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India Joining the World of Hip and Knee Registries: Present Status—A Leap Forward

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Abstract

Background

The number of joint replacements in India is set to grow at the highest rate in the world from 2020 to 2026. It is high time for India to have an efficient and credible registry to help curtail the clinical impact of implant failure at a very early stage by prompt reporting.

Methods

Indian Joint Registry has been established by ISHKS with new data forms for reporting. These new detailed forms record, in addition to previous form, component-wise details of implants. Additional useful features include Linking with unique ID like PAN or Aadhaar, thromboprophylaxis, untoward intra-operative event, IJR consent and type of anaesthesia.

Results

There were 712 registered surgeons in IJR database till June 2020. Total TKRs being reported to registry increased from 1019 in 2006 to 27,000 in 2019. Majority of the patients (98.5%) were diagnosed with osteoarthritis knee. Company-wise distribution unveils that Johnson & Johnson DePuy represents the highest implant usage at over 37%. There has been increased utilisation of uncemented THR over cemented THR from 2006 to 2019. Dual-mobility THRs have gained ground as surgeon preference for the choice of implant.

Conclusion

Effective use of quality registries can lead to better health outcomes at a lower cost for the society. An effective, responsive and sustainable registry in India offers many benefits and should be considered as a key objective. Making the registry function in India successfully will undoubtedly require multi-pronged efforts, but can deliver many benefits both to the patient and to the nation as a whole.

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References

  1. de Steiger, R. N., Miller, L. N., Davidson, D. C., Ryan, P., & Graves, S. E. (2013). Joint registry approach for identification of outlier prostheses. Acta Orthopaedica, 84(4), 348–352. https://doi.org/10.3109/17453674.2013.831320.

    Article  PubMed  PubMed Central  Google Scholar 

  2. ASR Hip System recall. (2020). In: J & J Private limited India [Internet].https://www.jnj.in/div-class-cms-textalign-center-b-asr-hip-system-recall-b-div. Accessed 4 June 2020

  3. https://www.thehindu.com/sci-tech/health/out-of-joint/article24949401.ece. Accessed 4 June 2020

  4. https://www.business-standard.com/article/companies/j-j-to-pay-rs-25-lakh-each-to-67-victims-of-faulty-asr-hip-implants-119053001186_1.html. Accessed 4 June 2020

  5. https://timesofindia.indiatimes.com/blogs/toi-editorials/joint-pains-johnson-johnson-must-compensate-patients-for-faulty-hip-implants/. Accessed 4 June 2020

  6. Bonutti, P., Khlopas, A., Chughtai, M., Cole, C., Gwam, C., Harwin, S., et al. (2017). Unusually high rate of early failure of tibial component in ATTUNE total knee arthroplasty system at implant-cement interface. The Journal of Knee Surgery. https://doi.org/10.1055/s-0037-1603756.

    Article  PubMed  Google Scholar 

  7. https://www.market-scope.com/pages/reports/orthopedic?page=1. Accessed 4 June 2020

  8. https://axiommrc.com/product/1735-joint-replacement-market-report. Accessed 4 June 2020

  9. Herberts, P., & Malchau, H. (2000). Long term registration has improved the quality of hip replacement: A review of the Swedish THR Register comparing 160,000 cases. Acta Orthopaedica Scandinavica, 71, 111–121.

    Article  CAS  Google Scholar 

  10. Herberts, P., & Malchau, H. (1997). How outcome studies have changed total hip arthroplasty practices in Sweden. Clinical Orthopaedics and Related Research, 344, 44–60.

    Article  Google Scholar 

  11. American Academy of Orthopaedic Surgeons. (2020). American Joint Replacement Registry project. https://www.aaos.org/registry. Accessed 4 June 2020

  12. Ortiguera, C. J., Pulliam, I. T., & Cabanela, M. E. (1999). Total hip arthroplasty for osteonecrosis: Matched-pair analysis of 188 hips with long-term follow-up. Journal of Arthroplasty, 14(1), 21–28.

    Article  CAS  Google Scholar 

  13. Cabanela, M. E. (1990). Bipolar versus total hip arthroplasty for avascular necrosis of the femoral head. A comparison. Clinical Orthopaedics, 261, 59–62.

    Google Scholar 

  14. Beyer, C. A., et al. (1991). Primary total knee arthroplasty in patients with psoriasis. The Journal of Bone and Joint Surgery, 73B(2), 258–259.

    Article  Google Scholar 

  15. Chang, M. A., Rand, J. A., & Trousdale, R. T. (2005). Patellectomy after total knee arthroplasty. Clin Orthop, 440, 175–177.

    Article  Google Scholar 

  16. Goetz, D. E., Smith, E. J., & Harris, W. (1994). The prevalence of femoral osteolysis associated with components inserted with or without cement in total hip replacements A retrospective matched-pair series. The Journal of Bone and Joint Surgery, 76, 1121–1129.

