Category Archives: National Registries

National Registries including the Australian Orthopaedic Association Naitonal Joint Registries

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Many countries have National Registries that keep statistics about all orthopedic surgeries performed and medical devices used. They include excellent information about hip resurfacing results.

National Joint Replacement Registry of Australia


National Joint Registry of England, Wales and Northern Ireland


NZ Joint Registry

The National Registries are often long, technical and very detailed – but they provide a great deal of useful  information.

AOA National Joint Replacement Registry Reports Website

Summary of 2016 Hip Resurfacing Information from Australian National Joint Replacement Registry by Patricia Walter

Australian National Joint Replacement Registry 2013 Report

Summary of 2012 Hip Resurfacing Information from Australian National Joint Replacement Registry by Patricia Walter
Australian National Joint Replacement Registry 2012 Report

Summary of 2011 Hip Resurfacing Information from Australian National Joint Replacement … Read the rest

2018 National Joint Replacement Registry of Australia Results for Hip Resurfacing

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Complete 2018 Review Available Here:
https://aoanjrr.sahmri.com/documents/10180/576950/Hip%2C%20Knee%20%26%20Shoulder%20Arthroplasty

In 2017, 98.0% of total resurfacing hip replacements were undertaken in males (Table HT56 and Figure HT66). There is a small increase in the proportion of patients aged 55 to 64 years receiving total resurfacing hip replacement in 2017 (Figure HT67

Revision Rates at 17 Years for Male and Female Hip Resurfacing Patients
2018 Hip Resurfacing Results
Revision Rates Per Device

2018 Hip Resurfacing Revision Rates per Device

2018 Revisions by Head Size

2018 Revisions by Head Size… Read the rest

Hip Resurfacing Report from AJRR 2016 Report

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Hip resurfacing represented less than 1% of the total hip arthroplasty procedures in our sample, as surgeons have moved away from the metal-on-metal articulations that predominated (Figure 19). This procedure remains highly concentrated among both hospitals and surgeons; in 2015, resurfacing was done in only 48 AJRR hospitals by 63 surgeons. One surgeon accounted for 117 of the 448 resurfacing procedures (26%), while another performed 52 procedures (11.6%). The majority (86.1%) of the resurfacing procedures were performed on males, consistent with
the practice in registries worldwide 7,8.
hr info aajr Hip Resurfacing Report from AJRR 2016 Report

… Read the rest

AJRR Releases First-Ever Patient Annual Report on Hip and Knee Arthroplasty Data

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Published to inform the public about hip and knee replacement surgery in the U.S

Rosemont, Ill. – July 24, 2017 – The American Joint Replacement Registry (AJRR), a clinical data registry for the collection of hip and knee replacement data, has published the 2016 Report to the Public About Hip and Knee Replacements, the first-ever patient summary of the clinical data available in its Annual Report.

As a multi-stakeholder organization, AJRR takes great pride in incorporating the voice of the patient, which is present in its governance through the Public Advisory Board (PAB) and representation on the AJRR Board of Directors. The mission of the PAB is to improve the value of the AJRR by ensuring a public voice in the Registry’s data collection, reporting, … Read the rest

Orthopaedic Registry Reaches One Millionth Procedure Milestone

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Full Press Release Here

AJRR’s data collection helps providers improve patient care

Rosemont, Ill. – March 14, 2017 – The American Joint Replacement Registry (AJRR), the National Registry for the collection of hip and knee replacement data, has reached the one millionth hip and knee procedure milestone. This increased volume of data will lead to a more comprehensive look at joint replacement surgeries in America, and will aid hospital staff and patients in making better health care decisions.

“This momentous achievement would not have been possible without the help of all our participating hospitals, ambulatory surgery centers, and private practice groups,” said AJRR Board of Directors Chair Daniel J. Berry, MD. “Our participants are very dedicated to improving orthopaedic care, and their high quality data

… Read the rest

2016 Summary AOANJIRR Report

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Original Complete 2016 AOANJRR Report Here

Note by Patricia Walter:  This information is only for hip resurfacing in Australia.  Many experienced hip resurfacing surgeons have personal series of HR which are more positive than the results below.

