FA9: THE AUSTRALIAN NATIONAL JOINT REPLACEMENT REGISTRY. WHAT WILL IT MEAN FOR ANKLE JOINT REPLACERS?

Abstract

The Australian National Joint Replacement Registry is now one of the largest of its kind in the world with over 420,000 surgeries having been collected. Of these the majority are THR and TKR. Recently replacements of the shoulder, elbow, wrist and ankle (TAJR) have been included on the registry and we already have approxi-mately200 TAJR on the registry. It is anticipated that within 4 years we should be able to provide TAJR sur-vivorship data that will be world class. For this to occur it will mean that revision surgeries of any kind will need to be tracked which will not automatically occur unless an implant is changed or removed. As revision surgeries could involve conversion to an arthrodesis, gutter clearance, ligament stabilization, subtalar arthrodesis, treatment of malleolar fractures or realignment hindfoot procedures the AOA member must notify the registry of such events for the data set to be a true indication of the performance of any particular prosthesis.

The aim of this presentation is to promote discussion on what secondary interventions the registry will need to be notified of and what processes will need to be established so the additional data can be verified by the registry.