    Article  CAS  Google Scholar 

  17. Harris, W., & Penenberg, B. (1987). Further follow-up on socket fixation using a metal-backed acetabular component for total hip replacement. A minimum ten-year follow-up study. The Journal of Bone and Joint Surgery, 69A, 1140–1143.

    Article  Google Scholar 

  18. Harris, W., & Oh, I. (1978). A new power tool for removal of methylmethacrylate from the femur. Clinical Orthopaedics, 132, 53–54.

    Google Scholar 

  19. Oh, I., & Harris, W. (1982). A cement fixation system for total hip arthroplasty. Clinical Orthopaedics, 164, 221–229.

    Google Scholar 

  20. Harris, W. (1975). A new approach to total hip replacement without osteotomy of the greater trochanter. Clinical Orthopaedics, 106, 19–26.

    Article  Google Scholar 

  21. Harris, W. H., et al. (1981). A new technique for removal of broken femoral stems in total hip replacement. A technical note. Journal of Bone and Joint Surgery, 63(5), 843–845.

    Article  CAS  Google Scholar 

  22. Patel, D., Karchmer, A., & Harris, W. (1976). The role of preoperative aspiration of the hip prior to total hip replacement. In C. Evarts (Ed.), The Hip, Proceedings of the Fourth Open Scientific Meeting of the Hip Society (pp. 219–223). St Louis: C.V. Mosby Inc.

    Google Scholar 

  23. Schutzer, S. F., & Harris, W. H. (1988). Deep-wound infection after total hip replacement under contemporary aseptic conditions. Journal of Bone and Joint Surgery, 70(5), 724–727.

    Article  CAS  Google Scholar 

  24. Dearborn, J. T., & Harris, W. H. (1998). Postoperative mortality after total hip arthroplasty. An analysis of deaths after two thousand seven hundred and thirty-six procedures. Journal of Bone and Joint Surgery, 80(9), 1291–1294.

    Article  CAS  Google Scholar 

  25. Goldring, S. R., et al. (1983). The synovial-like membrane at the bone-cement interface in loose total hip replacements and its proposed role in bone lysis. Journal of Bone and Joint Surgery, 65(5), 575–584.

    Article  CAS  Google Scholar 

  26. Harris, W. (1994). Osteolysis and particle disease in hip replacement: A review. Acta Orthopaedica Scandinavica, 65, 113–123.

    Article  CAS  Google Scholar 

  27. Papagelopoulos, P. J., & Morrey, B. F. (1993). Hip and knee replacement in osteogenesis imperfecta. The Journal of Bone and Joint Surgery, 75A(4), 572–580.

    Article  Google Scholar 

  28. Parvizi, J., et al. (2002). Outcome of uncemented hip arthroplasty components in patients with Paget's disease. Clinical Orthopaedics, 403, 127–134.

    Article  Google Scholar 

  29. Lewallen, D. G. (1999). Hip arthroplasty in patients with Paget's disease. Clinical Orthopaedics, 369, 243–250.

    Article  Google Scholar 

  30. Strickland, J. P., & Berry, D. J. (2005). Total joint arthroplasty in patients with osteopetrosis: A report of 5 cases and review of the literature. Journal of Arthroplasty, 20(6), 815–820.

    Article  Google Scholar 

  31. www.indianjointregistry.in. Accessed 4 June 2020

  32. Blakeney, W. G., Jean-Alain Epinette, J. A., & Vendittoli, P. A. (2019). Dual mobility total hip arthroplasty: Should everyone get one? EFORT Open Reviews, 4, 541–547. https://doi.org/10.1302/2058-5241.4.180045.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Kärrholm, J., Mohaddes, M., Odin, D., Vinblad, J., Rogmark, C., & Rolfson, O. (2018). Swedish Hip Arthroplasty Register Annual Report 2017. 10.18158/BkOffx7U4.

  34. Pachore, J. A., Vaidya, S. V., Thakkar, C. J., Bhalodia, H. P., & Wakankar, H. M. (2013). ISHKS joint registry: A preliminary report. Indian Journal of Orthopaedics, 47, 505–509.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. King Edward Memorial Hospital, Parel, Mumbai, 400012, India

    Shrinand V. Vaidya

  2. Department of Orthopaedics, Seth G.S. Medical College and KEM Hospital, 6th Floor, M.S. Building, Parel, Mumbai, 400012, India

    Abhinav D. Jogani

  3. Department of Arthroplasty, Shalby Hospital, Ahmedabad, Gujarat, India

    Jahavir A. Pachore

  4. Northgate Public Services (UK) Ltd., Nottingham, UK

    Richard Armstrong

  5. HBT Medical College and Dr RN Cooper Hospital, Mumbai, 400056, India

    Chintan S. Vaidya

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  1. Shrinand V. Vaidya
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Correspondence to Abhinav D. Jogani.

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Vaidya, S.V., Jogani, A.D., Pachore, J.A. et al. India Joining the World of Hip and Knee Registries: Present Status—A Leap Forward. JOIO 55 (Suppl 1), 46–55 (2021). https://doi.org/10.1007/s43465-020-00251-y

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