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NJR STRUCTURE & GOVERNANCE

ANNUAL REPORT 2024

Chairman’s Foreword 2024 Introduction to Annual Report 2024 Executive Summary

WELSH TRANSLATION

WORK - ANNUAL PROGRESS

Data Completeness and Quality Work of the NJR committees Developments

HIPS

All Procedures - Activity Primary Procedures - Patient Characteristics Primary Procedures - Surgical Technique Primary Procedures - Components Revision Procedures - Patient Characteristics Revision Procedures - Components

KNEES

All Procedures - Activity Primary Procedures - Patient Characteristics Primary Procedures - Surgical Technique Primary Procedures - Components Revision Procedures - Patient Characteristics

ANKLES

All Procedures - Activity Primary Procedures - Patient Characteristics Primary Procedures - Surgical Techniques Primary Procedures - Components Revision Procedures

ELBOWS

Primary Procedures - Activity Primary Procedures - Patient Characteristics Primary Procedures - Surgical Techniques Primary Procedures - Elbow Components Revision Procedures

SHOULDERS

Primary Procedures - Activity Primary Procedures - Patient Characteristics Primary Procedures - Surgical Technique Primary Procedures - Shoulder Components Revision Procedures

ALL JOINTS

All Procedures - Activity

2023 INTERACTIVE REPORTS

HOSPITAL PERFORMANCE

IMPLANT PERFORMANCE

DOWNLOADS

PREVIOUS NJR ANNUAL REPORTS

20th Annual Report
published Sept 2023

19th Annual Report
published Sept 2022

18th Annual Report
published Sept 2021

17th Annual Report
published Sept 2020

16th Annual Report
published Sept 2019

15th Annual Report
published Sept 2018
14th Annual Report
published Sept 2017
13th Annual Report
published Sept 2016
12th Annual Report
published Sept 2015
11th Annual Report
published Sept 2014

Procedure details by type of provider

SUMMARY
CHART AND TABLE

This table shows the total number of hip procedures carried out in the last calendar year. It compares the number and types of primary and revision procedures undertaken in NHS, independent sector and Independent Sector Treatment Centre (ISTC) settings. Also included is a comparison of patients’ physical status in each setting as well as the source of the funding for each operation.

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Procedure details, according to type of provider for ankle, elbow, hip, knee, shoulder procedures from 2014 to 2022


		NHS hospitals		Independent hospitals		ISTC		Total
	Total ankle procedures	No.	%	No.	%	No.	%	No.	%
	Total ankle procedures	1,193,147	61%	699,857	36%	71,435	4%	1,964,439
	Patient physical status
	P1 - Fit and healthy	611	<1%	295	<1%	10	<1%	193,828	10%
	P2 - Mild disease not incapacitating	4,398	<1%	1,210	<1%	50	<1%	1,358,025	69%
	P3 - Incapacitating systemic disease	1,286	<1%	184	<1%	10	<1%	399,549	20%
	P4 and P5	24	<1%	-	0%	-	0%	13,037	1%


	Procedure Type
	Primary procedures	1,068,618	59%	683,631	38%	69,493	4%	1,821,742	93%
	Distal Humeral Hemi Arthroplasty	520	<1%	3	<1%	-	0%	523	<1%
	Hemi-arthroplasty	6,323	1%	1,418	<1%	89	<1%	7,830	<1%
	Primary Lateral Resurfacing	16	<1%	2	<1%	-	0%	18	<1%
	Primary Multi-compartmental	48	<1%	137	<1%	2	<1%	187	<1%
	Primary Patello Femoral	4,807	<1%	4,261	1%	183	<1%	9,251	1%
	Primary Radial Head Replacement	4,052	<1%	86	<1%	1	<1%	4,139	<1%
	Primary Total Knee Replacement	456,231	43%	290,171	42%	31,800	46%	778,202	43%
	Primary total prosthetic replacement	3,626	<1%	252	<1%	9	<1%	3,887	<1%
	Primary Unicondylar	45,729	4%	46,808	7%	4,542	7%	97,079	5%
	Reverse Total Shoulder Arthroplasty	27,480	3%	6,902	1%	566	1%	34,948	2%
	Total Shoulder Arthroplasty	12,246	1%	4,545	1%	284	<1%	17,075	1%
	Primary total prosthetic replacement using cement	156,717	15%	63,087	9%	6,621	10%	226,425	12%
	Primary total prosthetic replacement not using cement	163,805	15%	143,945	21%	17,866	26%	325,616	18%
	Primary total prosthetic replacement not classified elsewhere (e.g. hybrid)	183,293	17%	117,839	17%	7,509	11%	308,641	17%
	Primary resurfacing arthroplasty of joint	2,888	<1%	3,920	1%	-	0%	6,808	<1%
	Conversion of hemi arthroplasty to total primary hip replacement	837	<1%	255	<1%	21	<1%	1,113	<1%


	Revision procedures	124,529	87%	16,226	11%	1,942	1%	142,697	7%
	Amputation	1	<1%	-	0%	-	0%	1	<1%
	Conversion to Arthrodesis	188	<1%	13	<1%	-	0%	201	<1%
	Excision Arthroplasty	106	<1%	6	<1%	-	0%	112	<1%
	Hip single-stage revision	55,914	45%	6,413	40%	784	40%	63,111	44%
	Hip stage one of two-stage revision	5,133	4%	226	1%	14	1%	5,373	4%
	Hip stage two of two-stage revision	4,160	3%	238	1%	10	1%	4,408	3%
	Knee single-stage revision	36,118	29%	7,735	48%	1,028	53%	44,881	31%
	Knee stage one of two-stage revision	5,517	4%	285	2%	24	1%	5,826	4%
	Knee stage two of two-stage revision	4,791	4%	396	2%	27	1%	5,214	4%
	Single Stage Revision	5,510	4%	666	4%	38	2%	6,214	4%
	Stage 1 of 2 Stage Revision	1,312	1%	31	<1%	-	0%	1,343	1%
	Stage 2 of 2 Stage Revision	1,087	1%	46	<1%	2	<1%	1,135	1%
	Hip excision arthroplasty	739	1%	9	<1%	1	<1%	749	1%
	Knee conversion to arthrodesis	143	<1%	3	<1%	-	0%	146	<1%
	Knee amputation	87	<1%	-	0%	-	0%	87	<1%
	Debridement and implant retention (dair)	3,723	3%	159	1%	14	1%	3,896	3%


	Bilateral or unilateral
	Bilateral	7,000	1%	5,646	1%	118	<1%	12,764	1%
	Unilateral	1,186,147	99%	694,211	99%	71,317	100%	1,951,675	99%


	Funding
	NHS	1,172,416	98%	416,553	60%	68,275	96%	1,657,244	84%
	Independent	20,731	2%	283,304	40%	3,160	4%	307,195	16%

© National Joint Registry 2023

Reporting Period

Date Range

Data to 31/12/2013

Data to 31/12/2014

Data to 31/12/2015

Data to 31/12/2016

Data to 31/12/2017

Data to 31/12/2018

Data to 31/12/2019

Data to 31/12/2020

Data to 31/12/2021

Data to 31/12/2022

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