The Provincial Arthroplasty Register (RPPA)

The muscular and skeletal pathologies are the most known and common causes of chronically ill with high-potential of disability. 50% of persons over 65 years are affected (source: ISS/RIAP). The scientific literature reports detailed that with a prosthetic implant after pathologies regarding knee and hip joints the articular functionalities are restored about nearly completely. Furthermore the implant eliminates the painful clinical features and improves the general quality of life of patients.
In the Autonomous Province of Bolzano more than 2.400 arthroplasty interventions (knee and hip) are effectuated in 2019. Therefore we have the highest hospitalization rate nationwide with all his benefits for the patients.
The number of arthroplasty interventions is nationwide and world-wide constantly growing and this has a high impact on the health budget, which raises the interest to improve sanitary registers. They are necessary to monitor the utilization of prosthesis and to evaluate their survival time.
Starting from 2009 the Autonomous Province of Bolzano has participated at the activities of the scientific national committee and sated the fundamentals of the own provincial register.
The provincial Arthroplasty Register was officially instituted with provincial law n. 3 of the 13th of May 2011. The provincial Register enables observation of the utilization and survival time of prostheses and allows tracing of the patient in case of failure or unfavourable outcome.
The Hip Replacement Register is an instrument for registration of all interventions in our Province and allows making:

  • epidemiologic studies concerning interventions and registered pathologies
  • analysis about the survival time of the different types of hip prosthesis
  • comparison between different hip implants to verify the failure rate
  • comparison between the results of the different departments using the same hip implants
  • surveillance of the evolution of implants and interventions.

The analysis of the survival time of the implant would allow identifying the implants, which present a lower efficacy of the expected or fail prematurely. The availability to a provincial or national register also allows tracing the patients in case of unfavourable events.
The provincial Arthroplasty Register is coordinated and located at the Epidemiologic Observatory. The Local Health Authority has nominated the Scientific Provincial Committee. Its task is the technical and scientific supervision of the Register. Members of this Committee are representatives of the health districts and the private clinic S. Maria.