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[Music] the National joined registry is a such a powerful tool because it has so much patient data in it without this we would not be able to have done work such as looking at the risk of mortality after joint replacements who would not have been able to do the work looking at resurfacing and metal metal hip replacements and would certainly not be able to do the granular work showing on different implants survive different times in different age groups and genders by contributing their data to the National joint registry patients are enabling us to do important research that will help the patients of the future get the best outcomes from their hip and knee replacements a good example of this is a recent research paper from the University of Bristol that has looked at which of the best hip replacements and which are the best knee replacements on the market in the UK and this allows patients when going in for their hip or knee replacement operation to decide with their surgeon what suits
