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
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, and utilization activities.
“Spearheaded by members of our Public Advisory Board, this report was developed to share what we are learning about hip and knee … Read the rest
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 has really made the Registry a valuable resource.”
The AJRR currently has almost 1,000 participating institutions and more than 6,300 participating surgeons. Subscribing institutions are
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 cumulative percent revision at 15 years for total resurfacing hip replacement for patients less than 55 years of age with a primary diagnosis of osteoarthritis … Read the rest
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…
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
Primary Total Resurfacing Hip ReplacementDemographicsThere 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 2011There 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 to increase and accounted for 62.6% of all primary total
resurfacing procedures in 2011. There has been a corresponding decrease in use
for… Read the rest
American Academy of Orthopaedic Surgeons (AAOS)
Creates Independent Organization 07/23/2009
Rosemont, ILThe 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 Callaghan,
MD, first vice president of the AAOS and orthopaedic
surgeon at the University of Iowa.The AAOS has researched and determined the best
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%
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%).
Info from the hip resurfacing meetings attended by Patricia Walter in 2011 below:
McMinn/Treacy series at 10 years –BHR survivorship is 99.74%
Mr McMinn’s results with the BHR show a 97% survival in men and women of all ages at 14.5 years as reported by McMinn’s website
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
Total resurfacing continues to decline
and in 2008 accounted for 6.1% of all primary total hip
replacement, a reduction from 8.8% in 2005.
The use of primary total resurfacing hip
replacement has declined for the third year in a row.
Analysis on a variety of factors affecting
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 revision and size of the femoral head component. This year the Registry has identified that there is also a small gender specific increase in the … Read the rest