INITIAL EXPERIENCES IN THE ESTABLISHMENT OF AN ARTHROPLASTY REGISTER.

Abstract

Introduction: An arthroplasty database, such as the Swedish Hip Registry, provides a crude means of quality control over the sizable number of prosthetic implants available on the market today. It provides relatively rapid feedback on the performance of orthopaedic devices and surgical techniques, allowing inferior devices and methods to be discontinued. The maintenance of an arthroplasty register is inexpensive and of enormous benefit to the patient. At present, there is no nationwide arthroplasty register in operation in the Republic of Ireland.

Aim: To develop an arthroplasty register which prospectively captures all clinical, radiographic and medical outcome data on patients undergoing surgery in our unit

Materials and methods We are using an existing computer software programme (Bluespier Patient Manager) to capture our information, although our database is stored independently of this.

Data recorded includes medical outcome scores (WOMAC and MOS SF-36), patient data, operative details (including type of prostheses used and operative technique employed), inpatient course, and any postoperative events. For revision procedures, additional data such as location of bony defects (Gruen zones) and acetabular bone loss (Paprosky classification) are also recorded. Follow up in a special Joint Register Clinic is at six months, two years and every five years thereafter for primary procedures. This is reduced to every two years in the case of revision procedures.

To date, a pilot study involving four surgeons has prospectively captured data on 82 patients undergoing both primary and revision procedures in our unit. We aim to enrol all our patients in the register from July 2005, increasing the amount of data collected, which we hope will subsequently benefit patients undergoing hip and knee arthroplasty in the future.