Cobb Justin
Acta Orthop Belg. 2015 Dec;81(4):594-9.
Joint registries were created to follow-up on the failure rate of different types of joint replacements. Since the only end-point is revision to another implant the registries are missing out today on essential data informing us about patients' outcome. Ideally, a modern and complete registry should capture 3 strata of data: 1) patient reported outcomes including both function and activity levels from before and after surgery, 2) morbidity including infection rates and mortality related to surgery, and 3) the cost of consecutive revision surgery. A modern knee specialist offering conservative solutions for defined problems enabling return to higher level activities may be reported as an outlier surgeon by registries today.
关节登记处的设立是为了跟踪不同类型关节置换术的失败率。由于唯一的终点是更换为另一种植入物，这些登记处如今遗漏了能让我们了解患者预后的关键数据。理想情况下，一个现代且完整的登记处应收集三层数据：1）患者报告的结果，包括手术前后的功能和活动水平；2）发病率，包括感染率和与手术相关的死亡率；3）连续翻修手术的费用。如今，登记处可能会将一位为特定问题提供保守解决方案、能让患者恢复更高水平活动的现代膝关节专科医生报告为异类外科医生。
