Generic implant classification enables comparison across implant designs: the Dutch Arthroplasty Register implant library

In the Dutch Arthroplasty Register (LROI), the product and batch number of prosthetic components and cement are registered for traceability. Registration of the product number provides opportunities to extend the information about a specific prosthesis. All product numbers used from the beginning of...

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Bibliographic Details
Published in:EFORT Open Reviews 2019-06, Vol.4 (6), p.344-350
Main Authors: Denissen, Geke A W, van Steenbergen, Liza N, Lollinga, Wouter T, Verdonschot, Nico J J, Schreurs, Berend W, Nelissen, Rob G H H
Format: Article
Language:English
Subjects:
Arthroplasty
Arthroplasty Register
Barcodes
Cement
Classification
General Orthopaedics
Hip Prosthesis
Implant Library
Joint surgery
Knee Prosthesis
Libraries
Prostheses
Quality control
Registration
Transplants & implants
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Summary:In the Dutch Arthroplasty Register (LROI), the product and batch number of prosthetic components and cement are registered for traceability. Registration of the product number provides opportunities to extend the information about a specific prosthesis. All product numbers used from the beginning of the registration in 2007 were characterized to develop and maintain an implant library.The Scientific Advisory Board developed a core-set that contains the most important characteristics needed to form an implant library. The final core-set contains the brand name, type, coating and material of the prosthesis. In total, 35 676 product numbers were classified, resulting in a complete implant library of all product numbers used in the LROI.To improve quality of the data and increase convenience of registration, the LROI implemented barcode scanning for data entry into the database. In 2017, 82% of prosthetic components and cement stickers had a GS1 barcode. The remaining product stickers used HIBCC barcodes and custom-made barcodes.With this implant library, implants can be grouped for analyses at group level, e.g. evaluation of the effect of a material of a prosthesis on survival of the implant. Apart from that, the implant library can be used for data quality control within the LROI database.The implant library reduces the registration burden and increases accuracy of the database. Such a system will facilitate new designs (learning from the past) and thus improve implant quality and ultimately patient safety. Cite this article: 2019;4 DOI: 10.1302/2058-5241.4.180063.
ISSN:2058-5241
2396-7544
2058-5241
DOI:10.1302/2058-5241.4.180063