Summary of 2016 AOANJRR Report by Patricia Walter

PRIMARY TOTAL RESURFACING HIP REPLACEMENT

The Registry has recorded 8,895 total resurfacing hip replacement procedures in patients less than 55 years of age. In this age group, the use of primary total hip resurfacing as a proportion of primary total hip procedures, has declined from a peak of 30.2% in 2004 to 4.3% in 2015. There were 93.1% of patients who had a total resurfacing hip replacement performed for osteoarthritis, compared to 97.8 % for the older age groups. The … Read the rest

2015 AJRR Publishes Annual Report

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Read Full Article Here

Rosemont, Ill. – November 6, 2015 – The American Joint Replacement Registry (AJRR), a multi-stakeholder, not-for-profit organization that optimizes patient outcomes through the collection of data on primary and revision hip and knee replacement procedures throughout the US, released its 2014 Annual Report on Hip and Knee Arthroplasty Data at the 2015 American Association of Hip and Knee Surgeons (AAHKS) Annual Meeting today. This is the second annual report that AJRR has released…

The AJRR 2014 Annual Report can be found online at http://ajrr.net/publications-data/annual-reports… Read the rest

2014 AJRR Annual Report for Hip Resurfacing

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Full 2014 Report Available Here

Hip Resurfacing Excerpt

Hip resurfacing has become highly concentrate dto a very small number of centers and surgeons(Figure 16). Only 63 hospitals submitted resurfacing procedures. Three of those hospitals (Hospital A, B,and C) accounted for n=443 (42.7%) of all resurfacing procedures. There were three surgeons who performed most or all of these resurfacing procedures (data not shown).  One surgeon each at Hospitals A and B performed 100% of the resurfacing procedures and another surgeon performed 90% of procedures at Hospital C. Furthermore, Figure 17 shows that the majority (82.2%) of hip resurfacing procedures were conducted on male.

… Read the rest

2012 National Registry Hip Resurfacing Information

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Primary Total Resurfacing Hip Replacement Demographics There have been 14,901 total resurfacing procedures reported to the Registry, an additional 603 procedures, compared to the last report. The use of resurfacing hip replacement in Australia continues to decline. The number of procedures reported in 2011 was 39.7% less than in 2010 and 68.5% less compared to the peak in 2005. Osteoarthritis is the principal diagnosis for total resurfacing hip replacement (95.0%), followed by developmental dysplasia (2.5%) and osteonecrosis (1.7%). Most patients are male and the proportion of males has increased from 71.2% in 2003 to 94.3% in 2011 There continues to be a shift in the use of primary total resurfacing hip replacement to younger patients. The proportion of patients under the age of 55 years… Read the rest

American Joint Replacement Registry Created

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American Joint Replacement Registry Announced

American Academy of Orthopaedic Surgeons (AAOS) Creates Independent Organization 07/23/2009 Rosemont, IL The American Academy of Orthopaedic Surgeons (AAOS) has incorporated the American Joint Replacement Registry (AJRR), a nonprofit organization dedicated to collecting and reporting on hip and knee joint replacement procedures. AAOS believes this proposed option is a patient safety best practice. The goal of a national joint registry is to monitor device performance, thereby allowing early recognition of underperforming processes or devices and supporting continued clinical learning. “In 2009, AAOS has made great strides in bringing the American Joint Replacement Registry to reality. We have now incorporated. And, we currently are in the process of forming project work groups to tackle data, governance and oversight issues.” said John
… Read the rest

Survivorship Rates for Hip Resurfacing from National Registries

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Survivorship Rates for Hip Resurfacing from National Registries

Australian Orthopedic Association National Registry 2011

The cumulative percent revision at ten years for primary total resurfacing
hip replacement undertaken for osteoarthritis is 7.5%

all hrdevices revision 2011 Survivorship Rates for Hip Resurfacing from National Registries

There are six prostheses with over 1,000 observed component years, the ASR,
Adept, BHR, Cormet, Durom and Mitch TRH. At seven years, the BHR has the lowest
cumulative percent revision (5.0%) compared to Cormet (11.1%), Durom (9.6%) and
ASR (13.0%). The BHR is the only resurfacing prosthesis with a cumulative
percent revision at ten years (6.3%).

