Lessons From the Global Orthopaedic Registry (GLORY)
Orthopedic Practice in Total Hip Arthroplasty and Total Knee Arthroplasty: Results From the Global Orthopaedic Registry (GLORY)
James Waddell, MD, Kirk Johnson, MD, Werner Hein, MD, Jens Raabe, MD, Gordon FitzGerald, PhD, and Flávio Turibio, MD
Dr. Waddell is with St. Michael's Hospital, Toronto, Ontario, Canada.
Dr. Johnson is with the University of Massachusetts, Worcester, Massachusetts, USA.
Dr. Raabe is with Martin-Luther-Universität Orthopädische Universitäts-Klinik, Halle, Germany.
Dr. FitzGerald is with the Center for Outcomes Research, University of Massachusetts Medical School, Worcester,
Massachusetts, USA.
Dr. Turibio is with Hospital Santa Marcelina, São Paulo, Brazil.
The Global Orthopaedic Registry (GLORY) offers global and country-specific insights into the management of patients undergoing total hip arthroplasty and total knee arthroplasty by drawing on data, from June 2001 to December 2004, of 15,020 patients in 13 countries. GLORY achieved a 70% follow-up rate at 3 and/or 12 months, allowing longer-term findings to be reported. This paper reports data from GLORY on patient demographics, surgical approaches to patient management, selection of implants, anesthetic and analgesic practices, blood management, length of hospital stay, and patient disposition at discharge. Some aspects of orthopedic practice differ between countries. There was notable variation in the choice and selection of prosthesis, fixation of implants, length of hospital stay, and discharge disposition.