The United States needs to establish a national database, called a joint registry, to collect information on how patients receiving replacement hips or knees progress following surgery. The absence of such a registry causes annually the waste of millions of dollars and untold and unnecessary suffering for patients because of a flawed product or technique. Almost one million Americans each year receive replacement hips or knees.
A joint registry would allow problem products or techniques to be more quickly identified and their use ended, which would reduce greatly "do-over" surgeries made necessary by the initial use of a flawed product or technique. Precisely this scenario happened a few years ago in Sweden when a national registry alerted surgeons of a badly-flawed replacement hip and its use was terminated. But in the United States its use continued for many more months generating great and unnecessary expense, not to forget the suffering of recipient patients.
A registry would create a continuing monitor beginning with recording for each patient a number, the replacement joint used, the technique used and the doctor performing the surgery. If the patient were to receive a replacement, the information would be recorded as well and this would facilitate identification of problem products and techniques. As a new President and Congress take office in January, they would act wisely to have created a national joint registry. Further information can be gleaned from an excellent article in the New York Times, "A Call For A Warning System On Artificial Joints."
Robert L. Abell
www.RobertAbellLaw.com