2011 bhr vs hr devices Survivorship Rates for Hip Resurfacing from National Registries

Info from the hip resurfacing meetings attended by Patricia Walter in 2011 below:

McMinn/Treacy series

McMinn/Treacy series at 10 years – BHR
survivorship is 99.74%

Mr McMinn’s results with the BHR show a 97%
survival in men

… Read the rest

AOS – National Joint Replacement Registry 2009

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Australian Orthopaedic Association – National Joint Replacement Registry 2009 Annual Report

2009 ANNUAL REPORT – View Full Report by Clicking Here Highlights of report by Patricia Walter 10/2/09

This report is based on the analysis of 224,390 primary and revision hip replacements received by the Registry with a procedure date up to and including 31st December 2008. This is an additional 32,717 hip procedures compared to the Annual Report released in 2008. In this category of hip replacement there are 147,422 conventional total hip replacements representing 92.3% of all hip replacements and 12,093 total resurfacing hip replacements representing 7.6% of all hip replacements.

Total resurfacing continues to decline and in 2008 accounted for 6.1% of all primary total hip replacement, a reduction from 8.8% in

… Read the rest

AOS National Joint Replacement Registry 2011

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The use of primary total
resurfacing hip replacement has declined for the
fourth consecutive year. There was a 22.1%
reduction in primary total resurfacing
procedures compared to 2009. Analyses on a
variety of factors affecting outcome have been
presented. These include primary diagnosis,
gender, age, head size and type of prosthesis.
Patients having a total resurfacing for
osteoarthritis are revised less frequently than
patients with developmental dysplasia. Females
have a significantly higher rate of revision
compared to males. Males have an age related
rate of revision, which is significantly higher
for patients 65 years or older.

As reported last year, the difference in outcome
related to gender is largely due to the size of
the femoral component. There is an inverse
relationship between rate of … Read the rest

Primary Total Resurfacing Hip Replacement Information from 2012 AAOS

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2012 ANNUAL REPORT

Demographics

There have been 14,901 total resurfacing procedures reported to the Registry, an additional 603 procedures, compared to the last report.

The use of resurfacing hip replacement in Australia continues to decline. The number of procedures reported in 2011 was 39.7% less than in 2010 and 68.5% less compared to the peak in 2005.

Osteoarthritis is the principal diagnosis for total resurfacing hip replacement (95.0%), followed by developmental dysplasia (2.5%) and osteonecrosis (1.7%).

Most patients are male and the proportion of males has increased from 71.2% in 2003 to 94.3% in 2011

There continues to be a shift in the use of primary total resurfacing hip replacement to younger patients. The proportion of patients under the age of 55 years has continued … Read the rest

2008 AOANJRR National Joint Replacement Registry

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AUSTRALIAN ORTHOPAEDIC ASSOCIATION – NATIONAL JOINT REPLACEMENT REGISTRY 2008 ANNUAL REPORT – View Full Report by Clicking Here Highlights of report by Patricia Walter 9/29/08 The analysis for this Report is based on 135,799 primary total hip replacements reported to the Registry up to and including 31st December 2007. This is an increase of 22,472 primary total hip procedures reported in the 2007 Annual Report. In this category of hip replacement there are 125,004 conventional total hip replacements, 10,623 total resurfacing hip replacements and 172 thrust plate hip replacements. Primary Total Resurfacing Hip Replacement

For the second consecutive year the number of total resurfacing hip replacements has not only declined as a proportion of all hip procedures but also in terms of the absolute number. … Read the rest