 448 426 357 324 385 367 410 419 492 374 118 111 145 Hospital of the Oulu Deacoess Istitute 209 163 135 145 157 121 153 196 240 186 103 65 18 Hospital Pulssi 33 20 31 34 39 65 105 86 146 112 44 65 3 Eira Hospital 0 0 1 11 22 31 19 56 149 52 20 30 2 Kutohovi Lääkäriasema Oy 0 0 0 0 0 0 0 0 0 38 23 15 0 Itä-Suomi Medical Cetre 6 7 8 15 18 15 42 20 29 34 18 15 1 Diacor Hospital 15 33 24 30 29 26 51 29 29 30 19 10 1 Hospital Lasaretti 7 17 20 17 22 8 12 6 23 31 14 17 0 Pirkamaa Surgical Cliic 1 6 10 22 31 35 60 44 8 26 10 16 0 Hospital Mehiläie Turku 6 2 7 1 1 13 13 18 29 19 5 9 5 Hospital Mehiläie Helsiki 23 43 28 24 25 18 34 24 19 16 14 0 2 Hospital Botia Oy 2 2 3 0 0 1 12 7 12 15 12 3 0 Pori Medical Cetre 0 0 0 0 0 0 5 28 41 15 6 8 1 Hospital Dextra Mukkivuori 21 17 34 31 18 22 26 30 19 10 7 3 0 Hospital of the Oulu Deacoess Istitute/ Oulu Uiversity Hospital 62 131 0 0 0 0 0 0 0 0 0 0 0 Cetral Military Hospital 9 19 23 21 19 23 14 0 0 0 0 0 0 13

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 14 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Alahärmä 13 19 8 17 10 14 19 10 20 6 Alajärvi 15 21 22 22 23 28 15 32 32 37 Alastaro 11 6 10 13 11 15 17 24 21 17 Alavieska 9 10 4 8 3 6 7 13 11 17 Alavus 27 18 40 28 26 26 35 33 38 35 Ajalakoski 39 61 35 54 52 68 72 53 65 77 Artjärvi 4 6 5 4 8 3 8 8 5 4 Asikkala 26 16 16 29 22 15 21 23 18 41 Askaie 4 4 4 3 5 5 3 4 3 11 Askola 6 5 15 6 14 6 13 11 8 9 Aura 6 3 6 6 1 11 9 16 9 6 Brädö 2 2 5 0 5 0 5 1 3 2 Dragsfjärd 8 11 17 21 14 24 17 18 16 16 Eckerö 3 1 4 3 2 5 4 4 2 2 Elimäki 16 22 22 18 17 28 20 31 46 42 Eo 8 12 18 20 14 20 21 29 26 28 Eokoski 7 4 5 7 16 5 13 4 8 5 Eotekiö 3 2 3 5 10 3 10 5 4 7 Espoo 222 232 214 239 228 253 259 329 296 314 Eura 26 25 26 37 32 30 34 30 50 30 Eurajoki 17 16 9 17 22 19 27 22 23 24 Evijärvi 6 12 6 8 16 13 12 9 14 14 Fiström 5 5 8 4 7 3 1 3 7 7 Forssa 40 47 44 35 54 45 64 77 77 87 Föglö 4 1 2 4 3 2 4 2 1 0 Geta 2 1 2 2 1 1 4 4 1 2 Haapajärvi 16 19 19 25 15 16 17 20 27 37 Haapavesi 20 19 31 25 21 11 21 22 45 34 Hailuoto 4 5 5 1 2 1 2 5 2 6 Halikko 21 33 25 25 23 23 26 43 34 31 Halsua 5 2 5 7 8 4 3 6 7 7 Hamia 59 63 97 91 102 101 91 113 106 108 Hammarlad 3 4 5 8 5 5 6 4 2 3 Hakasalmi 15 25 20 26 22 14 15 21 32 25 Hako 26 9 25 14 24 30 33 24 22 28 Harjavalta 10 12 15 18 18 19 16 23 24 27 Hartola 5 12 13 13 6 12 4 9 8 13 Hattula 20 18 20 13 14 28 31 25 24 27 Hauho 11 13 13 13 10 15 20 15 23 23 Haukipudas 10 30 24 27 41 15 16 20 26 28 Haukivuori 2 9 6 6 8 14 15 10 12 15 Hausjärvi 9 20 15 22 10 18 21 14 24 25 Heiola 38 40 35 50 68 55 64 78 74 69 Heiävesi 17 12 15 26 20 26 25 22 26 46 Helsiki 587 736 915 792 894 841 904 1231 1212 924

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Himaka 7 9 8 10 13 12 9 7 20 13 Hirvesalmi 4 6 9 8 14 9 15 9 18 13 Hollola 27 22 38 40 37 41 27 50 50 29 Hokajoki 8 7 2 3 7 10 15 7 12 9 Houtskari 8 2 4 2 3 1 4 6 4 5 Huittie 24 25 27 27 26 25 23 36 30 47 Humppila 8 12 9 2 8 6 12 16 16 8 Hyrysalmi 16 11 19 12 7 11 9 19 14 11 Hyvikää 80 83 62 59 79 87 100 92 94 120 Hämeekoski 6 4 6 8 12 7 8 5 6 6 Hämeekyrö 13 29 27 34 35 35 29 27 39 41 Hämeelia 79 94 93 103 91 128 117 99 129 130 Ii 11 21 18 13 21 18 14 22 22 17 Iisalmi 50 55 80 93 87 43 77 95 111 92 Iitti 23 18 19 23 28 20 19 24 22 20 Ikaalie 24 21 20 23 23 43 35 44 41 34 Ilmajoki 19 35 28 24 18 31 25 36 40 47 Ilomatsi 16 15 16 26 16 34 23 34 46 26 Imatra 55 68 65 47 57 70 71 69 92 79 Iari 9 9 14 11 13 17 12 19 25 29 Iiö 2 1 2 0 2 1 3 1 1 0 Ikoo 11 13 8 18 5 13 12 17 16 11 Isojoki 5 8 9 7 3 5 10 14 10 8 Isokyrö 13 12 11 15 7 10 21 24 17 22 Jaala 7 8 5 9 8 6 9 4 9 7 Jalasjärvi 25 27 20 20 21 28 35 38 45 34 Jaakkala 36 45 26 38 38 44 32 42 61 68 Joesuu 77 73 86 85 68 93 102 120 165 101 Jokioie 16 16 12 17 10 19 23 27 27 28 Jomala 5 6 7 17 6 4 10 16 8 7 Joroie 6 9 19 12 20 13 16 17 16 17 Joutsa 11 9 12 17 16 15 20 25 20 20 Joutseo 25 20 26 15 14 29 19 25 32 23 Juakoski 11 27 27 22 12 23 29 33 36 24 Jurva 7 11 6 12 12 12 24 10 17 19 Juuka 25 24 23 13 17 21 19 42 37 22 Juupajoki 3 8 4 1 9 9 6 12 13 9 Juva 14 14 16 11 16 13 35 29 45 31 Jyväskylä 151 118 153 169 153 136 178 192 273 178 Jyväskylä mlk 46 49 53 64 50 58 56 70 110 70 Jämijärvi 5 3 5 5 8 7 7 4 11 4 Jämsä 49 57 45 45 55 59 63 45 59 63 Jämsäkoski 15 22 24 22 20 26 27 24 21 35 Järvepää 31 40 29 34 55 45 53 71 64 73 Kaaria 21 39 38 44 37 49 50 48 78 64 15

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Kaavi 12 11 17 6 8 18 11 20 32 27 Kajaai 76 81 73 61 43 55 71 99 118 85 Kalajoki 29 25 22 33 35 22 25 33 39 41 Kalvola 11 11 13 13 4 17 4 11 9 11 Kagasala 37 33 42 54 44 50 35 70 96 77 Kagaslampi 3 8 2 3 11 12 2 5 7 9 Kagasiemi 8 19 24 28 16 28 26 20 27 27 Kakaapää 19 20 15 19 25 23 27 40 44 32 Kaokoski 8 12 16 7 6 9 2 5 8 11 Kaus 12 12 16 20 19 19 19 20 33 29 Karijoki 4 8 8 4 4 1 7 4 6 11 Kariaie 4 9 6 10 7 10 7 7 10 11 Karjaa 16 13 12 24 21 18 21 25 31 30 Karjalohja 0 5 6 7 4 2 5 4 8 8 Karkkila 23 17 31 22 26 32 19 34 32 32 Karstula 23 12 14 8 18 7 13 33 26 20 Karttula 10 10 14 10 14 12 9 21 20 22 Karvia 8 7 8 9 11 9 11 10 19 9 Kaskie 2 2 3 2 0 3 4 7 4 3 Kauhajoki 42 39 42 33 27 30 33 56 51 69 Kauhava 17 11 19 21 23 37 28 26 20 27 Kauiaie 10 19 11 12 19 19 19 23 11 21 Kaustie 11 6 5 15 18 6 13 11 12 11 Keitele 6 6 11 10 13 13 16 11 20 20 Kemi 62 42 55 56 66 57 56 60 78 89 Kemijärvi 31 25 25 18 39 44 33 58 58 59 Kemimaa 11 15 16 14 18 21 23 23 30 28 Kemiö 9 10 15 11 11 15 24 16 13 22 Kempele 9 10 11 22 9 9 13 27 24 30 Kerava 26 33 33 31 36 49 35 64 75 80 Kerimäki 9 21 24 9 18 24 23 14 9 19 Kestilä 5 6 3 4 6 4 1 12 11 12 Kesälahti 10 11 14 19 8 6 14 20 14 8 Keuruu 32 36 40 38 45 48 46 58 44 45 Kihiö 5 7 5 6 1 5 14 4 10 17 Kiihtelysvaara 4 7 2 4 1 7 1 5 7 7 Kiikala 5 1 7 13 4 4 9 7 5 8 Kiikoie 2 7 8 6 8 4 6 4 6 7 Kiimiki 12 11 19 12 13 11 19 20 18 18 Kiula 6 3 3 3 5 5 6 2 7 6 Kirkkoummi 23 33 47 31 30 37 37 51 46 46 Kisko 4 5 10 11 5 6 12 8 1 9 Kitee 21 20 24 29 27 27 34 34 43 31 Kittilä 10 11 12 11 10 20 15 28 29 22 Kiukaie 14 5 7 11 7 9 15 11 14 12 16

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Kiuruvesi 30 49 43 52 54 41 57 50 61 48 Kivijärvi 5 4 4 4 4 3 7 10 10 9 Kodisjoki 3 2 2 0 0 0 0 0 3 1 Kokemäki 24 23 32 18 23 28 27 30 37 45 Kokkola 85 60 73 88 84 92 92 92 119 126 Kolari 5 9 12 8 10 14 13 17 18 22 Koevesi 15 15 20 24 18 13 16 14 24 18 Kotiolahti 10 12 18 11 23 22 33 32 33 22 Korpilahti 18 14 22 16 18 22 15 18 25 19 Korppoo 0 3 9 5 1 3 7 4 2 11 Korsäs 5 9 5 4 6 10 6 9 6 8 Kortesjärvi 9 9 3 8 6 9 7 9 10 15 Koski TL 6 8 19 12 8 14 12 12 16 18 Kotka 107 149 148 133 148 188 183 196 195 236 Kouvola 61 68 59 68 70 92 91 92 83 120 Kristiiakaupuki 8 10 16 9 9 17 29 28 12 26 Kruuupyy 12 16 22 28 22 19 11 20 30 27 Kuhmalahti 1 3 4 9 1 2 2 6 5 7 Kuhmo 23 26 25 37 41 36 33 35 52 39 Kuhmoie 12 15 24 20 20 9 15 13 24 19 Kuivaiemi 11 7 7 5 7 3 3 6 4 5 Kullaa 1 4 4 3 6 4 3 5 3 10 Kumlige 0 0 0 2 0 0 0 0 2 4 Kuopio 184 226 227 250 185 281 239 286 341 315 Kuortae 6 10 11 9 15 15 21 23 19 8 Kurikka 16 23 30 28 20 30 34 27 41 42 Kuru 8 3 5 4 5 5 11 14 13 12 Kustavi 1 6 8 14 6 9 8 6 11 3 Kuusamo 66 49 21 28 68 47 50 81 62 66 Kuusakoski 56 54 46 37 50 55 48 70 52 62 Kuusjoki 2 6 8 3 3 7 11 9 12 6 Kylmäkoski 6 9 12 8 3 11 7 18 13 14 Kyyjärvi 7 9 10 5 4 6 10 4 16 13 Kälviä 14 10 13 17 16 14 15 18 18 20 Kärkölä 10 15 13 8 13 3 12 13 10 12 Kärsämäki 8 9 6 4 11 6 9 15 12 18 Kökar 1 0 3 1 1 2 0 1 0 1 Köyliö 15 12 12 9 6 14 6 21 18 11 Lahti 181 237 159 176 214 218 239 202 237 236 Laihia 5 12 11 11 16 23 20 20 17 18 Laitila 34 53 26 44 49 37 43 50 59 57 Lammi 13 16 12 14 22 19 24 21 27 17 Lapijärvi 20 15 19 15 18 11 4 9 8 12 Lapilahti 23 34 37 31 43 24 28 38 40 33 Lappajärvi 7 14 17 12 16 15 16 14 20 17 17

