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The Trent regional arthroplasty study

EXPERIENCES WITH A HIP REGISTER

D. Fender, FRCS, Specialist Registrar in Orthopaedic Surgery; W. M. Harper, MD, Professor of Orthopaedic Trauma Surgery; and P. J. Gregg, MD, Professor of Orthopaedic Surgery

Department of Trauma and Orthopaedic Surgery, The Medical School, University of Newcastle, Newcastle upon Tyne NE2 4HH, UK.

Correspondence should be sent to Mr D. Fender.

We have assessed the usefulness of a regional hip register in the assessment of the outcome of primary total hip replacement (THR). Over 97% of THRs performed in the Trent region in 1990 were captured onto the register and the inaccuracies recorded were less than 1.8%. In an independent assessment of 2111 patients five years after THR, 85.9% of those available for assessment responded, and 66.8% agreed to an assessment.

The cost of this independent assessment at five years, utilising a regional hip register, was approximately £50 per implant. This is a reasonable outlay to identify problems early. Some form of registration and outcome assessment should be performed on a national level.




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J Bone Joint Surg BrHome page
M. K. Allami, D. Fender, F. M. Khaw, D. R. Sandher, C. Esler, W. M. Harper, and P. J. Gregg
Outcome of Charnley total hip replacement across a single health region in England: THE RESULTS AT TEN YEARS FROM A REGIONAL ARTHROPLASTY REGISTER
J Bone Joint Surg Br, October 1, 2006; 88-B(10): 1293 - 1298.
[Abstract] [Full Text] [PDF]



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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General