A joint replacement registry is a system of collecting information of arthroplasty outcomes at a population (often national) level, in order to provide an evidence-base for safe and effective treatment options.
The UK registry, the NJR, was set up as recommendation of a Royal College of Surgeons of England review into the high-profile failure of the 3M Capital Hip. [1]
Registers collect information on a combination of hip replacements, knee replacements (both total and unicompartmental), shoulder replacements, ankle replacements and elbow replacements. Some countries exclude hemiarthroplasties done for traumatic hip fractures.
Initially designed only to record surgeon and implant performance, the main outcome collected was implant failure, however recently patient-reported outcome measures are being added.
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. [2]
There are currently 31 national members of the International Society of Arthroplasty Registers (ISAR). [3] In addition, in the United States, there are 10 regional or private registries collecting data.
Country | Type | Year started | Name |
---|---|---|---|
UK | National | 2003 | NJR |
Scotland | National | SAP | |
Ireland | National | 2014 | INOR |
Italy | National | RIPO | |
Portugal | National | 2009 | RPA |
Romania | National | 2001 | RNE |
Germany | National | EPRD | |
Egypt | National | 2007 | ECAR |
Australia | National | 1999 | AOANJRR |
Japan | National | 2002 | JAR |
Sweden | National | 1975 | SKAR |
Sweden | National | 1979 | SHAR |
Canada | National | 2003 | CJRR |
The Netherlands | National | 2007 | LROI |
Slovakia | National | 1926 | SAR |
New Zealand | National | 1999 | NZJR |
Denmark | National | 1997 | DHR |
Norway | National | 1994 | NAR |
Finland | National | 1980 | |
Iran | National | 2016 | IJR [4] |
America | National | 2012 | AJRR |
Regional | CJRR | ||
Private | 2001 | KPTJRR |
Orthopedic surgery or orthopedics, also spelled orthopaedics, is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.
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 orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures. A total hip replacement consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently one of the most common orthopaedic operations, though patient satisfaction short- and long-term varies widely. Approximately 58% of total hip replacements are estimated to last 25 years. The average cost of a total hip replacement in 2012 was $40,364 in the United States, and about $7,700 to $12,000 in most European countries.
Arthroplasty 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 is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma.
DePuy Synthes is a franchise of orthopaedic and neurosurgery companies. Acquired by Johnson & Johnson in 1998, its companies form part of the Johnson & Johnson Medical Devices group. DePuy develops and markets products under the Codman, DePuy Mitek, DePuy Orthopaedics and DePuy Spine brands.
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. It is most commonly performed for osteoarthritis, and also for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. In patients with severe deformity from advanced rheumatoid arthritis, trauma, or long-standing osteoarthritis, the surgery may be more complicated and carry higher risk. Osteoporosis does not typically cause knee pain, deformity, or inflammation and is not a reason to perform knee replacement
Replacement arthroplasty, or joint replacement surgery, is a procedure of orthopedic surgery in which an arthritic or dysfunctional joint surface is replaced with an orthopedic prosthesis. Joint replacement is considered as a treatment when severe joint pain or dysfunction is not alleviated by less-invasive therapies. It is a form of arthroplasty, and is often indicated from various joint diseases, including osteoarthritis and rheumatoid arthritis.
Oxinium is the brand name of a material used for replacement joints manufactured by the reconstructive orthopedic surgery division of medical devices company Smith & Nephew. It consists of a zirconium alloy metal substrate that transitions into a ceramic zirconium oxide outer surface.
Hip resurfacing has been developed as a surgical alternative to total hip replacement (THR). The procedure consists of placing a cap, which is hollow and shaped like a mushroom, over the head of the femur while a matching metal cup is placed in the acetabulum, replacing the articulating surfaces of the persons hip joint and removing very little bone compared to a THR. When the person moves the hip, the movement of the joint induces synovial fluid to flow between the hard metal bearing surfaces lubricating them when the components are placed in the correct position. The surgeon's level of experience with hip resurfacing is most important; therefore, the selection of the right surgeon is crucial for a successful outcome. Health-related quality of life measures are markedly improved and the person's satisfaction is favorable after hip resurfacing arthroplasty.