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY Lappeerata 75 109 121 103 112 111 100 116 132 154 Lappi 9 12 6 16 13 12 9 16 16 13 Lapua 27 30 34 31 36 36 42 41 55 33 Laukaa 38 31 38 27 25 23 32 48 63 40 Lavia 7 8 6 13 8 7 9 4 12 13 Lehtimäki 1 2 3 1 9 4 8 6 10 2 Leivomäki 15 7 11 3 4 2 6 4 1 4 Lemi 7 9 5 4 8 7 9 5 10 10 Lemlad 5 1 5 1 3 2 2 5 4 10 Lempäälä 26 30 28 28 43 41 49 42 55 60 Lemu 1 2 4 3 5 4 4 4 1 1 Leppävirta 36 35 45 52 57 45 52 52 78 68 Lestijärvi 2 3 1 2 5 7 6 2 1 2 Lieksa 46 51 34 50 40 52 44 55 78 59 Lieto 23 29 31 44 27 48 40 53 56 49 Liljedal 3 5 7 3 4 7 2 7 7 6 Limika 11 7 6 11 8 9 16 16 17 20 Liperi 17 19 12 24 29 45 29 36 45 31 Lohja 26 56 62 47 77 46 60 74 85 60 Lohtaja 7 7 4 6 9 13 10 8 12 18 Loimaa 19 23 16 22 27 24 31 39 22 24 Loimaa kuta 14 14 19 13 9 22 25 24 23 20 Loppi 13 24 20 19 18 29 25 25 17 30 Loviisa 27 15 20 24 47 32 31 38 45 37 Luhaka 6 3 3 4 4 9 7 6 5 7 Lumijoki 6 1 2 3 6 5 5 5 6 4 Lumparlad 1 0 2 0 1 0 1 0 2 2 Luopioie 8 14 11 8 11 15 19 13 14 24 Luoto 3 4 6 9 2 4 4 2 3 4 Luumäki 12 15 10 13 9 14 17 15 25 14 Luvia 3 3 6 10 7 8 4 12 16 14 Lägelmäki 2 14 11 17 8 11 12 11 16 16 Maalahti 7 12 14 17 12 19 20 6 13 11 Maaika 17 17 20 22 10 19 17 21 15 23 Maariahamia 18 22 35 32 20 29 30 29 22 29 Maksamaa 1 1 1 1 2 3 1 0 0 2 Marttila 3 8 6 15 4 9 3 10 17 12 Masku 9 11 9 11 11 8 6 7 19 29 Mellilä 0 6 3 2 5 3 4 6 6 4 Merijärvi 6 2 6 1 3 4 0 2 9 5 Merikarvia 8 5 13 14 18 15 18 21 15 12 Merimasku 3 7 7 2 4 3 3 4 4 2 Miehikkälä 11 10 7 12 14 4 11 16 15 10 Mietoie 5 3 4 8 5 7 7 9 13 8 Mikkeli 49 82 73 79 106 102 174 127 157 151 18 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Mouhijärvi 11 14 9 14 9 11 10 15 18 14 Muhos 14 18 29 14 15 14 20 27 31 23 Multia 6 3 13 13 11 13 20 15 15 10 Muoio 2 2 5 2 7 4 8 2 3 5 Mustasaari 20 17 38 25 32 37 35 24 25 40 Muurame 9 7 23 15 13 13 13 18 13 9 Muurla 4 6 5 3 5 5 2 8 6 6 Myämäki 16 28 34 28 22 26 24 13 30 22 Myrskylä 3 9 6 6 8 6 5 7 10 8 Mätsälä 29 28 22 24 33 39 41 50 38 34 Mättä 9 9 14 22 9 27 29 26 36 33 Mätyharju 8 18 15 28 15 27 30 29 37 29 Naatali 25 23 28 17 27 25 24 41 39 62 Nakkila 10 7 18 18 16 16 20 16 20 24 Nastola 21 28 32 31 28 26 20 33 34 35 Nauvo 4 2 6 12 6 5 6 6 6 7 Nilsiä 23 24 32 22 42 42 27 42 47 47 Nivala 33 45 25 35 35 17 26 35 39 39 Nokia 47 45 53 55 62 83 87 82 95 102 Noormarkku 15 9 8 17 12 17 12 11 20 20 Nousiaie 12 13 9 16 10 16 8 5 13 21 Nummi-Pusula 13 21 15 15 18 21 21 16 17 17 Nurmes 16 14 18 18 20 23 22 33 44 31 Nurmijärvi 34 40 39 43 54 56 73 62 71 65 Nurmo 6 26 16 17 17 12 26 22 29 27 Närpiö 12 23 25 21 29 26 23 26 14 29 Oravaie 6 2 8 4 6 4 3 5 3 5 Orimattila 25 29 33 30 37 23 45 40 31 27 Oripää 7 5 7 6 4 2 7 9 6 2 Orivesi 16 22 30 24 32 33 34 30 55 39 Oulaie 18 23 23 19 25 24 20 20 34 36 Oulu 196 216 221 191 217 188 191 274 278 309 Oulusalo 7 3 4 8 3 8 11 12 6 11 Outokumpu 22 37 32 27 27 22 40 24 46 30 Padasjoki 7 6 21 20 21 18 15 26 4 17 Paimio 18 23 29 31 18 23 19 29 40 29 Paltamo 14 17 17 14 14 13 17 22 23 14 Paraie 27 31 23 40 32 34 35 38 51 35 Parikkala 16 15 24 25 24 27 26 26 13 8 Parkao 13 14 17 21 23 29 40 37 20 31 Pattijoki 11 8 11 6 7 13 10 15 1 0 Pedersöre 7 14 22 27 22 29 19 21 18 17 Pelkoseiemi 8 7 3 4 1 4 7 12 13 9 Pello 12 15 21 25 22 12 22 19 37 31 Perho 7 13 7 2 7 8 6 6 11 12 19

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY Peraja 8 3 12 17 18 19 19 13 16 9 Periö 14 21 21 21 20 15 14 12 37 25 Pertteli 11 8 7 12 7 8 16 20 20 14 Pertumaa 6 6 5 7 11 10 7 9 6 6 Peräseiäjoki 8 16 13 13 12 2 10 7 16 9 Petäjävesi 10 8 11 10 9 13 9 12 11 13 Pieksämäki 27 40 47 22 29 42 58 42 66 61 Pieksämaa 25 24 24 15 27 39 42 48 54 54 Pielavesi 22 30 24 28 33 29 31 50 46 32 Pietarsaari 15 34 56 54 44 50 39 45 44 44 Pihtipudas 32 22 19 14 15 22 19 13 20 18 Piikkiö 7 15 17 24 18 15 23 19 24 20 Piippola 4 6 2 5 6 5 7 5 6 4 Pirkkala 23 20 16 30 25 25 31 28 30 32 Pohja 15 17 12 12 14 14 12 8 11 15 Polvijärvi 9 12 15 13 18 23 32 22 28 22 Pomarkku 11 8 7 17 8 7 10 16 18 14 Pori 157 138 169 158 158 186 188 186 293 237 Poraie 5 6 10 6 9 5 3 4 5 9 Porvoo 61 64 71 65 82 78 85 123 111 101 Posio 15 14 13 13 22 18 15 21 27 23 Pudasjärvi 25 41 34 28 23 38 46 44 28 22 Pukkila 5 8 5 8 4 7 1 5 2 6 Pulkkila 4 4 3 6 3 3 4 6 6 10 Pukaharju 6 23 24 17 19 20 17 14 20 8 Pukalaidu 13 21 28 22 15 11 14 32 15 8 Puolaka 14 17 15 16 15 7 11 13 23 24 Puumala 3 10 15 21 14 11 8 23 17 17 Pyhtää 9 20 11 16 24 11 23 20 28 33 Pyhäjoki 9 10 6 9 14 8 4 11 11 14 Pyhäjärvi 28 25 31 26 35 20 18 39 31 33 Pyhätä 7 7 7 3 6 6 7 8 2 4 Pyhärata 2 9 6 7 7 8 8 7 15 10 Pyhäselkä 12 10 10 9 14 13 11 19 24 16 Pylkömäki 3 4 3 2 4 7 8 3 7 6 Pälkäe 10 11 14 15 8 11 17 16 21 27 Pöytyä 6 8 13 9 5 13 5 20 19 13 Raahe 20 22 22 23 22 22 27 32 62 87 Raisio 42 41 47 53 62 58 62 64 80 87 Ratasalmi 16 31 17 23 12 28 31 16 22 22 Ratsila 5 5 7 8 0 6 8 18 2 10 Raua 18 15 19 15 16 15 13 30 17 12 Rauma 81 97 78 95 107 112 106 128 147 118 Rautalampi 9 18 15 14 17 24 23 15 29 32 Rautavaara 7 7 13 13 3 12 16 22 10 13 20 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Rautjärvi 13 18 19 8 8 14 13 11 19 16 Reisjärvi 7 4 7 5 14 8 8 13 8 8 Reko 8 9 6 6 4 10 5 5 6 8 Riihimäki 38 51 56 48 57 55 54 49 60 76 Ristiia 8 11 8 12 13 10 21 19 25 24 Ristijärvi 6 9 12 13 12 9 9 11 9 12 Rovaieme mlk 36 34 44 47 47 55 46 63 75 61 Rovaiemi 43 44 50 59 79 81 60 100 124 99 Ruokolahti 8 22 19 10 30 23 13 24 42 23 Ruotsipyhtää 11 15 6 5 23 17 18 13 12 14 Ruovesi 26 24 30 8 30 30 32 35 33 38 Rusko 12 9 11 3 6 8 6 7 7 7 Ruukki 13 8 10 9 14 9 4 12 11 10 Rymättylä 7 11 5 8 7 11 6 5 10 10 Rääkkylä 8 9 5 10 6 14 8 13 17 5 Saari 0 2 4 8 4 4 9 8 4 7 Saarijärvi 40 32 44 36 23 38 37 47 61 44 Sahalahti 4 5 2 6 8 8 6 3 10 2 Salla 19 14 16 7 13 21 17 19 28 26 Salo 69 75 73 63 71 51 71 91 94 93 Saltvik 7 7 5 6 6 2 2 4 3 6 Sammatti 2 3 6 3 6 6 5 7 5 5 Sauvo 4 9 16 9 11 5 12 11 8 15 Savitaipale 15 16 11 11 12 13 12 17 16 29 Savolia 52 72 67 99 103 93 90 92 87 87 Savorata 4 5 6 4 5 6 8 7 8 2 Savukoski 8 4 4 1 9 5 6 5 9 5 Seiäjoki 24 47 48 67 47 60 68 85 90 100 Sievi 16 7 9 8 10 20 16 14 24 28 Siikaie 5 8 10 7 3 7 11 4 14 10 Siikajoki 5 6 3 2 3 4 2 4 4 4 Siilijärvi 31 39 43 53 35 45 54 69 81 63 Simo 11 10 15 16 15 9 16 10 26 22 Sipoo 22 28 26 32 38 23 26 44 38 53 Siutio 9 6 11 8 8 9 9 10 15 6 Sodakylä 21 25 15 18 30 28 26 38 45 25 Soii 4 10 1 4 9 11 12 6 8 10 Somero 38 41 28 37 39 44 51 47 51 58 Sokajärvi 25 18 21 22 32 22 34 33 30 27 Sotkamo 36 36 41 29 28 20 25 38 74 53 Sottuga 0 1 1 5 2 0 3 2 0 2 Sulkava 11 21 23 17 11 11 27 14 14 14 Sumiaie 11 4 8 7 4 9 3 4 3 2 Sud 5 2 1 7 2 3 1 5 0 1 Suodeiemi 8 7 10 3 7 7 9 3 5 8 21

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY Suolahti 20 16 19 19 15 14 23 28 24 14 Suomeiemi 0 6 4 3 5 5 2 10 7 10 Suomusjärvi 6 2 4 1 5 6 7 3 4 10 Suomussalmi 18 18 24 23 20 18 22 38 49 24 Suoejoki 35 33 36 30 34 49 59 47 47 52 Sysmä 14 8 17 10 7 22 17 17 20 16 Säkylä 16 16 20 17 18 15 26 26 20 24 Särkisalo 9 5 7 5 3 7 3 6 5 3 Taipalsaari 7 10 7 8 11 7 6 4 14 11 Taivalkoski 12 21 9 9 17 20 16 19 9 35 Taivassalo 9 14 22 10 10 4 12 12 7 11 Tammela 8 12 19 23 19 24 18 29 33 23 Tammisaari 30 23 32 32 31 45 52 34 59 50 Tampere 297 321 350 351 340 406 449 473 603 649 Tarvasjoki 4 3 1 6 7 5 14 11 10 7 Temmes 0 2 1 0 3 5 0 0 0 0 Tervo 11 8 13 6 15 15 16 14 12 12 Tervola 13 11 6 15 19 17 22 12 17 23 Teuva 20 25 17 20 18 21 18 23 26 26 Tohmajärvi 10 8 15 12 11 17 9 9 23 10 Toholampi 12 4 12 17 17 14 9 20 20 18 Toijala 13 18 16 20 22 17 33 27 30 34 Toivakka 12 7 16 8 8 11 8 6 12 7 Torio 37 27 42 28 36 61 53 56 53 66 Turku 343 401 397 441 422 538 549 630 625 712 Tuulos 5 1 2 3 2 8 2 3 6 9 Tuupovaara 5 6 5 6 6 7 6 10 9 9 Tuusiemi 19 18 14 19 14 19 10 18 17 24 Tuusula 35 36 40 38 41 56 44 49 73 60 Tyrävä 7 11 6 8 9 9 5 6 9 15 Töysä 4 7 9 14 10 9 7 15 12 14 Ullava 2 1 4 3 6 9 7 1 9 5 Ulvila 22 16 17 28 16 28 25 24 40 33 Urjala 15 19 22 20 20 13 26 19 33 28 Utajärvi 12 11 12 5 6 5 10 14 11 16 Utsjoki 5 4 3 3 3 9 3 6 4 5 Uukuiemi 0 1 1 1 7 3 1 4 0 4 Uuraie 9 6 16 9 5 8 11 9 15 13 Uusikaarlepyy 8 13 19 18 18 19 27 18 21 28 Uusikaupuki 37 57 49 54 55 59 72 57 78 76 Vaala 13 26 24 13 15 17 18 23 23 18 Vaasa 52 45 75 75 70 92 96 115 93 113 Vahto 0 4 3 5 5 6 1 3 8 12 Valkeakoski 41 43 52 55 56 71 86 74 92 69 Valkeala 39 17 29 25 38 26 33 33 46 36 22 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004

Table 2. The umber of total joit arthroplasty procedures i all muicipalities betwee 1995-2004 Cotiued MUNICIPALITY 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Valtimo 1 8 3 7 8 7 6 7 17 10 Vammala 44 48 34 59 40 58 61 75 46 65 Vampula 2 9 10 5 5 5 4 10 10 8 Vataa 131 168 181 208 190 215 230 345 326 427 Varkaus 48 54 71 83 67 66 88 83 101 90 Varpaisjärvi 18 16 18 17 19 17 13 16 19 12 Vehmaa 6 15 17 22 23 11 15 17 16 18 Vehmersalmi 9 15 17 13 7 9 18 13 23 24 Velkua 1 1 1 2 3 1 2 3 2 5 Vesato 13 12 11 7 6 14 12 21 15 20 Vesilahti 11 9 11 7 9 8 17 16 13 12 Veteli 10 7 6 12 5 11 15 12 13 13 Vieremä 13 11 13 15 17 13 23 36 26 18 Vihati 15 9 14 6 11 8 11 14 20 19 Vihti 31 26 33 38 43 34 37 43 57 49 Viiala 9 5 16 11 12 18 22 17 21 18 Viitasaari 35 26 26 21 27 27 20 31 38 28 Viljakkala 5 8 7 6 9 5 12 19 10 9 Vilppula 16 19 21 11 17 21 26 26 16 32 Vimpeli 7 6 10 6 9 7 21 17 16 19 Virolahti 14 17 19 21 18 21 15 25 23 14 Virrat 28 14 25 22 32 36 50 47 35 82 Vuolijoki 11 11 8 11 13 8 10 14 12 18 Vårdö 1 3 2 2 0 2 4 4 3 2 Vähäkyrö 4 14 6 14 14 8 16 11 13 13 Värtsilä 2 2 2 1 0 1 4 2 10 3 Västafjärd 4 1 7 7 1 3 4 3 3 6 Vöyri 5 6 8 7 6 10 7 15 4 13 Ylihärmä 9 8 15 13 11 8 12 12 8 11 Yli-Ii 9 4 1 7 10 9 1 6 3 9 Ylikiimiki 6 8 13 12 10 5 7 14 10 6 Ylistaro 20 11 13 15 15 18 27 20 34 23 Ylitorio 7 17 19 23 15 23 14 20 26 22 Ylivieska 27 37 26 31 32 35 17 33 39 44 Ylämaa 1 5 5 3 2 4 3 6 6 7 Yläe 11 11 18 11 9 16 13 12 16 14 Ylöjärvi 20 38 33 20 49 44 43 43 57 61 Ypäjä 9 9 7 8 7 11 12 14 6 7 Äetsä 11 18 20 15 14 13 12 17 15 24 Ähtäri 19 15 22 23 26 31 38 38 20 30 Ääekoski 28 44 49 39 35 42 29 66 62 26 23

