Routine joint replacements are more common in the United States than in any other country. With each case, patient follow-up brings us evidence to measure the success of the surgery and to measure against other techniques and devices used for similar procedures. Are we collecting this data to the best of our ability? Host Dr. Mark Nolan Hill welcomes Dr. William Jiranek, associate professor of orthopaedics and chief of the adult reconstruction section of orthopaedic surgery at the Virginia Commonwealth University School of Medicine, to speak about the value of a national joint registry, as seen in other nations, including Sweden, Britain, Norway and Australia, which have adopted this concept. How do the overseas databases impact our approach to these surgeries? In the absence of nationwide data collection in the United States, how can we improve our outcomes?