Revision arthroplasty Registro Italiano (NLDI), Higher Institute of Health (ISS)
Musculoskeletal disorders (MMS) are a heterogeneous group of bone and joint diseases associated with pain and functional limitations, systemic manifestations may include. This group includes acute disorders and short start, the two chronic conditions such as back pain, osteoarthritis, osteoporosis and rheumatoid arthritis.
The MMS can have a significant impact on the social life of the person and behavior, deadlines and ways of the other in a state of invalidity and incapacity. Poor lifestyle – in particular, reduces obesity and physical activity – and age many of these diseases lead to a greater prevalence; Therefore, in the coming years due to the progressive aging of the population and the extent of more sedentary lifestyle, it is planned to increase by MMS.
In the picture of the health of the Italian population, should not be overlooked, finally, MMS mention overload and repetitive biomechanical, which are a major cause of absence has been increasing due to the disease in many activities and often in recent years, as Inail 2012 annual report (pdf 3.2 Mb) reported that arthritis is particularly and related diseases, diseases of the intervertebral discs, tendonitis, muscle diseases, ligaments, fascia and soft tissue (carpal tunnel syndrome).
However, these diseases are a major burden for the health of the population is estimated that, in terms of impact on global health, are second only to mental and behavioral disorders. was found in the 1990s to 2010, this group of diseases (such as back pain, neck pain, arthritis, osteoporosis and other MMS), must be willing to lock in years of life lost due to disability (Daly life, disability-adjusted year) and years lived with disability (YLD, years of life with a disability).
Early diagnosis and appropriate treatment would be to reduce the disability income and a better prognosis and life expectancy, which also indirect costs: disability and economic and social costs of managing MMS, actually , are at the level directly proportional progression.
It is useful to remember that the most effective preventive measures against osteoarthritis, osteoporosis and fractures in patients over 65 years – leading to an improved quality of life and reducing direct and indirect costs ( drugs, surgical treatments, rehabilitation care) (days off work) – as opposed to a lifestyle and sedentary control weight are represented in particular by adopting lifestyles.
The use of the prosthesis
Closely related to musculoskeletal disorders associated with the use of the prosthesis, a tendency on the one hand, the increase in life expectancy, the other in the continuous improvement of both the surgical technique because of growth presents the characteristics of implanted devices.
As reported in the international literature, standing on the knee joint, hip and shoulder related disease, implantation of prosthesis results in an improvement in the quality of life of patients in almost all cases as it suppressed the function of the joint and restores the painful symptoms.
is the spread of this phenomenon in recent years and a significant impact on the cost of health care, the interest of the public health authorities has attracted and led to the organization of regional and national registries, the use of prosthesis necessary for monitoring by evaluating how criterion in vivo survival, this process led to lay the concrete foundations for the creation of a national registry in 2005, run the higher health Institute (ISS). The project Registro Italiano (NLDI) arthroplasty is thus a coordination tool for reflection:
- continuously monitor the use of prosthetic implants
- patient safety, to protect
- Interact with records that are already active in other countries.