Figure L1. The umber of total hip arthroplasties Figure L1. The umber of total hip betwee arthroplasties 1980 betwee - 2004 1980-2004 Number of operatios 9000 8000 7000 6000 5000 4000 3000 2000 1000 0 1185 1557 1814 143 165 195 1670 216 1902 253 2076 313 2570 469 2814 482 2941 2863 3209 467 508 572 3490 726 904 3703 913 4038 4376 4350 946 1099 4695 1147 4840 1217 4835 4881 5240 1211 1292 1240 5578 6266 1317 1246 6814 6545 1335 1327 Primary Revisio 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 24

Figure L2. Primary hip joit arthroplasties i me betwee 1980-2004 i differet age groups Figure L2. Primary hip joit arthroplasties i me betwee 1980-2004 i differet age groups 1200 1000 800 600 400 200 0 1980 1985 1990 1995 2000 2005 Figure L3. Primary hip joit arthroplasties i wome betwee 1980-2004 i differet age groups 1600 1400 1200 1000 800 10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-600 400 200 0 1980 1985 1990 1995 2000 2005 25

Figure L4. Idicatios for primary total hip arthroplasties betwee 1980-2004 Figure L4. Idicatios for primary total hip arthroplasties betwee 1980-2004 Number of operatios 8000 7000 6000 5000 4000 3000 Other arthritides Cogeital luxatio of the hip Rheumatoid arthritis Secodary osteoarthritis Other illess Primary osteoarthritis 2000 1000 0 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year Figure L5. Complicatio rate i primary hip joit arthroplasties Figure L5. Complicatio rate betwee i primary 1995 hip - 2004 joit arthroplasties betwee 1995-2004 % 4,5 4,0 3,5 3,0 2,5 2,0 Woud ecrosis Aaesthetic complicatio Nerve ijury Death Haematoma Malpositio Thromboembolic complicatio Ifectio Luxatio Other primary complicatio 1,5 1,0 0,5 0,0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 26

Figure Figure L6. L6. The The average average legth legth of hospitalisatio of hospitalisatio due to edoprosthetic due to edoprosthetic surgery i hip surgery osteoarthritis, i hip me osteoarthritis, me (by cou (by courtesy of STAKES) STAKES) 14 12 10 40_49 50_59 60_69 70_79 80_89 Days 8 6 4 2 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year Figure L7. Figure The average L7. The legth average of hospitalisatio legth of hospitalisatio due to edoprosthetic due to surgery edoprosthetic i hip osteoarthritis, surgery wome i hip osteoarthritis, wome (by courtesy of STAKES) courtesy of STAKES) 14 12 10 8 40_49 50_59 60_69 70_79 80_89 Days 6 4 2 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year 27

Figure L8. Primary total hip joit arthroplasties i differet types of hospitals betwee 1995-2004 Figure L8. Primary total hip joit arthroplasties i differet types of hospitals betwee 1995-2004 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % COXA Rheumatism Foudatio Hospital Orto Other Private Hospitals Uiversity Hospitals District Hospitals Cetral Hospitals 1995 N=4350 1996 N=4695 1997 N=4840 1998 N=4835 1999 N=4881 2000 N=5240 2001 N=5578 2002 N=6266 2003 N=6814 2004 N=6545 0 % 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Figure L9. Total hip joit revisio arthroplasties i differet types of hospitals Figure L9. Total hip joit revisio arthroplasties i differet types of hospitals betwee 1995-2004 betwee 1995-2004 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % COXA Rheumatism Foudatio Hospital Orto Other Private Hospitals Uiversity Hospitals District Hospitals Cetral Hospitals 1995 N=1099 1996 N=1147 1997 N=1217 1998 N=1211 1999 N=1292 2000 N=1240 2001 N=1317 2002 N=1246 2003 N=1335 2004 N=1327 0 % 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 28

Figure L10. Total hip joit arthroplasties i primary osteoarthritis Figure L10. Total hip joit arthroplasties i primary osteoarthritis betwee 1980-2004 betwee 1980-2004 Note: Cofidece Note: iterval Cofidece refers iterval to 96-04 refers ad is to very 96-04 arrow ad is very arrow 85 % 80 % 75 % 70 % 65 % 80-87, N=11228 88-95, N=22815 96-04, N=37936 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Year Figure Figure L11. L11. The use The of use cemeted of cemeted fixatio fixatio techique techique of prosthetic of prosthetic compoets compoets i primary total i primary hip arthroplasties total hip arthroplasties betwee betwee 1993-2004 1993-2004 100,00 % 90,00 % 80,00 % Femoral compoet Acetabular compoet 70,00 % 60,00 % 50,00 % 40,00 % 30,00 % 20,00 % 10,00 % 0,00 % 1993 1995 1997 1999 2001 2003 2005 29

Figure L12. Total hip joit edoprostheses i primary osteoarthritis betwee 1996-2004 Figure L12. Total hip joit edoprostheses i primary osteoarthritis Cemeted / cemetless fixatio betwee 1996-2004 Cemeted / cemetless fixatio 99 % 98 % Simplex tobramici, N=3433 Palacos getamici, N=9475 Cemetless, N=12509 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure L13. Figure Atibiotic L13. prophylaxis Atibiotic i prophylaxis primary hip joit primary operatios hip betwee joit operatios 1996-2004betwee 1996-2004 Proportio of atibiotics used 80 % 60 % 40 % 20 % Other atibiotics Cefotaxime/Ceftriaxoe Dicloxacilli/Cloxacilli Cefuroxime 0 % 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 30

Figure L14. Hip joit arthroplasty revisios i me durig 1980-2004 i differet age groups 250 200 150 100 50 0 1980 1985 1990 1995 2000 2005 Figure L15. L15. Hip Hip joit joit arthroplasty arthroplasty revisios revisios i wome i betwee wome 1980-2004 betwee i 1980-2004 differet age i groups differet age groups 350 300 250 200 150 10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-100 50 0 1980 1985 1990 1995 2000 2005 31

Figure L16. Figure Idicatios L16. Idicatios for total hip for joit total arthroplasty hip joit revisios arthroplasty i 2004 revisios i 2004 137 251 Looseig (proximal compoet) Luxatio 11 39 198 242 Looseig (distal compoet) Ifectio Looseig (both compoets) Fracture of boe Malpositio of prosthesis Fracture of prosthesis Other reaso Not kow 87 89 115 158 Figure L17. Allograft ad autograft i hip joit revisios betwee 1996-2004 600 500 Number of operatios 400 300 200 100 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 Allograft Autograft Autograft+allograft 32

Figure L18. Figure Total L18. hip joit Total edoprostheses hip joit edoprostheses i primary i osteoarthritis, primary osteoarthritis, first revisio betwee 1980-2004 first revisio betwee 1980-2004 85 % 80 % 75 % 70 % 65 % 80-87, N=348 88-95, N=2363 96-04, N=4694 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Figure L19. Aual umber of hip joit revisio arthroplasties due to ifectio Figure L19. Aual umber of hip joit revisio arthroplasties due to ifectio 50 45 40 Me Wome All Number 35 30 25 20 15 10 5 0 1993 1995 1997 1999 2001 2003 2005 Year 33

Figure L20. Time to revisio arthroplasty after the removal of the hip joit edoprosthesis Figure L20. Time to revisio arthroplasty after the removal of the hip joit edoprosthesis due to ifectio due to ifectio 700 600 Mea with SD Media 500 400 Days 300 200 100 0 1993 1995 1997 1999 2001 2003 2005-100 Year Figure L21. The proportio of the first, the secod ad the third total hip joit revisio Figure L21. The proportio of the first, the secod operatios ad the third i 2004 total hip joit revisio operatios i 2004 4,8 3,3 18 1 st revisio 2 d revisio 3 rd revisio Other 73,9 34

Table 3a. Primary hip joit arthroplasties i me with rheumatoid arthritis betwee 1990-2004 Age 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 TOTAL 10-20 0 0 1 2 0 0 0 0 0 0 1 0 0 0 1 9 21-30 6 3 1 5 0 3 4 5 0 3 11 0 5 2 3 82 31-40 3 5 7 9 4 8 3 3 9 6 4 3 9 9 1 140 41-50 13 12 13 12 11 11 18 12 11 14 6 12 11 14 9 297 51-60 17 15 23 17 19 16 19 24 28 19 20 21 21 19 13 489 61-70 28 25 31 33 40 24 37 32 31 27 16 18 28 21 32 575 71-80 9 12 6 5 10 4 16 14 29 11 12 8 16 7 18 232 81-90 3 1 0 0 1 0 2 3 1 2 1 2 0 3 0 23 91-0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 79 73 82 83 85 66 99 93 109 82 71 64 90 75 77 1847 Table 3b. Primary hip joit arthroplasties i wome with rheumatoid arthritis betwee 1990-2004 Age 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 TOTAL 10-20 6 6 4 1 2 0 2 1 1 1 2 0 1 1 0 52 21-30 15 12 12 7 5 11 11 9 5 8 7 5 9 8 5 231 31-40 19 21 19 17 19 17 15 14 9 17 13 8 5 5 7 398 41-50 31 36 45 33 36 29 34 19 19 16 13 20 23 20 17 726 51-60 80 72 63 71 65 53 52 55 53 42 55 40 37 37 25 1496 61-70 96 92 110 95 93 81 94 73 81 75 70 69 72 66 66 2068 71-80 51 43 61 68 65 70 68 75 65 73 84 56 55 66 46 1293 81-90 2 3 11 12 4 5 11 9 16 10 11 14 13 9 8 154 91-0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 300 285 325 304 289 266 287 255 249 242 255 212 215 212 174 6418 35

Figure L22. Total hip joit edoprostheses i rheumatoid arthritis Figure L22. Total hip joit edoprostheses betwee 1980-2004 i rheumatoid arthritis betwee 1980-2004 85 % 80 % 75 % 70 % 80-87, N=2456 88-95, N=2942 96-04, N=2857 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Figure L23. Total hip joit edoprostheses i rheumatoid arthritis, Figure L23. Total hip joit edoprostheses i rheumatoid arthritis, first revisio betwee 1980-2004 first revisio betwee 1980-2004 85 % 80-87, N=68 88-95, N=401 96-04, N=703 80 % 75 % 70 % 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 36

Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL STEM 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 EXETER UNIVERSAL 134 164 205 172 208 669 780 1095 1196 1448 1597 1743 1905 1958 1690 14964 598 2553 11813 BIOMET COLLARLESS 301 434 507 545 724 776 862 857 829 756 844 839 943 1052 1077 11346 1004 1111 9231 LUBINUS SP II 747 892 921 886 920 963 949 961 904 892 980 836 981 914 681 13427 865 4449 8113 SPECTRON EF 0 0 0 0 0 0 0 0 0 11 70 154 293 555 646 1729 35 78 0 ABG II 0 0 0 0 0 0 0 0 0 8 69 335 487 530 578 2007 61 58 1888 BIRMINGHAM 0 0 0 0 0 0 0 0 0 0 0 29 190 338 370 927 8 6 913 SUMMIT (DePuy) 0 0 0 0 0 0 0 0 0 0 0 0 10 155 299 464 10 9 445 BASIS PRIMARY 0 0 0 0 0 0 0 0 0 0 0 0 0 35 100 135 4 29 102 RESURFACING ASR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 96 0 0 96 C-STEM 0 0 0 0 0 0 0 0 0 0 0 0 17 52 83 152 0 1 151 MATHYS CCM STD 0 0 0 0 0 0 0 0 0 0 0 0 0 10 81 91 0 5 86 THOMPSON 0 0 0 0 0 1 4 2 23 52 45 115 46 50 75 413 16 251 146 BIOM INTEGRAL LATER 0 0 0 0 0 0 0 0 0 4 30 44 84 143 73 378 12 10 356 STANMORE 2 0 0 0 0 0 0 0 3 18 8 40 65 87 72 295 14 21 260 PCA MERIDIAN 0 0 0 0 0 0 2 48 57 48 52 48 69 74 57 455 13 27 415 TIGE VECTRA INOX 0 0 0 0 0 0 0 0 0 0 0 0 15 56 47 118 0 10 108 CPT (ZIMMER) 0 0 0 0 0 0 3 7 36 34 43 22 54 48 41 288 6 25 257 L-CORAIL (DePuy) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 36 0 0 36 RECAP (BIOMET) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 36 0 0 36 EMERAUDE 0 0 0 1 0 1 9 17 5 8 36 38 44 45 35 239 10 18 211 BIOMET MALLORY/HEAD PRIMARY/LATERALIS 0 0 0 0 0 0 0 0 0 0 1 3 0 37 35 76 1 2 73 CORMET RESURFACING 0 0 0 0 0 0 0 0 0 0 0 0 12 31 32 75 2 0 73 SPOTORNO 19 19 11 10 31 23 27 9 1 0 22 58 91 74 24 419 17 31 371 BIOMET B.FX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 23 1 5 17 ELITE PLUS FLANGED 0 2 5 24 218 172 337 347 340 238 237 164 142 91 22 2339 243 518 1578 LPP II 0 0 0 0 0 0 0 0 1 13 23 40 33 73 22 205 5 24 176 SYNERGY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 21 0 0 21 BIOM INTEGRAL P/R 0 0 0 0 0 0 0 0 1 1 4 11 9 16 20 62 6 12 44 37

