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Arthroplasty Today. 2016 September; 2(3): 87.
Published online 2016 August 28. doi:  10.1016/j.artd.2016.07.003
PMCID: PMC5045465

Learning and publishing opportunities for international joint reconstruction surgeons

Arthroplasty Today, a case report–based peer-reviewed internet journal, started 2 years ago, thanks in part to the hard work of the American Association of Hip and Knee Surgeons (AAHKS) editorial board members, scientists, doctors, and our publisher, Elsevier. Our aim of this journal has been to provide simultaneous international access to readers and researchers interested in joint reconstruction. For example, Japanese patients appear to have a much higher incidence of hip dysplasia (more than 85%) but not so severe heterotopic ossification, deep venous thrombosis, or pulmonary embolisms after total hip and knee surgery compared to other populations. The distribution of diagnoses and complications has wide variation in each international community and helping to understand those differences can help optimize treatment.

Before 1990, many Asian countries, including Japan, had relatively low-quality operating rooms, an insufficient staff education system, and few standardized surgical techniques related to total joint arthroplasty. During the last decade, however, there has been significant improvement in these areas, especially in Thailand, India, and the Peoples Republic of China. Several factors have contributed to those improvements. First, a higher number of scientific articles, posters, and scientific exhibits presented by Asian physicians at international meetings such as the American Academy of Orthopaedic Surgeons, AAHKS, or other specialty meetings in Europe or Australia. Many Asian surgeons have taken advantage of these international meetings to learn about preventing complications and obtaining improved surgical skills with shorter hospital stays. In addition, the number and scope of scientific journals have greatly increased as access to the internet has expanded, providing Asian physicians and scientists more opportunities to learn and to publish.

In the current issue, research groups from 5 different countries are represented and each manuscript presents work that can be appreciated in an international forum.

One example is the article from Higuchi et al describing the bone-ceramic interface of an alumina ceramic cup arthroplasty retrieved after 25 years in vivo. The world joint replacement community can learn from both the early history of hip arthroplasty and the rich tradition of ceramic biotechnology embraced in Japan. Careful and detailed retrieval analysis is one of the foundations of arthroplasty technology advancement.

The regular distribution of data contained in implant registries has also become an excellent communication tool, and through our relationship with the American Joint Replacement Registry, we aim to highlight international registry data. Last issues’ article by McGrory et al was presented at the International Congress of Arthroplasty Registries, for example. Use of registries, as well as widespread publication, will help us compare different health care systems among different countries; identify effective treatments associated with few complications; and improve the quality of drugs, devices, and techniques at efficient cost. We hope that Arthroplasty Today will promote closer and more rapid communication among all physicians, scientists, and other health care professionals, thereby helping improve the quality of medical care for our patients in the future.


One or more of the authors of this paper have disclosed potential or pertinent conflicts of interest, which may include receipt of payment, either direct or indirect, institutional support, or association with an entity in the biomedical field which may be perceived to have potential conflict of interest with this work. For full disclosure statements refer to

Appendix A. Supplementary data

Conflict of Interest Statement for Hirakawa:

Articles from Arthroplasty Today are provided here courtesy of Elsevier