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.
Unicompartmental knee arthroplasty (UKA) is a surgical procedure used to relieve arthritis in one of the knee compartments in which the damaged parts of the knee are replaced. UKA surgery may reduce post-operative pain and have a shorter recovery period than a total knee replacement procedure, particularly in people over 75 years of age. Moreover, UKAs may require a smaller incision, less tissue damage, and faster recovery times.
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, replacing the conventional use of arthrodesis, i.e. fusion of the bones. The restoration of range of motion is the key feature in favor of ankle replacement with respect to arthrodesis. However, clinical evidence of the superiority of the former has only been demonstrated for particular isolated implant designs.
The 2010 DePuy Hip Replacement Recall was instituted when DePuy Orthopaedics, Inc., a division of Johnson and Johnson, recalled its ASR XL Acetabular metal-on-metal hip replacement system on August 24, 2010.
Professor Derek McMinn is a British orthopaedic surgeon and inventor who practises in Birmingham, United Kingdom at the BMI Edgbaston Hospital. Prof. McMinn developed the first successful modern metal-on-metal hip resurfacing and the instrumentation and surgical technique to implant it. Hip resurfacing is a bone-conserving, less invasive alternative to total hip replacement (THR) for young patients, markedly improves the health-related quality of life measures and currently makes up around a tenth of all hip arthroplasty procedures performed in the United Kingdom. McMinn is also the inventor of several other prostheses for the hip and knee.
Michael J. Bronson, M.D., is an American orthopaedic surgeon, Chairman of the Department of Orthopedic Surgery, Mount Sinai West and Mount Sinai Morningside, and Chief of Joint Replacement Surgery at the Icahn School of Medicine at Mount Sinai in New York, and the author of extensive advances in the development of minimally invasive surgical instruments to advance unicondylar partial knee replacement, including the Vision Total Hip System, a widely used hip replacement system that avoids the use of cement.
Metallosis is the putative medical condition involving deposition and build-up of metal debris in the soft tissues of the body.
Dr. A. V. Gurava Reddy is an Internationally recognized, Indian Orthopedic Surgeon and Joint replacement expert. He is the Managing Director and Chief Joint Replacement Surgeon at Sunshine Bone and Joint Institute - Sunshine Hospitals, a 300-bed NABH Accredited, Multispeciality hospital in Hyderabad India. Dr. A. V. Gurava Reddy is one of the leading surgeon(s) in India and performs about 4000 joint replacements per year. He has made sustained efforts to increase the awareness and acceptance of Joint replacement surgery in India.
David Giorgio Mendes Nassi is an Israeli orthopedic surgeon who has developed advanced methodologies and systems in the area of Hip and Knee artificial joint replacement. .
Ashok Rajgopal is an Indian orthopaedic surgeon, credited with close to 20,000 Arthroscopic and over 35,000 Total Knee Arthroplasty surgeries and reported to be one of the most experienced in his field in India. He was honoured by the Government of India in 2014, by bestowing on him the Padmashri, the fourth highest civilian award, for his services to the fields of orthopaedic surgery. He has also been awarded the Dr. BC Roy award by the Medical Council of India to "Recognize the Best Talents in Encouraging the Development of Specialties in Different Branches in Medicine" for 2014.
The Australian Orthopaedic Association (AOA) is a not for profit organisation that represents over 1600 Australian orthopaedic surgeons.
Reverse shoulder replacement is a type of shoulder replacement in which the normal ball and socket relationship of glenohumeral joint is reversed, creating a more stable joint with a fixed fulcrum. This form of shoulder replacement is utilized in situations in which conventional shoulder replacement surgery would lead to poor outcomes and high failure rates.