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Related Experiment Video

Updated: Jun 19, 2026

Reverse Total Shoulder Arthroplasty
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Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

[Interregional mobility for total knee arthroplasty].

E Romanini1, V Manno, S Conti

  • 1ArtroGruppo, Roma.

Annali Di Igiene : Medicina Preventiva E Di Comunita
|October 6, 2009
PubMed
Summary
This summary is machine-generated.

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Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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Italy saw 45,049 primary total knee replacements in 2005, with significant patient travel between regions. Most regions struggle to retain patients, indicating a need to improve southern and central healthcare centers.

Area of Science:

  • Orthopedic Surgery
  • Healthcare Management
  • Public Health Policy

Background:

  • In 2005, Italy performed 45,049 primary total knee replacements.
  • Significant interregional patient mobility for knee replacement surgery is observed.
  • Referrals to specialized centers often require travel far from a patient's residence.

Purpose of the Study:

  • To quantitatively and qualitatively analyze interregional patient mobility for total knee replacement in Italy.
  • To assess the patient attraction and retention capabilities of different Italian regions for knee replacement procedures.

Main Methods:

  • Utilized the SDO (Schede Dimissioni Ospedaliera) database for the period 2001-2005.
  • Calculated regional discharge data for residents and non-residents annually.

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Last Updated: Jun 19, 2026

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  • Determined regional attraction and escape indices to quantify patient migration patterns.

    • Main Results:

    • Only 8 out of 20 Italian regions demonstrated an attraction index superior to their escape index.
    • Regions with a positive balance were distributed across Northern (4), Central (2), and Southern (2) Italy.
    • No observed migration from Northern or Central regions to Southern regions for knee replacement procedures.
    • A consistent trend of South-to-North mobility was identified, mirroring patterns in other major surgical procedures.

    Conclusions:

    • Interregional mobility for total knee replacement in Italy is substantial.
    • A significant imbalance exists in regional healthcare capacity for knee replacement surgery.
    • There is a clear need to investigate the drivers of patient migration and to enhance healthcare services in Southern and Central Italy.