Cotiued Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 I follow-up Deceased Revised Implated FEMORAL STEM 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 BIOMET COLLARED 118 112 104 101 103 175 179 215 171 173 171 156 129 45 19 1971 212 230 1529 BIOMET HEAD-NEC 29 40 58 41 48 40 59 43 47 38 25 22 25 20 19 554 74 78 402 BIOMET CDH 0 0 0 0 0 0 1 2 3 12 20 19 16 28 17 118 13 3 102 VERSYS (ZIMMER) 0 0 0 0 0 0 0 0 0 0 0 2 2 33 13 50 0 2 48 MS-30 (KIRFIX) 0 0 0 0 0 0 0 0 0 14 25 11 23 38 11 122 1 2 119 ELITE PL HIGH OFF 0 0 0 0 0 0 0 8 47 39 19 33 42 43 10 241 6 22 213 S-ROM (S) 0 0 0 0 0 0 2 9 8 3 6 2 1 3 9 43 2 2 39 BICONTACT 19 12 10 7 3 3 5 11 12 7 38 34 39 21 9 230 29 19 182 BICONTACT semetillä 7 1 3 3 4 6 5 10 18 8 4 13 6 2 7 97 8 19 70 BIOMET MALLORY/HEAD MODULAR 0 0 0 0 0 0 0 0 0 1 1 0 0 3 5 10 0 4 6 OMNIFIT SYMAX 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 5 0 0 5 BIOMET DYSPLASTIC 15 31 31 21 28 25 38 28 19 23 10 14 6 10 5 304 54 20 230 ELITE PL ROUNDBACK 0 0 0 0 2 2 49 35 39 47 29 21 23 19 4 270 38 50 182 ZMR (ZIMMER) 0 0 0 0 0 0 0 0 0 0 0 0 4 2 4 10 0 1 9 OMNIFIT HA 6017-0 0 0 0 0 0 56 151 118 111 55 57 25 0 4 577 49 32 496 BICONTACT S 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 4 CONELOCK REVISIO 0 0 0 0 0 0 0 0 0 1 2 4 3 7 3 20 0 3 17 S-ROM REVISIO 0 0 0 0 0 0 0 10 8 8 6 2 5 6 3 48 7 3 38 LINK REKONSTRUK 0 0 0 0 0 0 0 0 2 2 2 7 1 1 3 18 3 5 10 LINK SATULAPROTEESI 1 2 0 0 2 0 2 1 3 0 0 1 0 1 2 15 1 3 11 BIOMET INTERLOC 15 17 111 279 270 149 142 120 73 54 22 23 22 9 2 1308 137 504 667 STANMORE METS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 1 1 BIOMET BIHAPRO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 1 0 1 RESTORATION MODULAR 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 2 ETM TRAUMASTEM (EXETER) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 ELITE PLUS REVISIO 0 0 0 0 0 0 0 1 1 0 1 0 0 0 1 4 0 2 2 L-LINK C.F.P 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 VECTRA 3 STD 0 0 0 0 0 0 0 0 0 55 103 153 108 20 1 440 12 37 391 BIOMET MALLORY/HEAD REVISIO 0 0 0 0 0 0 0 0 1 3 7 8 2 1 1 23 5 6 12 38

Cotiued I follow-up Deceased Revised Implated Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 FEMORAL STEM 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 ABG HA 0 0 57 131 210 290 289 357 494 562 516 366 230 34 1 3537 238 412 2887 REEF (DePuy) 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 0 0 2 BIOMET CUSTOM CDH 0 0 0 0 0 1 1 2 2 0 0 2 1 0 1 10 2 0 0 DUROM RESURFACING 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 AUSTIN-MOORE 0 0 0 0 0 0 8 0 7 2 2 2 4 3 0 28 5 19 4 LUBINUS DEMI 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 3 1 2 0 TUUMORIPROTEESI 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 BRUNSWIK 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 1 1 0 CHARNLEY 126 155 114 178 93 18 13 5 1 0 0 19 12 9 0 743 117 369 257 CHARNLEY KERBOUL 0 0 1 0 0 6 0 0 0 0 0 0 0 0 0 7 1 3 3 ELITE PLUS CDH 0 0 0 0 0 0 1 3 3 2 2 2 0 4 0 17 1 2 14 LUBINUS IP 129 38 46 52 46 25 32 0 1 1 1 0 0 1 0 372 86 195 91 LUBINUS SP I 25 5 20 12 8 19 14 4 3 0 0 0 0 0 0 110 37 51 22 LINK RS 105 42 26 14 4 0 1 0 0 0 0 0 0 0 0 192 65 65 62 EXETER 34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 35 4 18 13 MINNEAPOLIS 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 4 0 4 0 LORD MADREPORIQ 56 66 37 16 1 1 0 0 0 0 0 0 0 0 0 177 49 74 0 LORD L.F.R. 130 23 2 1 0 1 0 0 0 0 0 0 0 0 0 157 73 66 18 CERAVER (S) 21 16 8 10 5 7 4 18 8 5 5 2 0 0 0 109 16 32 61 CERAVER REVISIO 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 MÜLLER MONOLOG 240 355 392 512 476 333 128 10 4 0 0 0 0 0 0 2450 174 1112 1164 MÜLLER LATERAL 29 31 1 0 1 0 4 1 0 0 0 0 0 0 0 67 2 35 30 MÜLLER STRAIGHT 0 0 0 1 1 0 62 33 12 4 0 3 9 0 0 125 7 28 90 MÜLLER SLS, TIT 0 3 67 91 51 45 35 46 55 34 5 1 0 0 0 433 63 144 226 MÜLLER SLS, MON 0 0 0 1 1 4 103 130 55 8 0 0 0 0 0 302 18 59 225 VECTRA 2 STD 0 0 0 0 0 0 0 0 48 27 22 3 0 0 0 100 7 18 75 VECTRA 3 LATER 0 0 0 0 0 0 0 0 0 10 22 28 13 9 0 82 3 8 71 VECTRA 2 LATER 0 0 0 0 0 0 0 0 11 20 2 0 0 0 0 33 0 5 28 VIRTEC STD 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 1 0 2 39

Cotiued Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 I follow-up Deceased Revised Implated FEMORAL STEM 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 VIRTEC LATER 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 6 TIGE VECTRA INOX LATERALISOIVA 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 11 0 0 11 FURLONG 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 BIAS REVISIO 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 2 0 HARRIS-PRECOAT 0 0 0 0 8 2 0 0 0 0 0 0 0 0 0 10 1 4 5 ANATOMIC MESH 132 213 195 171 115 64 60 34 19 13 6 1 0 0 0 1023 179 202 642 ZIM-MÜLL ZIMTRON 1 0 0 0 0 0 15 9 0 0 0 0 0 0 0 25 4 7 14 LCO 0 0 0 0 26 31 17 3 0 0 0 0 0 0 0 77 3 28 46 MCKEE RISKA 9 2 2 4 3 2 3 1 1 0 0 0 0 0 0 27 2 23 2 BUTELL 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 2 3 7 CF-30 0 0 0 19 19 8 0 13 15 1 0 0 0 0 0 75 20 26 29 CENATOR 0 0 0 5 42 8 1 2 0 0 0 0 0 0 0 58 7 21 30 PROXILOC 0 0 0 0 0 0 0 0 0 11 29 29 4 0 0 73 11 5 57 PCA STANDARD 166 124 196 3 12 6 0 0 0 0 0 0 0 0 0 507 99 123 285 PCA MEDIUM STEM 6 1 1 1 0 1 0 0 2 0 0 0 0 0 0 12 4 2 6 PCA LONG STEM 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 2 PCA E-SERIES 15 38 34 157 200 147 98 22 1 1 2 0 0 0 0 715 95 148 472 PCA REVISIO 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 PCA TEXTURED 0 0 0 2 3 12 5 8 0 0 0 0 0 0 0 30 4 16 10 PCA HNR-PC 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 BIOMET SHP 0 0 0 0 0 0 32 27 15 11 0 2 0 0 0 87 2 20 65 BIOMET TAPERLOC 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 BIOMET REACH/MALLORY/HEAD 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 BICHAT 2 0 3 1 0 0 0 0 0 0 0 0 0 0 0 6 1 4 1 ABG (S) 0 0 41 153 193 119 56 29 33 24 14 10 4 0 0 676 62 288 326 ABG HA REVISIO 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 3 0 1 2 WAGNER REVISIO 0 2 1 1 1 0 0 1 4 0 3 2 0 2 0 17 3 5 9 OMNIFIT SEMENTOITAVA 0 6 1 0 2 3 5 1 0 0 0 0 0 0 0 18 2 7 9 OMNIFIT HA 1017-0 7 13 17 30 81 60 0 0 0 0 0 0 0 0 208 80 28 100 40

Cotiued I follow-up Deceased Revised Implated Table 4. Total hip joit edoprostheses i primary arthroplasties betwee 1990-2004 FEMORAL STEM 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 OMNIFIT RESTORATION 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 2 OMNIFIT LONG 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 HOWM RESTORATION T3 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 2 OMNIFIT HA 6051-0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 MATHYS RM ISOELAS 279 234 190 109 55 13 3 0 0 0 0 0 0 0 0 883 225 287 371 MATHYS RM HA 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 BIOMET LMT 2 7 61 45 11 0 0 0 0 0 0 0 0 0 0 126 20 72 34 BICONTACT SD 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 EURO (S) 81 112 68 29 10 0 0 0 0 0 0 0 0 0 0 300 38 184 78 3V-PMB 8 43 24 51 45 1 1 0 0 0 0 0 0 2 0 175 25 91 59 3V-POROPOS 6 0 0 9 9 0 0 0 0 0 0 0 0 0 0 24 3 5 16 LPP 0 0 0 0 0 0 25 50 46 0 0 0 0 1 0 122 5 41 76 DIMENSION 1 6 0 4 0 1 0 0 0 0 0 0 0 0 0 12 3 5 4 SF SUPERFINITOR 21 30 7 0 0 0 0 0 0 0 0 0 0 0 0 58 14 32 12 SKT SUPERKONITAN 12 15 6 3 1 0 0 0 0 0 0 0 0 0 0 37 10 10 17 PROFILE POROUS 54 106 57 91 91 59 67 16 0 0 0 0 0 0 0 541 66 93 382 FREEMAN CALCAR 2 0 0 1 1 1 2 0 0 0 0 0 0 0 0 7 0 3 4 MECRON UNI-HIP 0 4 22 0 0 0 0 0 0 0 0 0 0 0 0 26 3 5 0 AML 63 45 0 0 0 0 17 21 27 14 1 1 0 0 0 189 26 41 122 SHP LINK 0 1 20 19 19 6 4 0 0 0 0 0 0 0 0 69 11 31 27 CORAIL 0 0 0 0 0 9 2 0 0 0 0 0 0 0 0 11 6 4 1 MECROBLOCK 28 24 23 34 22 21 12 6 2 1 0 1 0 0 0 174 34 39 101 FREEMAN 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 41

Cotiued Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs I follow-up Deceased Revised Implated FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 EXETER UNIVERSAL CONTEMPORARY 11 103 217 466 525 791 990 1195 1018 5316 140 454 4722 SPECTRON EF REFLECTION ALL POLY 0 0 0 11 60 125 258 452 571 1477 29 68 1380 ABG II ABG II 0 0 0 8 69 325 473 481 441 1797 52 47 1698 BIRMINGHAM BIRMINGHAM 0 0 0 0 0 29 190 338 370 927 8 6 913 BIOMET COLLARLESS BIOMET VISION 0 0 124 316 371 415 414 446 352 2438 81 81 2276 BIOMET COLLARLESS BIOMET ONE-PIECE CUP 0 0 0 0 0 0 11 180 335 526 6 3 517 EXETER UNIVERSAL EXETER ALL POLY 437 586 513 529 538 468 459 391 328 4249 165 725 3359 SUMMIT (DePuy) PINNACLE 0 0 0 0 0 0 0 72 207 279 5 5 269 LUBINUS SP II LUBINUS STD 338 350 339 352 357 277 328 281 175 2797 114 487 2196 LUBINUS SP II LUBINUS FC 0 0 0 0 52 134 185 164 133 668 17 44 607 LUBINUS SP II LUBINUS ECCENTRIC 539 517 436 384 320 216 184 126 120 2842 111 634 2097 ABG II OMNIFIT TRIDENT 0 0 0 0 0 0 0 23 120 143 6 3 134 RESURFACING ASR RESURFACING ASR 0 0 0 0 0 0 0 0 96 96 0 0 96 BIOMET COLLARLESS BIOMET EXCEED HAP 0 0 0 0 0 4 97 101 90 292 7 4 281 BIOMET COLLARLESS STANMORE 0 0 0 2 25 46 88 120 86 367 4 9 354 EXETER UNIVERSAL OMNIFIT TRIDENT 0 0 0 0 0 0 67 56 85 208 4 6 198 EXETER UNIVERSAL ABG II 3 52 41 53 125 143 137 124 66 744 23 64 657 SUMMIT (DePuy) PROFILE DURALOC 0 0 0 0 0 0 4 69 66 139 5 2 132 BIOMET COLLARLESS M2A 38 FLARED ACET CUP 0 0 0 0 0 0 0 0 59 59 0 1 58 PCA MERIDIAN PCA VITALOCK 0 41 57 47 51 48 69 74 57 444 13 26 405 STANMORE BIOMET APOLY(S) 0 0 0 0 0 14 32 68 52 166 7 10 149 C-STEM ELITE PLUS LPW 0 0 0 0 0 0 17 52 45 114 0 1 113 EXETER UNIVERSAL PCA VITALOCK 0 0 4 20 45 68 33 28 43 241 9 27 205 BIOM INTEGRAL LATER BIOMET ONE-PIECE CUP 0 0 0 0 0 0 8 49 40 97 2 1 94 C-STEM ELITE PLUS OGEE 0 0 0 0 0 0 0 0 38 38 0 0 38 SPECTRON EF REFLECTION INTERFIT 0 0 0 0 6 28 27 67 37 165 2 8 155 MATHYS CCM STD MATHYS RM HA 0 0 0 0 0 0 0 4 37 41 0 0 41 CPT (ZIMMER) TRILOGY 0 0 0 18 38 22 54 48 36 216 4 13 199 42

