Zdravniški Vestnik (Jun 2004)
IMPORTANCE OF FOUNDATION OF THE NATIONAL TOTAL JOINT ARTHROPLASTY REGISTRY
Abstract
Background. Total arthroplasty is one of the most interesting and fast developing fields in orthopaedic surgery. Practicaly every joint in the human body is involved with total hip arthroplasties being the most frequent and with the longest history.The major complication of total arthroplasty is aseptic loosening of one or both prosthetic components. Revision procedures are very difficult due to changed anatomical situation and the results are worse than after primary operations. With the growing number of total arthroplasties there is also an increase in revision procedures.Conclusions. Information on long-term results and survival of different types of prosthesis is invaluable for both patients and surgeons. The purpose of the National Registry is to provide treatment outcome information concerning the choice of prosthesis and the optimal surgical technique in individual cases. Special emphasis is to be paid on identifying risk factors for poor outcomes related to a patient, the implant and the surgical technique. Sharing this information within the profession shall cause individuals to act according to the good example. Treatment results will be improved, patients satisfaction will be considerable and the economic impact on the whole society is considerable.