A joint replacement registry is a system of collecting information of
arthroplasty
Arthroplasty (literally " e-orming of joint") is an orthopedic surgical procedure where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. It is an elective procedure that i ...
outcomes at a population (often national) level, in order to provide an evidence-base for safe and effective treatment options.
Background
The UK registry, the NJR, was set up as recommendation of a
Royal College of Surgeons of England
The Royal College of Surgeons of England (RCS England) is an independent professional body and registered charity that promotes and advances standards of surgical care for patients, and regulates surgery and dentistry in England and Wales. The ...
review into the high-profile failure of the
3M Capital Hip.
Information collected
Registers collect information on a combination of
hip replacement
Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement o ...
s,
knee replacement
Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability, most commonly offered when joint pain is not diminished by conservative sources a ...
s (both total and
unicompartmental),
shoulder replacement
Shoulder replacement is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage.
...
s,
ankle replacement
Ankle replacement, or ankle arthroplasty, is a surgical procedure to replace the damaged articular surfaces of the human ankle joint with prosthetic components. This procedure is becoming the treatment of choice for patients requiring arthroplasty, ...
s and
elbow
The elbow is the region between the arm and the forearm that surrounds the elbow joint. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the media ...
replacements. Some countries exclude
hemiarthroplasties done for traumatic
hip fracture
A hip fracture is a break that occurs in the upper part of the femur (thigh bone). Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. Usually the person cannot walk.
They most often occur as a res ...
s.
Initially designed only to record
surgeon
In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
and
implant performance, the main outcome collected was
implant failure Implant failure refers to the failure of any medical implant to meet the claims of its manufacturer or the health care provider involved in its installation. Implant failure can have any number of causes. The rates of failure vary for different impl ...
, however recently
patient-reported outcome A patient-reported outcome (PRO) is a health outcome directly reported by the patient who experienced it. It stands in contrast to an outcome reported by someone else, such as a physician-reported outcome, a nurse-reported outcome, and so on. PRO m ...
measures are being added.
Research
Given the amount of information stored, the data from many of the registries is used as the basis of scientific papers, for example on the
metal-on-metal hip controversy.
Worldwide registries
There are currently 31 national members of the International Society of Arthroplasty Registers (ISAR).
In addition, in the United States, there are 10 regional or private registries collecting data.
References
{{Reflist
Orthopaedic registries