Cotiued Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs I follow-up Deceased Revised Implated FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 L-CORAIL (DePuy) ELITE PLUS LPW 0 0 0 0 0 0 0 0 36 36 0 0 36 RECAP (BIOMET) RECAP (BIOMET) 0 0 0 0 0 0 0 0 36 36 0 0 36 BIOMET COLLARLESS BIOMET APOLY(S) 0 0 0 5 4 34 37 44 33 157 7 4 146 CORMET RESURFACING CORMET RESURFACING 0 0 0 0 0 0 12 31 32 75 2 0 73 EXETER UNIVERSAL ZIMMER MONOBLOCK 0 0 0 0 0 0 0 14 31 45 1 0 44 BIOMET COLLARLESS BIOMET PFU 555 504 338 153 166 97 68 73 28 1982 96 131 1755 TIGE VECTRA INOX MATHYS RM HA 0 0 0 0 0 0 13 37 25 75 0 9 66 EXETER UNIVERSAL OSTEONICS UHR BIPOLAR 0 0 0 0 0 0 1 20 24 45 0 8 37 SPOTORNO METASUL PRESS-FIT 0 0 0 0 22 58 90 73 23 266 10 4 252 MATHYS CCM STD METASUL PRESS-FIT 0 0 0 0 0 0 0 1 21 22 0 0 22 BIOMET COLLARLESS HEDROCEL 0 0 8 43 58 75 44 10 20 258 13 18 227 BIOMET COLLARLESS TRILOGY 0 4 5 24 53 34 20 13 20 173 15 6 152 EXETER UNIVERSAL BIOMET VISION 0 0 2 4 27 22 32 32 20 139 4 14 121 SYNERGY BIRMINGHAM 0 0 0 0 0 0 0 0 20 20 0 0 20 EMERAUDE WEBER METASUL 9 17 5 8 9 12 17 23 18 118 7 4 107 BIOMET ONE-PIECE CUP 0 0 0 0 0 0 0 8 18 26 0 0 26 BIOMET MALLORY/HEAD PRIMARY/ LATERALIS EMERAUDE WEBER PE CUP 0 0 0 0 27 24 26 22 17 116 1 13 102 EXETER UNIVERSAL PROFILE DURALOC 84 20 43 49 40 22 26 12 16 312 18 38 256 BIOMET COLLARLESS REFLECTION ALL POLY 0 0 0 0 1 17 41 16 16 91 1 0 90 SPECTRON EF ZIMMER MONOBLOCK 0 0 0 0 0 0 0 18 16 34 1 0 33 LUBINUS SP II LUBINUS VARIO-CUP 6 5 7 19 35 20 17 32 15 156 12 53 91 MATHYS CCM STD MATHYS METAL-METAL 0 0 0 0 0 0 0 5 15 20 0 1 19 EXETER UNIVERSAL HOWMED DOUBLE CUP 3 37 57 35 50 81 78 44 14 399 27 140 232 VERSYS (ZIMMER) TRILOGY 0 0 0 0 0 2 0 33 13 48 0 2 46 ABG II CONTEMPORARY 0 0 0 0 0 6 7 19 13 45 1 3 41 BIOM INTEGRAL LATER STANMORE 0 0 0 0 1 0 2 27 13 43 2 1 40 TIGE VECTRA INOX BIOMET PFU 0 0 0 0 0 0 0 0 13 13 0 0 13 ELITE PLUS FLANGED ELITE PLUS LPW 165 153 129 113 100 67 84 32 12 855 73 172 610 43

Cotiued Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs I follow-up Deceased Revised Implated FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 BIOMET HEAD-NEC BIOMET VISION 0 0 16 11 20 11 11 8 12 89 5 2 82 MS-30 (KIRFIX) METASUL PRESS-FIT 0 0 0 14 25 11 19 24 11 104 1 2 101 BIOM INTEGRAL P/R BIOMET VISION 0 0 0 0 3 6 6 6 11 32 5 4 23 SUMMIT (DePuy) BIRMINGHAM 0 0 0 0 0 0 5 13 11 29 0 1 28 SUMMIT (DePuy) RESURFACING ASR 0 0 0 0 0 0 0 0 11 11 0 0 11 ELITE PLUS FLANGED ELITE PLUS OGEE 20 26 75 65 100 90 54 55 10 495 18 72 405 EXETER UNIVERSAL BIOMEX 49 55 74 54 77 26 12 10 10 367 8 56 303 ELITE PL HIGH OFF ELITE PLUS OGEE 0 2 17 10 11 22 24 35 10 131 2 7 122 STANMORE STANMORE 0 0 2 17 7 18 16 7 10 77 3 8 66 BIOM INTEGRAL LATER BIOMET VISION 0 0 0 3 13 21 27 27 9 100 1 2 97 BIOMET CDH BIOMET VISION 0 0 1 8 13 12 9 15 9 67 5 1 61 BIOMET COLLARLESS CONTEMPORARY 0 0 0 2 5 11 12 4 9 43 1 0 42 LPP II LPP BIPOLAARI 0 0 0 0 0 8 14 5 9 36 0 14 22 LPP II LPP MYLLERTYYPPI 0 0 1 11 17 12 7 52 8 108 4 4 100 BIOMET PFU 0 0 0 0 0 0 0 22 8 30 0 1 29 BIOMET MALLORY/HEAD PRIMARY/ LATERALIS BICONTACT BICONTACT PLASMA CUP 0 0 0 0 0 0 0 21 8 29 1 0 28 STANMORE BIOMET VISION 0 0 0 0 0 1 0 6 8 15 2 0 13 S-ROM (S) PINNACLE 0 0 0 0 0 0 0 3 8 11 0 0 11 BICONTACT semetillä BICONTACT (S) 1 5 3 7 4 13 6 2 7 48 1 7 40 BIOMET COLLARED STANMORE 0 0 0 0 0 3 0 1 7 11 0 0 11 EXETER UNIVERSAL TRILOGY 0 0 11 149 122 55 28 10 6 381 17 37 327 LUBINUS SP II CONTEMPORARY 1 2 1 0 39 24 5 4 6 82 7 12 63 CPT (ZIMMER) ZIMMER ZCA 3 7 32 16 5 0 0 0 5 68 2 12 54 LPP II LPP 10AST. KOROTUS 0 0 0 0 6 16 9 13 5 49 0 5 44 BIOM INTEGRAL LATER BIOMET PFU 0 0 0 1 14 12 6 6 5 44 2 2 40 BIOMET HEAD-NEC BIOMET ONE-PIECE CUP 0 0 0 0 0 0 0 8 5 13 0 0 13 SPECTRON EF BIOMET VISION 0 0 0 0 1 0 1 4 5 11 1 0 10 OMNIFIT HA 6017- OMNIFIT TRIDENT 0 0 0 4 16 16 19 0 4 59 1 3 55 44

Cotiued I follow-up Deceased Revised Implated Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 LUBINUS SP II BIOMET VISION 0 0 3 5 8 4 9 6 4 39 1 4 34 BIOMET COLLARLESS EXETER ALL POLY 2 3 2 4 2 2 4 2 4 25 2 4 19 BIOMET COLLARED BIOMET VISION 0 0 4 18 96 99 114 30 3 364 6 22 336 BIOMET DYSPLASTIC BIOMET VISION 0 0 5 9 4 13 5 8 3 47 7 1 39 BIOM INTEGRAL LATER BIOMET EXCEED HAP 0 0 0 0 0 1 15 9 3 28 0 1 27 BIOMET INTERLOC BIOMET MÜLLER 94 91 56 47 20 19 16 7 2 352 24 95 233 BIOMET COLLARLESS BIOMEX 35 79 76 49 40 20 19 11 2 331 14 23 294 BIOMET COLLARLESS BIOMET MÜLLER 6 5 12 13 47 22 21 15 2 143 5 8 130 ELITE PL ROUNDBACK ELITE PLUS LPW 22 17 19 25 5 7 5 6 2 108 17 23 68 ELITE PL ROUNDBACK ELITE PLUS OGEE 6 5 8 13 23 14 17 12 2 100 3 12 85 BIOMET COLLARLESS LUBINUS STD 2 0 0 3 3 3 12 8 2 33 1 1 31 BIOMET CDH BIOMET PFU 1 2 1 2 5 2 1 4 2 20 3 1 16 EXETER UNIVERSAL HEDROCEL 0 0 8 2 0 0 1 5 2 18 1 0 17 CONELOCK REVISIO MATHYS RM HA 0 0 0 1 2 3 2 3 2 13 0 1 12 BIOMET COLLARLESS PCA VITALOCK 1 48 103 54 10 21 1 0 1 239 20 28 191 BICONTACT BICONTACT 4 11 11 6 38 34 38 0 1 143 7 1 135 BIOMET COLLARLESS BIOMET BIPOLAR 8 12 3 8 1 1 2 1 1 37 5 3 29 VECTRA 3 STD MÜLLER STD 0 0 0 0 2 8 1 0 1 12 0 2 10 BIOMET COLLARLESS LUBINUS ECCENTRIC 1 1 2 1 2 0 1 1 1 10 1 1 8 ABG HA ABG II 53 316 467 522 479 338 180 6 0 2361 79 205 2077 ELITE PLUS FLANGED PROFILE DURALOC 86 134 106 49 34 2 0 0 0 411 40 78 293 EXETER UNIVERSAL HGP II 101 146 123 0 0 0 0 0 0 370 30 99 241 BIOMET COLLARLESS BIOMET MALLORY 121 101 80 47 8 0 0 0 0 357 29 65 263 VECTRA 3 STD MATHYS RM HA 0 0 0 34 72 107 89 15 0 317 3 30 284 BIOMET COLLARED BIOMET PFU 57 73 66 51 23 23 1 1 0 295 16 20 259 OMNIFIT HA 6017- OMNIFIT SECUR-FIT 4 4 108 106 39 30 0 0 0 291 17 16 258 BIOMET COLLARED TRILOGY 14 82 71 75 22 2 0 1 0 267 15 36 216 ABG HA ABG HA 214 5 0 0 0 0 0 0 0 219 28 36 155 MÜLLER SLS, MON MATHYS RM HA 73 87 44 8 0 0 0 0 0 212 9 43 160 45

Cotiued I follow-up Deceased Revised Implated Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 OMNIFIT HA 6017- OMNIFIT PSL HA 52 144 8 0 0 0 0 0 0 204 29 13 162 LUBINUS SP II BIOMET PFU 21 20 33 31 48 28 13 1 0 195 9 23 163 EXETER UNIVERSAL PCA CENTRAX 0 0 24 50 39 55 22 1 0 191 9 100 82 EXETER UNIVERSAL ELITE PLUS OGEE 26 43 54 32 7 3 9 0 0 174 13 42 119 MÜLLER MONOLOG MÜLLER STD 125 5 4 0 0 0 0 0 0 134 5 50 79 BIOMET COLLARED BIOMET SHP 1 23 19 21 22 17 9 9 0 121 8 9 104 MÜLLER SLS, TIT MÜLLER STD 22 36 52 10 0 1 0 0 0 121 5 32 84 MÜLLER STRAIGHT MÜLLER STD 62 33 12 4 0 0 0 0 0 111 5 22 84 BIOMET COLLARLESS PROFILE DURALOC 0 10 9 9 23 18 33 0 0 102 9 1 92 BIOMET COLLARED HGP II 70 21 4 0 0 0 0 0 0 95 12 17 66 BIOMET COLLARLESS ABG II 9 20 34 12 8 3 6 0 0 92 5 22 65 BIOMET DYSPLASTIC BIOMET PFU 36 25 9 13 4 0 1 0 0 88 8 4 76 LPP 3V-PMB (S) 23 36 29 0 0 0 0 0 0 88 4 23 61 ABG (S) ABG (S) 41 18 16 8 3 0 0 0 0 86 9 27 50 PCA E-SERIES PCA CLUSTER 76 8 0 0 0 0 0 0 0 84 5 16 63 VECTRA 3 STD WAGNER STD 0 0 0 17 26 38 2 0 0 83 8 5 70 AML PROFILE DURALOC 17 21 27 13 1 1 0 0 0 80 5 7 68 ANATOMIC MESH HGP II 51 27 1 0 0 0 0 0 0 79 9 13 57 BIOMET SHP BIOMET SHP 31 22 14 11 0 0 0 0 0 78 1 18 59 BIOMET HEAD-NEC BIOMET PFU 36 20 8 3 2 2 6 0 0 77 1 8 68 ABG HA PCA VITALOCK 0 0 0 8 8 17 22 20 0 75 2 2 71 PROFILE POROUS PROFILE DURALOC 58 14 0 0 0 0 0 0 0 72 5 7 60 PROXILOC HEDROCEL 0 0 0 11 28 29 3 0 0 71 11 4 56 ELITE PL HIGH OFF ELITE PLUS LPW 0 1 14 17 6 8 16 7 0 69 1 7 61 EXETER UNIVERSAL CHARNLEY HASTINGS 24 28 13 1 0 1 0 1 0 68 9 45 14 BIOMET COLLARLESS HGP II 28 18 20 0 0 0 0 0 0 66 9 4 53 MÜLLER SLS, MON MÜLLER SL TI 30 25 10 0 0 0 0 0 0 65 4 8 53 LUBINUS SP II BIOMET MÜLLER 1 0 11 32 13 2 1 4 0 64 1 17 46 ABG HA CONTEMPORARY 0 2 4 7 14 7 22 5 0 61 2 4 55 46

Cotiued I follow-up Deceased Revised Implated Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 BIOMET COLLARLESS BIOMET ROMANUS 38 20 0 0 0 0 0 0 0 58 3 3 52 CHARNLEY CHARNLEY LPW 12 5 1 0 0 19 12 9 0 58 1 9 48 OMNIFIT HA 1017- OMNIFIT PSL HA 58 0 0 0 0 0 0 0 0 58 18 7 33 EXETER UNIVERSAL BIOMET PFU 23 12 6 1 0 4 2 1 0 49 2 9 38 VECTRA 2 STD MATHYS RM HA 0 0 24 16 6 3 0 0 0 49 1 9 39 ABG HA TRILOGY 1 23 12 8 1 0 0 0 0 45 2 5 38 VECTRA 3 LATER MATHYS RM HA 0 0 0 5 13 15 10 2 0 45 1 6 38 LUBINUS SP II OMNIFIT PSL HA 15 27 0 0 0 0 0 0 0 42 4 14 24 CERAVER (S) CERAVER CERAMIC 4 17 8 5 5 1 0 0 0 40 2 10 28 ELITE PL ROUNDBACK PROFILE DURALOC 12 10 10 6 1 0 0 0 0 39 11 7 21 ANATOMIC MESH TRILOGY 0 0 18 13 6 1 0 0 0 38 1 1 36 LUBINUS SP II BIOMET BIPOLAR 1 10 17 10 0 0 0 0 0 38 9 18 11 BIOMET HEAD-NEC TRILOGY 2 12 12 8 1 1 0 0 0 36 1 7 28 ELITE PL HIGH OFF PROFILE DURALOC 0 5 16 12 2 1 0 0 0 36 3 6 27 SPOTORNO SPOTORNO EXPANS 27 8 1 0 0 0 0 0 0 36 1 3 32 LUBINUS IP LUBINUS ECCENTRIC 32 0 1 0 1 0 0 0 0 34 6 14 14 ELITE PLUS FLANGED HGP II 13 19 1 0 0 0 0 0 0 33 4 14 15 LPP BIOMET BIPOLAR 2 12 16 0 0 0 0 0 0 30 1 17 12 LUBINUS SP II ABG (S) 0 3 3 11 7 4 1 1 0 30 1 9 20 CF-30 WEBER METASUL 0 13 15 1 0 0 0 0 0 29 1 7 21 VECTRA 2 STD MÜLLER SL TI 0 0 24 5 0 0 0 0 0 29 3 5 21 ABG HA HOWMED DOUBLE CUP 3 8 6 3 5 3 0 0 0 28 6 9 13 MÜLLER SLS, TIT MATHYS RM HA 1 0 0 22 5 0 0 0 0 28 0 4 24 LUBINUS SP II OMNIFIT SECUR-FIT 0 0 13 13 0 0 0 0 0 26 0 6 20 ABG (S) CONTEMPORARY 0 1 8 7 4 5 0 0 0 25 0 1 24 PCA E-SERIES PCA PEGGED 19 6 0 0 0 0 0 0 0 25 0 6 19 BICONTACT semetillä LUBINUS ECCENTRIC 4 5 14 1 0 0 0 0 0 24 1 8 15 BIOMET INTERLOC BIOMET PFU 10 7 6 0 0 0 0 0 0 23 1 7 15 VECTRA 2 LATER MATHYS RM HA 0 0 5 16 2 0 0 0 0 23 0 3 20 47

