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Published on: September 9, 2011
[Experience in establishing a certified endoprosthesis center]
G von Lewinski1, T Floerkemeier, S Budde
1ENDOCmax der Orthopädische Klinik, Medizinische Hochschule Hannover im Annastift, Anna-von-Borries-Straße 1-7, 30625, Hannover, Deutschland, Gabriela.Lewinski@ddh-gruppe.de.
Background:
It is well known that morbidity rates of arthroplasties are inversely related to procedure volume. In the department of orthopaedics at a German medical school, a performance of certification of high-volume center for total hip and knee arthroplasties, called the EndoCert(®) Initiative, was started. This project was initiated by the German society of orthopaedic surgery (DGOOC) to secure the quality of total knee and hip arthroplasties.
Objectives:
The aim of this study is to evaluate effects of certification, pathwaycontrolled therapy and quality indicators on outcome in arthroplasty three years after implentation.
Materials And Methods:
Arthroplasties performed in this certified center for total hip and knee arthroplasties were evaluated. Outcome was evaluated after the implementation of quality indicators and clinical pathways.
Results:
After establishment of certification in the center for total hip and knee arthroplasties morbidity rates decreased as quality increased.
Conclusion:
The implementation of pathway-controlled therapy and quality indicators in a high-volume center for total joint arthroplasties shows better clinical results. Capital investment and efforts are legitimated.

