ISHKS joint registry: A preliminary report

Abstract

Background:Total knee arthroplasty (TKA) and total hip arthroplasty (THA) are the most widely practiced surgical options for arthritis all over the world and its application is rising in India. Indian Society of Hip and Knee Surgeons (ISHKS) has established a joints registry and has been collecting data for last 6 years.Materials & Methods:All members of ISHKS are encouraged to actively participate in the registry. A simple two page knee and hip form can be downloaded from the website www.ishks.com. The information collected includes patient demographics, indication for surgery, implant details and in case of revision arthroplasty: the details of implants removed and the cause of failure of primary arthroplasty. These forms are mailed to the central registry office and the data is fed in computerized registry. Data collection started in October 2006.Results:Joint registry is a very important initiative of ISHKS and till date, have data of 34,478 TKAs and 3604 THAs, contributed by 42 surgeons across India. Some important observations have emerged. Data of 34,478 TKAs was assessed: These included 8612 males (25%) and 25,866 females (75%). Average age was 64.4 years (Osteoarthritis range: 45 to 88 years; Rheumatoid arthritis range: 22 to 74 years). Average body mass index was 29.1 (Range: 18.1 to 42.9). The indication for TKA was osteoarthritis in 33,444 (97%) and rheumatoid arthritis in 759 (2.2%). Total of 3604 THA procedures were recorded. These included 2162 (60%) male patients and 1442 (40%) female patients. Average age was 52 years (Range 17 to 85 years) and average BMI was 25.8 (Range: 17.3 to 38.5). The indications for THA was AVN in 49%.Conclusion:The registry will become more meaningful in years to come. Active participation of all arthroplasty surgeons across India is vital for the success of the joints registry.

Joint replacement surgery in the Armed Forces Medical Services, India: The journey so far and looking ahead

“…Avascular necrosis (AVN) of hip and arthritis account for 22% and 31% respectively of all cases of THR. This is in contrast to ISHKS data reported by Pachore et al 6 where traumatic injuries account for lesser proportion (13.6%) than AVN (49%) and arthritis (19%). This may be attributable to the nature of occupation of our soldiers who are more prone to hip injuries than civilian counterparts.…”

“…3. Pachore et al 6 indicate that the prevalence of cemented TKA is absolute with no cases using uncemented total knee prosthesis. Also that uncemented prosthesis account for 65% while cemented prosthesis account for 17% of all THR.…”

“…6 Though in absolute numbers the total number of joint replacement surgeries done cumulatively in the AFMS hospitals may seem small but it is imperative to remember that the AFMS orthopedic surgeons strive to deliver the correct treatment protocol on evidence based management guidelines, without any commercial considerations. Patients presenting for joint replacement surgeries are discussed in joint clinics and are offered the same only when absolutely indicated.…”

“…The most comprehensive data bank akin to a joint registry is maintained by Indian Society of Hip and Knee Surgeons (ISHKS), a registered charitable Trust, with 42 arthroplasty surgeons across India as its current members. 6 It is a felt need that results of our joint replacement programs be reviewed and the lessons learnt be implemented to improve the said programs.…”

Analysis of total knee replacements in a South Indian Institute

“…[2][3][4] Over the last two to three decades there has been a drastic increase in the utilisation rates of total knee replacements all over the world. [5][6][7] There is paucity of data on total knee replacements in south Indian population. 8 As we don't have established registries akin to the developed countries, an attempt was made to put forth the available data regarding total knee replacements from a cohort of patients to bridge the gap in epidemiological statistics.…”