Cotiued I follow-up Deceased Revised Implated Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 BIOMET COLLARLESS PCA PEGGED 14 7 0 0 0 1 0 0 0 22 2 6 14 MECROBLOCK PROFILE DURALOC 12 6 2 1 0 1 0 0 0 22 5 0 17 MÜLLER SLS, TIT MÜLLER SL TI 12 9 1 0 0 0 0 0 0 22 0 0 22 ELITE PLUS FLANGED REFLECTION ALL POLY 0 0 21 0 0 0 0 0 0 21 3 1 17 VECTRA 3 LATER WAGNER STD 0 0 0 2 6 13 0 0 0 21 1 1 19 LCO HGP II 17 3 0 0 0 0 0 0 0 20 0 8 12 BIOM INTEGRAL LATER HEDROCEL 0 0 0 0 2 9 5 3 0 19 0 0 19 MÜLLER SLS, MON MÜLLER STD 0 18 1 0 0 0 0 0 0 19 2 6 11 VECTRA 3 STD METASUL PRESS-FIT 0 0 0 0 0 0 16 3 0 19 0 0 19 BIOMET COLLARLESS MATHYS RM HA 5 9 4 0 0 0 0 0 0 18 0 8 10 LUBINUS SP II ABG II 0 0 1 2 8 4 3 0 0 18 0 2 16 ZIM-MÜLL ZIMTRON HGP II 14 4 0 0 0 0 0 0 0 18 2 5 11 BIOM INTEGRAL LATER TRILOGY 0 0 0 0 0 0 6 11 0 17 2 1 14 BIOMET COLLARED BIOMET ROMANUS 11 6 0 0 0 0 0 0 0 17 2 1 14 BIOMET COLLARED HOWMED DOUBLE CUP 0 1 3 4 3 6 0 0 0 17 0 7 10 BIOMET COLLARED BIOMET MALLORY 15 0 1 0 0 0 0 0 0 16 1 3 12 BIOMET COLLARLESS HEDROCEL REV 0 0 0 0 1 6 5 4 0 16 0 0 16 ABG (S) BIOMET MÜLLER 2 4 4 2 3 0 0 0 0 15 1 6 8 ANATOMIC MESH MÜLLER STD 8 7 0 0 0 0 0 0 0 15 4 8 3 BIOMET INTERLOC BIOMET SHP 7 5 3 0 0 0 0 0 0 15 2 7 6 ELITE PLUS FLANGED BIOMET PFU 10 3 1 1 0 0 0 0 0 15 2 5 8 LUBINUS SP II MÜLLER BIPOLAR 0 0 7 6 1 1 0 0 0 15 1 4 10 S-ROM REVISIO S-ROM POROUS 0 8 3 3 0 0 1 0 0 15 4 1 10 BIOMET COLLARLESS ABG HA 14 0 0 0 0 0 0 0 0 14 1 4 9 STANMORE BIOMET EXCEED HAP 0 0 0 0 0 1 12 1 0 14 1 1 12 BIOMET COLLARLESS CHARNLEY HASTINGS 8 1 4 0 0 0 0 0 0 13 0 7 6 BIOMET INTERLOC KIRSCHNER BIPOL 12 1 0 0 0 0 0 0 0 13 1 7 5 LUBINUS SP I LUBINUS ECCENTRIC 8 2 3 0 0 0 0 0 0 13 0 8 5 LUBINUS SP II BIOMET SHP 0 3 0 2 4 3 0 1 0 13 0 2 11 48

Cotiued I follow-up Deceased Revised Implated Table 5. Total hip joit edoprostheses i primary arthroplasties betwee 1996-2004, more tha 100 slidig pairs FEMORAL STEM ACETABULUM 1996 1997 1998 1999 2000 2001 2002 2003 2004 LUBINUS SP II PCA VITALOCK 0 5 6 2 0 0 0 0 0 13 1 2 10 BIOMET HEAD-NEC HGP II 12 0 0 0 0 0 0 0 0 12 3 2 7 ELITE PLUS FLANGED BIOMET SHP 12 0 0 0 0 0 0 0 0 12 2 4 6 EXETER UNIVERSAL ABG HA 11 1 0 0 0 0 0 0 0 12 2 7 3 VECTRA 2 STD MÜLLER STD 0 0 0 0 12 0 0 0 0 12 1 3 8 ABG HA LUBINUS ECCENTRIC 0 0 0 4 4 0 3 0 0 11 1 2 8 BIOMET COLLARLESS PCA CENTRAX 0 0 2 3 6 0 0 0 0 11 1 5 5 BIOMET HEAD-NEC BIOMEX 0 2 4 5 0 0 0 0 0 11 0 1 10 BIOMET HEAD-NEC HOWMED DOUBLE CUP 0 1 1 3 0 3 3 0 0 11 3 5 3 ELITE PLUS FLANGED CHARNLEY HASTINGS 0 1 1 0 1 3 2 3 0 11 2 3 6 MS-30 (KIRFIX) WEBER PE CUP 0 0 0 0 0 0 1 10 0 11 0 0 11 ABG (S) HOWMED DOUBLE CUP 0 0 2 1 1 5 1 0 0 10 1 5 4 BIOMET COLLARLESS BIOMET SHP 3 0 0 2 0 2 2 1 0 10 0 3 7 ELITE PLUS CDH ELITE PLUS LPW 0 3 2 2 0 0 0 3 0 10 1 1 8 ELITE PLUS FLANGED ABG II 0 5 2 0 0 2 1 0 0 10 2 5 3 ELITE PLUS FLANGED BIOMET BIPOLAR 9 1 0 0 0 0 0 0 0 10 2 5 3 LUBINUS SP II HGP II 9 1 0 0 0 0 0 0 0 10 0 4 6 OMNIFIT HA 6017- LUBINUS ECCENTRIC 0 2 2 0 0 0 6 0 0 10 1 0 9 PCA E-SERIES ELITE PLUS LPW 0 6 1 1 2 0 0 0 0 10 0 4 6 PROFILE POROUS HGP II 8 2 0 0 0 0 0 0 0 10 1 4 5 S-ROM (S) S-ROM POROUS 1 5 2 2 0 0 0 0 0 10 0 0 49

Figure Figure L24a. L24a. EXETER EXETER UNIVERSAL+ UNIVERSAL+ ABG II cup ABG hip II prosthesis cup hip prosthesis i primary i operatios primary operatios betwee 1996-2004 betwee 1996-2004 250 200 Me Wome Number of operatios 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L24b. EXETER UNIVERSAL+ ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 Me 99 % 98 % 97 % Primary osteoarthritis, me =16085 Exeter Uiversal + ABG II =270 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 50

Figure L24c. EXETER UNIVERSAL+ ABG II cup hip prosthesis i primary osteoarthritis betwee 1996-2004 Wome 99 % 98 % Primary osteoarthritis, wome =21849 Exeter Uiversal + ABG II =403 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 51

Figure L25a. EXETER UNIVERSAL + CONTEMPORARY cup hip edoprosthesis i primary arthroplasties betwee 1996-2004 2000 1800 Me Wome Number of operatios 1600 1400 1200 1000 800 600 400 200 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L25b. EXETER UNIVERSAL + CONTEMPORARY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, me N=16085 Exeter Uiversal + Cotemporary N=1754 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 52

Figure L25c. EXETER UNIVERSAL+ CONTEMPORARY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, wome =21849 Exeter Uiversal+ Cotemporary =2766 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure L25e. EXETER UNIVERSAL + CONTEMPORARY cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Rheumatoid arthritis, wome =2098 Exeter Uiversal + Cotemporary =291 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 53

Figure L26a. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 1600 1400 Me Wome 1200 Number of operatios 1000 800 600 400 200 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L26b. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me N=16085 Exeter Uiversal+ Exeter All Poly N=1301 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 54

Figure L26c. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, wome =21849 Exeter Uiversal+ Exeter All Poly =2432 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure L26e. EXETER UNIVERSAL + EXETER ALL POLY cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Rheumatoid arthritis, wome =2098 Exeter Uiversal+ Exeter All Poly =167 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 55

Figure L27a. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary arthroplasties betwee 1998-2004 600 550 Me Wome Number of operatios 500 450 400 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L27b. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, me =13040 Biomet Collarless+ Biomet Visio =995 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 56

Figure L27c. BIOMET COLLARLESS + BIOMET VISION cup hip joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, wome =17518 Biomet Collarless+ Biomet Visio =912 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 57

Figure L28a. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 1200 1000 Me Wome Number of operatios 800 600 400 200 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L28b. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, me =16085 Lubius SP II+ Lubius Eccetric =800 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 58

Figure L28c. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritiss, wome =21849 Lubius SP II+ Lubius Eccetric =1559 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure L28e. LUBINUS SP II+ LUBINUS ECCENTRIC cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Rheumatoid arthritis, wome =2098 Lubius SP II+ Lubius Eccetric =150 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 59

Figure L29a. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary arthroplasties betwee 2000-2004 250 Me Wome 200 Number of operatios 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L29b. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary osteoarthritis betwee 2000-2004 Me 99 % 98 % Primary osteoarthritis, me =10020 Lubius SP II+ Lubius FC =235 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 60

Figure L29c. LUBINUS SP II+ LUBINUS FC cup hip joit edoprosthesis i primary osteoarthritis betwee 2000-2004 Wome 99 % 98 % Primary osteoarthritis, wome =13127 Lubius SP II+ Lubius FC =342 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 61

Figure L30a. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary arthroplasties betwee 1996-2004 1000 900 Me Wome 800 700 Number of operatios 600 500 400 300 200 100 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L30b. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis Figure L30b. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 i primary osteoarthritis betwee 1996-2004 Me Me 99 % 98 % 97 % 96 % Primary osteoarthritis, me =16085 Lubius SP II+ Lubius STD =803 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 62

Figure L30c. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i primary osteoarthritis betwee 1996-2004 Wome 99 % 98 % 97 % Primary osteoarthritis, wome =21849 Lubius SP II+ Lubius STD =1553 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure L30e. LUBINUS SP II+ LUBINUS STD cup hip joit edoprosthesis i rheumatoid arthritis betwee 1996-2004 Wome 99 % 98 % 97 % Rheumatoid arthritis, wome =2098 Lubius SP II+ Lubius STD =130 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 63

Figure L31a. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary arthroplasties betwee 1999-2004 Number of operatios 600 550 500 450 400 350 300 250 200 150 100 Me Wome 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L31b. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 99 % 98 % 97 % 96 % 94 % 93 % Primary osteoarthritis, me =11575 Spectro EF + Reflectio All Poly =433 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 64

Figure L31c. SPECTRON EF + REFLECTION ALL POLY cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, wome =15314 Spectro EF + Reflectio All Poly =853 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 65

Figure L32a. ABG II + ABG II cup hip joit edoprosthesis i primary arthroplasties betwee 1999-2004 500 450 Me Wome 400 Number of operatios 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L32b. ABG II + ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 99 % 98 % Primary osteoarthritis, me =11575 ABG II + ABG II =695 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 66

Figure L32c. ABG II + ABG II cup hip joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 99 % 98 % 97 % 96 % Primary osteoarthritis, wome =15314 ABG II + ABG II =802 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 67

Figure L33a. BIRMINGHAM + BIRMINGHAM cup hip joit edoprosthesis i primary arthroplasties betwee 2001-2004 500 450 Me Wome 400 Number of operatios 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure L33b. BIRMINGHAM+ BIRMINGHAM cup hip joit edoprosthesis i primary osteoarthritis betwee 2001-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =8290 Birmigham + Birmigham =536 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 68

Figure L33c. BIRMINGHAM+ BIRMINGHAM cup hip joit edoprosthesis i primary osteoarthritis betwee 2001-2004, Wome 99 % 98 % 97 % 96 % 94 % 93 % Primary osteoarthritis, wome =10838 Birmigham + Birmigham =223 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 69

Figure P1. Primary ad revisio total kee joit arthroplasties Figure P1. Primary ad revisio total kee joit arthroplasties betwee 1980-2004 betwee 1980-2004 9000 8000 7218 6873 Primary Revisio 7000 6295 Number of operatios 6000 5000 4000 3000 2000 1000 0 295 432 444 422 503 594 27 29 36 31 43 34 1980 749 1981 55 1982 54 1003 1983 1223 1286 1526 1984 62 84 113 1985 126 1819 1986 181 2231 1987 2648 2969 3159 1988 224 258 309 1989 368 3790 1990 4276 4241 4453 4924 5320 1991 388 444 436 448 436 530 546 582 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 70

Figure P2. Primary kee arthroplasties i differet age groups i me betwee 1980-2004 900 800 700 600 500 400 300 200 100 0 1980 1985 1990 1995 2000 2005 Figure P3. Primary kee arthroplasties i differet age groups i wome betwee 1980-2004 2500 2000 1500 1000 10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-500 0 1980 1985 1990 1995 2000 2005 71

Figure P4. Primary idicatios for total kee joit arthroplasties betwee 1980-2004 8000 7000 Other arthritides Rheumatoid arthritis Number of operatios 6000 5000 4000 3000 Secodary osteoarthritis Other illess Primary osteoarthritis 2000 1000 0 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 Year Figure Figure P5. Complicatio P5. Complicatio rate i rate primary i primary kee joit kee arthroplasties joit arthroplasties betwee 1995-2004 betwee 1995-2004 % 5,0 4,5 4,0 3,5 3,0 2,5 2,0 Woud ecrosis Aaesthetic complicatio Nerve ijury Death Haematoma Malpositio Thromboembolic complicatio Ifectio Luxatio Other primary complicatio 1,5 1,0 0,5 0,0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 72

