Berry D J
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Bone Joint J. 2017 Jan;99-B(1 Supple A):3-7. doi: 10.1302/0301-620X.99B1.BJJ-2016-0353.R1.
To demonstrate, with concrete examples, the value of in-depth exploration and comparison of data published in National Joint Arthroplasty registry reports.
The author reviewed published current reports of National Joint Arthroplasty registries for findings of current significance to current orthopaedic practice.
A total of six observations that demonstrate actionable or unexpected findings from joint registries are described. These include: one third to one half of all arthroplasty failures in the first decade occur in the first one to two years; infection rates after arthroplasty have not declined in the last three decades; infection after TKA is more common in men than women; outcomes of TKA are more variable in young compared with older patients; new technologies (uncemented implants and crosslinked polyethylene) have improved results of THA and a real-time shift in use of ceramic femoral heads is occurring in THA.
These six observations may be used to better understand current practice, stimulate practice improvements or suggest topics for further study. Cite this article: Bone Joint J 2017;99-B(1 Supple A):3-7.
通过具体实例证明深入探究和比较国家关节置换登记报告中所公布数据的价值。
作者查阅了已发表的国家关节置换登记处的当前报告，以获取对当前骨科实践具有重要意义的发现。
共描述了六项观察结果，这些结果展示了关节登记处可采取行动的或意外的发现。其中包括：在第一个十年中，所有关节置换失败病例的三分之一至二分之一发生在最初的一至两年内；在过去三十年里，关节置换术后的感染率并未下降；全膝关节置换术后感染在男性中比在女性中更常见；与老年患者相比，年轻患者全膝关节置换术的结果差异更大；新技术（非骨水泥型植入物和交联聚乙烯）改善了全髋关节置换术的效果，并且在全髋关节置换术中正在发生陶瓷股骨头使用的实时转变。
这六项观察结果可用于更好地理解当前实践、促进实践改进或提出进一步研究的课题。引用本文：《骨关节杂志》2017年；99 - B(1增刊A)：3 - 7。
