Akiyama Haruhiko, Hoshino Akiho, Iida Hirokazu, Shindo Hiroyuki, Takakura Yoshinori, Miura Hiromasa, Yamamoto Kengo, Yoshiya Shinichi, Hasegawa Yukiharu, Shimamura Tadashi, Kurosaka Masahiro, Otsuka Hiromi, Kawanabe Keiichi, Kawate Kenji, Harada Yoshitada, Nakamura Takashi
Department of Orthopedic Surgery, Kyoto University, Kyoto, Kyoto, Japan.
J Orthop Sci. 2012 Jul;17(4):358-69. doi: 10.1007/s00776-012-0229-5. Epub 2012 Jun 14.
National arthroplasty registers are valuable tools for reporting on an updated epidemiologic survey of arthroplasties and for evaluating the performance of implants and operative procedures through the early identification of failure risk factors. More than ten registers have been launched globally, but no national register has been reported in Asia.
In February 2006, a pilot project of the Japan Arthroplasty Register (JAR) for total hip arthroplasty (THA) and total knee arthroplasty/unicompartmental knee arthroplasty (TKA/UKA) was launched by the Japanese Orthopaedic Association (JOA). Data obtained include information about patients, primary and revision arthroplasty operative procedures, and implants and materials used. The JAR office accumulated and processed all data and reports annually.
Up to May 2011, 83 of 130 hospitals nominated by the JOA (64 %) participated in the JAR pilot project. From 2006 to 2011, 33,080 data collection forms were submitted; 17,534 for THA and 17,269 for TKA/UKA. A brief summary of the annual report of the JAR is available from The Japanese Society for Replacement Arthroplasty web site at http://jsra.info/ .
A national arthroplasty register is a useful tool for evaluating the outcomes of interventions and the materials used in arthroplasties and for providing rapid feedback to practitioners and patients about any failure of THA and TKA/UKA. As the first national arthroplasty register in Asia, the JAR will help guide the development of registers of arthroplasty characteristics specific to Asian populations.
国家关节置换登记系统是用于报告关节置换最新流行病学调查以及通过早期识别失败风险因素来评估植入物和手术操作性能的重要工具。全球已启动了十多个登记系统，但亚洲尚无国家登记系统的报道。
2006年2月，日本骨科协会（JOA）启动了日本关节置换登记系统（JAR）的一个试点项目，用于全髋关节置换术（THA）和全膝关节置换术/单髁膝关节置换术（TKA/UKA）。所获得的数据包括患者信息、初次和翻修关节置换手术操作以及所使用的植入物和材料。JAR办公室每年汇总并处理所有数据和报告。
截至2011年5月，JOA提名的130家医院中有83家（64%）参与了JAR试点项目。2006年至2011年期间，共提交了33,080份数据收集表；其中17,534份用于THA，17,269份用于TKA/UKA。JAR年度报告的简要摘要可从日本关节置换学会网站（http://jsra.info/ ）获取。
国家关节置换登记系统是评估关节置换干预措施结果和所用材料以及就THA和TKA/UKA的任何失败情况向从业者和患者提供快速反馈的有用工具。作为亚洲首个国家关节置换登记系统，JAR将有助于指导针对亚洲人群的关节置换特征登记系统的发展。