Figure Figure P6. The P6. average The average legth of hospitalisatio legth of hospitalisatio due to edoprosthetic due to surgery edoprosthetic i kee osteoarthritis, surgery me i kee osteoarthritis, m (by courtesy of STAKES) of STAKES) 14 Days 12 10 8 6 40_49 50_59 60_69 70_79 80_89 4 2 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year Figure P7. The average legth of hospitalisatio due to edoprosthetic surgery i kee osteoarthritis, wome Figure P7. The average legth of hospitalisatio due to edoprosthetic surgery i kee osteoarthritis, wom (by courtesy of STAKES) courtesy of STAKES) 14 12 10 40_49 50_59 60_69 70_79 80_89 8 Days 6 4 2 0 1997 1998 1999 2000 2001 2002 2003 2004 2005 Year 73

Figure P8. Primary total kee joit arthroplasties i differet types of hospitals betwee 1995-2004 Figure P8. Primary total kee joit arthroplasties i differet types of hospitals betwee 1995-2004 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % COXA Rheumatism Foudatio Hospital Orto Other Private Hospitals Uiversity Hospitals District Hospitals Cetral Hospitals 1995 N=3159 1996 N=3790 1997 N=4276 1998 N=4241 1999 N=4453 2000 N=4924 2001 N=5320 2002 N=6295 2003 N=7218 2004 N=6873 0 % 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Figure P9. Total Figure kee joit P9. Total revisio kee arthroplasties joit revisio i differet arthroplasties types of hospitals i differet betwee types 1995 of - hospitals 2004 betwee 1995-2004 80 % 70 % 60 % 50 % 40 % 30 % 20 % 10 % COXA Rheumatism Foudatio Hospital Orto Other Private Hospitals Uiversity Hospitals District Hospitals Cetral Hospitals 1995 N=309 1996 N=368 1997 N=388 1998 N=444 1999 N=436 2000 N=448 2001 N=436 2002 N=530 2003 N=546 2004 N=582 0 % 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year 74

Figure P10. Total kee edoprostheses i primary osteoarthritis betwee 1980-2004 Note: Cofidece iterval refers to 96-04 ad is very arrow 85 % 80-87, =2113 88-95, =13060 96-04, =41617 80 % 75 % 70 % 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Figure P11. P11. The The use use of cemeted of cemeted fixatio fixatio techique techique of prosthetic of prosthetic compoets compoets i primary kee i arthroplasties primary kee arthroplasties betw betwee 1993-2004 1993-2004 100,00 % 90,00 % Femoral compoet Tibial compoet 80,00 % 70,00 % 60,00 % 50,00 % 40,00 % 30,00 % 20,00 % 10,00 % 0,00 % 1993 1995 1997 1999 2001 2003 2005 75

Figure P12. Kee edoprostheses i primary osteoarthritis betwee 1996-2004 Cemeted / cemetless fixatio 99 % 98 % 97 % Simplex tobramici, =6593 Palacos getamici, =25145 Cemetless, =1191 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure P13. Atibiotic prophylaxis i pimary kee arthroplasties betwee 1996-2004 Proportio of atibiotics used 80 % 70 % 60 % 50 % 40 % 30 % Other atibiotics Cefotaxime/Ceftriaxoe Dicloxacilli/Cloxacilli Cefuroxime 20 % 10 % 0 % 1996 1997 1998 1999 2000 2001 2002 2003 2004 Operatio year 76

Figure P14. Kee arthroplasty revisios i differet age groups i me betwee 1980-2004 80 70 60 50 40 30 20 10 0 1980 1985 1990 1995 2000 2005 Figure P15. Kee arthroplasty revisios i differet age groups i wome betwee 1980-2004 200 180 160 140 120 100 80 10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-10-20 21-30 31-40 41-50 51-60 61-70 71-80 81-90 91-60 40 20 0 1980 1985 1990 1995 2000 2005 77

Figure P16. Idicatios for total kee joit arthroplasty revisios i 2004 Figure P16. Idicatios for total kee joit arthroplasty revisios i 2004 56 123 Ifectio Malpositio of prosthesis Patellar complicatio Looseig (distal compoet) Looseig (both compoets) Fracture of boe Luxatio 180 56 Fracture of prosthesis Looseig (proximal compoet) Other reaso Not kow 55 7 15 15 24 24 27 Figure P17. Allograft ad autograft i kee revisios betwee 1996-2004 50 45 40 35 Number of operatios 30 25 20 15 10 5 0 1996 1997 1998 1999 2000 2001 2002 2003 2004 Allograft Autograft Autograft+allograft 78

Figure P18. Total kee joit edoprostheses i primary osteoarthritis, first revisio betwee 1980-2004 85 % 80-87, =46 88-95, =584 96-04, =1833 80 % 75 % 70 % 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Figure P19. The proportio of the first, the secod ad the third total kee joit revisio operatios i 2004 4,3 1,4 18,7 1 st revisio 2 d revisio 3 rd revisio Other 75,6 79

Table 6a. Primary kee arthroplasties i me with rheumatoid arthritis betwee 1990-2004 Age 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 TOTAL 10-20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21-30 3 1 0 7 0 1 0 1 0 0 0 1 0 0 0 17 31-40 3 1 2 4 4 2 5 2 1 4 0 7 0 0 2 60 41-50 5 5 14 13 5 5 4 14 9 7 7 3 4 9 0 164 51-60 10 20 23 17 20 12 26 18 14 18 20 15 10 20 22 391 61-70 28 37 42 55 34 30 35 37 37 29 28 29 32 29 26 668 71-80 8 9 9 12 15 13 14 19 20 16 15 30 17 18 14 286 81-90 0 1 1 0 0 1 3 3 2 3 0 2 1 1 1 20 91-0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 57 74 91 108 78 64 87 94 83 77 70 87 64 77 65 1606 Table 6b. Primary kee arthroplasties i wome with rheumatoid arthritis betwee 1990-2004 Age 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 TOTAL 10-20 0 0 0 2 0 0 1 1 2 0 2 0 0 0 0 15 21-30 6 3 6 6 8 0 4 3 4 4 4 4 0 1 0 86 31-40 16 17 13 15 10 9 13 12 10 10 12 7 5 12 4 279 41-50 28 34 40 31 41 30 26 19 23 24 29 21 22 19 20 638 51-60 76 76 87 79 79 59 73 48 56 60 66 61 77 87 65 1713 61-70 109 139 135 142 146 111 99 132 98 93 105 95 127 96 112 2597 71-80 66 68 89 92 106 118 104 110 124 105 91 108 115 103 115 1921 81-90 7 8 8 10 10 10 13 7 11 12 14 8 12 13 14 168 91-0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 308 345 378 377 400 337 333 332 328 308 323 304 358 331 330 7417 80

Figure P20. Total kee joit edoprostheses i rheumatoid arthritis betwee 1980-2004 85 % 80-87, =2053 88-95, =3319 96-04, =3651 80 % 75 % 70 % 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Figure P21. Total kee joit edoprostheses i rheumatoid arthritis, first revisio betwee 1988-2004 85 % 88-95, =177 96-04, =330 80 % 75 % 70 % 65 % 60 % 55 % 50 % 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 81

Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL COMPONENT 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 DURACON 0 0 175 887 1035 1093 1412 1634 1603 1631 1616 1918 2112 2538 2364 20018 660 2939 16419 AGC V2 360 322 423 578 610 773 1057 1272 1316 1291 1255 1146 1238 1180 996 13817 646 2566 10605 P.F.C SIGMA 0 0 0 0 0 0 0 0 291 555 586 627 650 947 975 4631 80 347 4204 P.F.C SIGMA STAB. 0 0 0 0 0 0 0 0 7 24 80 97 170 348 514 1240 17 67 1156 NEXGEN LPS 0 0 0 0 0 0 0 56 116 146 261 271 339 368 401 1958 27 125 1806 OXFORD UNICOMPARTMENTAL PHASE 3 0 0 0 0 0 0 0 0 0 17 115 189 340 392 379 1432 55 31 0 MAXIM PRIMARY 0 0 0 0 0 0 0 0 30 107 193 150 123 219 309 1131 16 82 1033 ARGE 0 0 0 0 0 0 0 0 156 223 282 212 348 264 216 1701 32 132 1537 NEXGEN CR 0 0 0 0 0 0 59 126 103 187 233 332 555 464 177 2236 24 156 2056 DURACON STABILIZER BOX 0 0 0 0 0 0 6 14 19 17 45 83 109 138 145 576 28 49 499 DURACON/MODULAR TS 0 0 0 0 0 0 7 5 11 23 21 23 48 63 74 275 15 31 229 MAXIM PS 0 0 0 0 0 0 0 0 8 0 0 36 21 48 70 183 1 10 172 SEARCH EVOLUTION 0 0 0 0 0 0 0 0 0 0 0 2 48 38 45 133 0 0 133 AGC V2 STAB 0 0 0 0 0 0 4 5 13 17 37 37 63 59 34 269 8 20 241 P.F.C SIGMA TC3 0 0 0 0 0 0 0 0 12 19 17 25 25 41 30 169 2 21 146 DURACON ISA 0 0 0 0 0 0 0 0 0 0 0 0 0 9 27 36 0 1 35 NEXGEN LCCK 0 0 0 0 0 0 0 0 0 1 7 6 7 10 25 56 3 2 51 ENDO MODELL-LINK 24 13 15 11 3 8 9 22 30 22 26 28 27 16 21 275 25 90 160 PRESERVATION UNI KNEE 0 0 0 0 0 0 0 0 0 0 0 0 0 14 13 27 1 0 26 AGC DUAL ARTICULAR 0 0 1 7 21 19 14 19 19 21 30 30 24 12 11 228 13 65 150 NEXGEN Rotatig Hige 0 0 0 0 0 0 0 0 0 0 0 0 0 2 11 13 0 0 13 GENESIS II 0 0 0 0 0 0 0 0 18 51 53 41 26 12 9 210 3 23 184 DURACON/ROTATING HINGE 0 0 0 0 0 0 0 0 0 0 0 5 7 13 8 33 2 5 26 AGC DUAL ARTICULAR 2000 0 0 0 0 0 0 0 0 0 0 0 1 3 9 4 17 0 1 16 NEXGEN LPS FLEX MOBILE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 0 4 MAXIM CONSTRAINED 0 0 0 0 0 0 0 0 1 0 0 1 3 2 4 11 1 1 9 MILLER-G/UNICOND 2 13 40 40 62 39 35 19 27 12 14 16 7 4 2 332 62 71 199 82

Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL COMPONENT 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 FINN-KNEE CUSTOM 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 3 0 1 2 S-ROM 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 3 0 0 3 ARGE STABILOITU 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 3 0 1 2 KINEMAX ROTATING HINGE 0 3 0 1 0 0 0 1 6 8 5 2 1 2 1 30 1 10 19 HMRS ROTATING HINGE 0 0 0 0 0 0 0 0 0 0 1 0 0 4 1 6 1 1 4 GUEPAR (HINGED) 0 4 5 1 1 2 0 0 0 0 0 0 0 0 0 13 2 8 3 ST.GEORG 0 0 0 0 0 2 3 1 1 1 0 0 0 0 0 8 5 0 3 TOWNLEY 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 5 0 MARMOR 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 FREEMAN-SAMUELS 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 KINEMATIC STAB 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 RICHARDS 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 2 1 ENDO MODELL-SC 6 7 2 0 3 1 0 0 0 0 0 0 0 0 0 19 7 7 5 PCA 190 17 21 0 0 0 0 0 0 0 0 0 0 0 0 228 52 126 50 AMK 79 72 22 30 33 54 64 78 43 13 0 0 0 0 0 488 67 167 254 AMK STAB 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 4 0 0 4 PCA/MODULAR 242 550 556 30 26 5 2 0 0 0 0 0 0 0 0 1411 166 655 590 PCA/INTERAX 0 19 13 38 27 9 2 0 0 0 0 0 0 0 0 108 10 41 57 PCA/REVISIO 0 1 5 0 0 0 0 0 0 0 0 0 0 0 0 6 0 3 3 PCA-INTERAX DI 0 0 1 15 71 184 141 78 8 0 0 0 0 0 0 498 62 160 276 LINK T.A.C.K. 0 0 3 3 9 3 0 0 0 0 0 0 0 0 0 18 2 7 9 ORTHOMET 1 0 50 67 35 0 0 0 0 0 0 0 0 0 0 153 34 75 44 FREEMAN-SWANSS 20 41 65 33 89 69 32 13 0 0 0 0 0 0 0 362 22 158 182 DURACON/DEMI 0 0 0 17 26 28 23 24 19 6 3 0 0 0 0 146 31 34 81 ROTAGLIDE/CORIN 0 0 0 24 6 4 3 0 0 0 0 0 0 0 0 37 2 18 17 NATURAL-KNEE 0 0 0 5 9 19 40 72 21 0 0 0 0 0 0 166 7 42 117 KINEMATIC ROTATING HINGE 4 11 10 4 5 8 2 6 4 0 0 0 0 0 0 54 9 35 10 R.BRIGHAM/UNICONDY 1 3 7 7 0 0 1 0 0 0 0 0 0 0 0 19 6 6 7 83

Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL COMPONENT 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 SEARCH 0 0 0 0 0 0 9 12 36 34 27 40 0 0 0 158 15 16 127 MBK (ZIMMER) 0 0 0 0 0 0 0 0 0 8 4 0 0 0 0 12 0 1 11 GENESIS I 0 0 0 0 0 0 0 0 6 1 5 0 0 0 0 12 0 1 11 S+G (ORTHOPLANT) 0 4 5 2 0 0 0 0 0 0 0 0 0 0 0 11 3 6 2 GSP/ALLOPRO 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 SYNATOMIC TOWNLEY 132 61 47 16 6 0 0 0 0 0 0 0 0 0 0 262 74 148 40 SYNATOMIC+DOME 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 P.F.C PRESS FITT 98 149 245 225 289 256 320 400 190 0 0 0 0 0 0 2172 148 697 1327 P.F.C STAB 0 0 0 0 0 0 9 13 5 0 0 0 0 0 0 27 0 7 0 P.F.C TC3 0 0 0 0 0 0 0 6 3 0 0 0 0 0 0 9 0 1 8 TRICON 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 5 6 4 PCA/UNICONDYLAR 38 42 8 0 0 1 0 0 0 0 0 0 0 0 0 89 52 29 8 KINEMATIC 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 8 0 7 1 MILLER-G I 190 173 139 68 81 22 0 0 0 0 0 0 0 0 0 673 154 280 239 AGC 1500 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 TC IV 7 47 56 130 183 127 58 30 10 0 0 0 0 0 0 648 53 284 311 SYNATOMIC 0 3 9 0 0 0 0 0 0 0 0 0 0 0 0 12 3 6 3 LCS-PORO (DEPUY) 5 8 0 1 0 0 0 0 0 0 0 0 0 0 0 14 1 7 6 PERFORMANCE 57 96 34 58 59 134 189 234 65 13 3 0 0 0 0 942 79 309 554 PERFORMANCE STABILOITU 0 0 0 0 0 0 3 1 0 0 0 0 0 0 0 4 1 2 1 OXFORD MENISCEAL PHASE II 13 19 25 19 8 3 3 1 2 0 0 0 0 0 0 93 19 35 39 MILLER-G I/PRECOAT 14 96 8 17 0 0 0 0 0 0 0 0 0 0 0 135 21 72 42 KIRSCNER/UNICOND 7 3 7 10 6 2 1 0 0 0 0 0 0 0 0 36 8 14 0 ORTHOPLANT I 2 9 2 0 0 0 0 0 0 0 0 0 0 0 0 13 6 11 0 ROTA-FLEX II 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 MILLER-G II 5 26 226 301 257 291 275 125 38 0 0 0 0 0 0 1544 122 543 879 AMK/CORDINATE 0 0 0 0 0 2 5 4 0 0 0 0 0 0 0 11 2 5 4 TUUMORIPROTEESI 1 0 3 1 8 0 0 4 2 5 4 1 0 0 0 29 3 11 15 84

Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL COMPONENT 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 MÜLLER SLS, MON 0 0 0 1 1 4 103 129 55 8 0 0 0 0 0 301 17 58 226 VECTRA 2 STD 0 0 0 0 0 0 0 0 48 27 22 3 0 0 0 100 7 18 75 VECTRA 3 LATER 0 0 0 0 0 0 0 0 0 10 22 28 13 9 0 82 2 8 72 VECTRA 2 LATER 0 0 0 0 0 0 0 0 11 20 2 0 0 0 0 33 0 5 28 VIRTEC STD 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 1 0 2 VIRTEC LATER 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 6 0 0 6 TIGE VECTRA INOX LATERALISOIVA 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 11 0 0 11 FURLONG 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 BIAS REVISIO 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 2 0 HARRIS-PRECOAT 0 0 0 0 8 2 0 0 0 0 0 0 0 0 0 10 1 4 5 ANATOMIC MESH 132 213 195 171 115 64 60 34 19 13 6 1 0 0 0 1023 177 202 644 ZIM-MÜLL ZIMTRON 1 0 0 0 0 0 15 9 0 0 0 0 0 0 0 25 3 7 15 LCO 0 0 0 0 26 31 17 3 0 0 0 0 0 0 0 77 2 28 47 MCKEE RISKA 9 2 2 4 3 2 3 1 1 0 0 0 0 0 0 27 2 23 2 BUTELL 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 2 3 7 CF-30 0 0 0 19 19 8 0 13 15 1 0 0 0 0 0 75 20 26 29 CENATOR 0 0 0 5 42 8 1 2 0 0 0 0 0 0 0 58 7 21 30 PROXILOC 0 0 0 0 0 0 0 0 0 11 29 29 4 0 0 73 11 5 57 PCA STANDARD 166 124 196 3 12 6 0 0 0 0 0 0 0 0 0 507 99 123 285 PCA MEDIUM STEM 6 1 1 1 0 1 0 0 2 0 0 0 0 0 0 12 4 2 6 PCA LONG STEM 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 1 2 PCA E-SERIES 15 38 34 157 200 147 98 22 1 1 2 0 0 0 0 715 94 148 473 PCA REVISIO 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 2 1 1 0 PCA TEXTURED 0 0 0 2 3 12 5 8 0 0 0 0 0 0 0 30 4 16 10 PCA HNR-PC 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 BIOMET SHP 0 0 0 0 0 0 32 27 15 11 0 2 0 0 0 87 2 20 65 BIOMET TAPERLOC 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 BIOMET REACH/MALLORY/HEAD 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 BICHAT 2 0 3 1 0 0 0 0 0 0 0 0 0 0 0 6 1 4 1 85

Table 7. Total kee joit edoprostheses i primary arthroplasties betwee 1990-2004 Cotiued I follow-up Deceased Revised Implated FEMORAL COMPONENT 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 ABG (S) 0 0 41 153 193 119 54 28 33 24 14 10 4 0 0 673 54 286 333 WAGNER REVISIO 0 2 1 1 1 0 0 1 4 0 3 2 0 3 0 18 2 5 11 OMNIFIT SEMENTOITAVA 0 6 1 0 2 3 5 2 0 0 0 0 0 0 0 19 2 7 10 OMNIFIT HA 1017-0 7 13 17 30 81 60 0 0 0 0 0 0 0 0 208 80 28 100 OMNIFIT RESTORATION 0 0 0 0 0 0 0 0 0 0 0 3 0 1 0 4 0 0 4 OMNIFIT LONG 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 2 1 0 1 HOWM RESTORATION T3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 3 1 0 2 OMNIFIT HA 6051-0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 MATHYS RM ISOELAS 279 234 190 109 55 13 3 0 0 0 0 0 0 0 0 883 225 287 371 MATHYS RM HA 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 1 BIOMET LMT 2 7 61 45 11 0 0 0 0 0 0 0 0 0 0 126 20 72 0 BICONTACT SD 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 EURO (S) 81 112 68 29 10 0 0 0 0 0 0 0 0 0 0 300 38 184 78 3V-PMB 8 43 24 51 45 1 1 0 0 0 0 0 0 2 0 175 25 91 59 3V-POROPOS 6 0 0 9 9 0 0 0 0 0 0 0 0 0 0 24 3 5 16 LPP 0 0 0 0 0 0 25 51 46 0 0 0 0 1 0 123 5 41 77 DIMENSION 1 6 0 4 0 1 0 0 0 0 0 0 0 0 0 12 3 5 4 SF SUPERFINITOR 21 30 7 0 0 0 0 0 0 0 0 0 0 0 0 58 14 32 12 SKT SUPERKONITAN 12 15 6 3 1 0 0 0 0 0 0 0 0 0 0 37 10 10 17 PROFILE POROUS 54 106 57 91 91 59 67 15 0 0 0 0 0 0 0 540 65 92 383 FREEMAN CALCAR 2 0 0 1 1 1 2 0 0 0 0 0 0 0 0 7 0 3 0 MECRON UNI-HIP 0 4 22 0 0 0 0 0 0 0 0 0 0 0 0 26 3 5 18 AML 63 45 0 0 0 0 17 21 27 13 1 1 0 0 0 188 25 41 122 SHP LINK 0 1 20 19 19 6 4 0 0 0 0 0 0 0 0 69 11 31 27 CORAIL 0 0 0 0 0 9 2 0 0 0 0 0 0 0 0 11 6 4 1 MECROBLOCK 28 24 23 34 22 21 12 6 2 1 0 1 0 0 0 174 34 39 101 FREEMAN 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 86

Figure P22a. DURACON kee edoprosthesis i primary arthroplasties Figure P22a. DURACON kee edoprosthesis betwee i 1996-2004 primary arthroplasties betwee 1996-2004 6000 5500 Me Wome Number of operatios 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P22b. DURACON kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =11578 DURACON =4194 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 87

Figure P22c. DURACON kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % Primary osteoarthritis, wome =30039 DURACON =10863 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure P22d. DURACON kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Me 99 % 98 % Rheumatoid arthritis, me =704 DURACON =227 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 88

Figure P22e. DURACON kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % Rheumatoid arthritis,wome =2947 DURACON =955 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 89

Figure P23a. AGC V2 kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 4000 3500 Me Wome 3000 Number of operatios 2500 2000 1500 1000 500 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P23b. AGC V2 kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =11578 AGC V2 =2310 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 90

Figure P23c. AGC V2 kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % Primary osteoarthritis, wome =30039 AGC V2 =6365 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure P23d. AGC V2 kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Me 99 % 98 % Rheumatoid arthritis, me =704 AGC V2 =209 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 91

Figure P23e. AGC V2 kee joit edoprosthesis i rheumatoid arthritis betwee 1996-2004, Wome 99 % 98 % Rheumatoid arthritis, wome =2947 AGC V2 =823 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 92

Figure P24a. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary arthroplasties betwee 1997-2004 250 Me Wome 200 Number of operatios 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P24b. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Me 99 % 98 % Primary osteoarthritis, me =10863 AGC V2+MAXIM =168 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 93

Figure P24c. AGC V2 + MAXIM tibia kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Wome 99 % 98 % Primary osteoarthritis, wome =27557 AGC V2 + MAXIM =349 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 94

Figure P25a. P.F.C SIGMA kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 2000 1800 Me Wome 1600 Number of operatios 1400 1200 1000 800 600 400 200 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P25b. P.F.C SIGMA kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 99 % 98 % Primary osteoarthritis, me =9970 P.F.C SIGMA =1229 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 95

Figure P25c. P.F.C SIGMA kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 99 % 98 % Primary osteoarthritis, wome =24790 P.F.C SIGMA =3017 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure P25e. P.F.C SIGMA kee joit edoprosthesis i rheumatoid arthritis betwee 1998-2004, Wome 99 % 98 % 97 % Rheumatoid arthritis, wome =2282 P.F.C.SIGMA =192 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 96

Figure P26a. P.F.C SIGMA STAB kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 500 450 Me Wome Number of operatios 400 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P26b. P.F.C SIGMA STAB kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 99 % 98 % 97 % 96 % 94 % 93 % Primary osteoarthritis, me =9970 P.F.C SIGMA STAB =269 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 97

Figure P26c. P.F.C SIGMA STAB kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 99 % 98 % 97 % 96 % 94 % Primary osteoarthritis, wome =24790 P.F.C SIGMA STAB =688 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 98

Figure P27a. NEXGEN LPS kee joit edoprosthesis i primary arthroplasties betwee 1997-2004 1000 900 Me Wome 800 Number of operatios 700 600 500 400 300 200 100 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P27b. NEXGEN LPS kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Me 99 % 98 % Primary osteoarthritis, me =10863 NEXGEN LPS =485 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 99

Figure P27c. NEXGEN LPS kee joit edoprosthesis i primary osteoarthritis betwee 1997-2004, Wome 99 % 98 % 97 % Primary osteoarthritis, wome =27557 NEXGEN LPS =1101 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 100

Figure P28a. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary arthroplasties betwee 1999-2004 500 450 Me Wome Number of operatios 400 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P28b. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =9087 OXFORD U =495 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 101

Figure P28c. OXFORD UNICOMPARTMENTAL kee joit edoprosthesis i primary osteoarthritis betwee 1999-2004, Wome 99 % 98 % 97 % Primary osteoarthritis, wome =22072 OXFORD U =903 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 102

Figure P29a. MAXIM PRIMARY kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 500 450 400 Me Wome Number of operatios 350 300 250 200 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P29b. MAXIM PRIMARY kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =9970 MAXIM PRIMARY =306 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 103

Figure P29c. MAXIM PRIMARY kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 99 % 98 % 97 % Primary osteoarthritis, wome =24790 MAXIM PRIMARY =710 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 104

Figure P30a. ARGE kee joit edoprosthesis i primary arthroplasties betwee 1998-2004 1000 900 800 Me Wome Number of operatios 700 600 500 400 300 200 100 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P30b. ARGE kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Me 99 % 98 % Primary osteoarthritis, me =9970 ARGE =395 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 105

Figure P30c. ARGE kee joit edoprosthesis i primary osteoarthritis betwee 1998-2004, Wome 99 % 98 % 97 % Primary osteoarthritis, wome =24790 ARGE =1155 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 106

Figure P31a. NEXGEN CR kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 1000 900 Me Wome 800 700 Number of operatios 600 500 400 300 200 100 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P31b. NEXGEN CR kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =11578 NEXGEN CR =593 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 107

Figure P31c. NEXGEN CR kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % 97 % Primary osteoarthritis, wome =30039 NEXGEN CR =1443 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 108

Figure P32a. DURACON Stabilizer box kee joit edoprosthesis i primary arthroplasties betwee 1996-2004 250 Me Wome 200 Number of operatios 150 100 50 0 0-29 30-39 40-49 50-59 60-69 70-79 80- Age Figure P32b. DURACON stabilizer box kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Me 99 % 98 % 97 % Primary osteoarthritis, me =11578 DURACON Stabilizer box =102 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 109

Figure P32c. DURACON Stabilizer box kee joit edoprosthesis i primary osteoarthritis betwee 1996-2004, Wome 99 % 98 % 97 % 96 % 94 % 93 % Primary osteoarthritis, wome =30039 DURACON Stabilizer box =366 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 110

Figure M1. Primary ad revisio arthroplasties of other joit operatios betwee 1980-2004 900 800 629 648 624 Primary Revisio 700 600 500 400 300 200 100 0 1980 78 78 83 80 0 3 0 1 1981 82 7 88 1982 2 1983 125 1984 3 1985 136 1986 8 1987 176 160 182 1988 4 7 7 1989 249 1990 12 1991 27 354 1992 34 443 1993 Number of operatios 436 465 30 42 1994 553 1995 60 482 71 522 523 533 69 79 82 474 76 109 117 120 1996 1997 1998 1999 2000 2001 2002 2003 2004 Year Figure M2. Primary arthroplasties of other joits i 2004 1 4 5 27 6 27 Shoulder Mcp 32 Akle Elbow 47 262 Cmc Other costructio Ip Mtp 80 Femoropatellar joit oly Scaphoideum Luatum 133 111

Figure M3. Primary idicatios for arthroplasties of other joits betwee 1980-2004 Number of operatios 700 600 500 400 300 200 Other illess Other arthritides Rheumatoid arthritis Secodary osteoarthritis Primary osteoarthritis 100 0 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 2004 Year Figure M4. Shoulder prostheses i primary arthroplasties betwee 1996-2004 99 % 96-04, =1938 98 % 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 112

Figure M5. Akle prostheses i primary arthroplasties betwee 1996-2004 99 % 98 % 96-04, =360 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 Figure M6. Elbow prostheses i primary arthroplasties betwee 1996-2004 99 % 98 % 96-04, =827 97 % 96 % 94 % 93 % 92 % 91 % 0 1 2 3 4 5 6 7 8 9 10 113

Figure M7. Idicatios for revisio arthroplasties of other joits i 2004 15 Fracture of prosthesis 9 6 4 42 Not kow Looseig of prosthetic compoet Malpositio of prosthesis Luxatio Ifectio Fracture of boe Other reaso 12 15 17 114

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