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NJR STRUCTURE & GOVERNANCE

ANNUAL REPORT 2020

Chairman’s Foreword 2020 Introduction to Annual Report 2020 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

HOSPITAL PERFORMANCE

IMPLANT PERFORMANCE

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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 knee 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 knee procedures for 2019


		NHS hospitals		Independent hospitals		ISTC		Total
	Total knee procedures	No.	%	No.	%	No.	%	No.	%
	Total knee procedures	68,258	59%	42,862	37%	4,394	4%	115,514
	Patient physical status
	P1 - Fit and healthy	3,686	5%	4,881	11%	228	5%	8,795	8%
	P2 - Mild disease not incapacitating	45,213	66%	33,131	77%	3,708	84%	82,052	71%
	P3 - Incapacitating systemic disease	18,897	28%	4,830	11%	458	10%	24,185	21%
	P4 and P5	462	1%	20	<1%	-	0%	482	<1%


	Procedure Type
	Primary procedures	62,407	58%	41,836	39%	4,263	4%	108,506	94%
	Primary Total Knee Replacement	55,627	89%	35,193	84%	3,696	87%	94,516	87%
	Primary Unicondylar	6,060	10%	5,920	14%	537	13%	12,517	12%
	Primary Multi-compartmental	10	<1%	25	<1%	1	<1%	36	<1%
	Primary Patello Femoral	503	1%	468	1%	26	1%	997	1%
	Primary total prosthetic replacement not classified elsewhere (e.g. hybrid)	207	<1%	230	1%	3	<1%	440	<1%


	Revision procedures	5,851	83%	1,026	15%	131	2%	7,008	6%
	Knee single-stage revision	4,241	72%	937	91%	123	94%	5,301	76%
	Knee stage one of two-stage revision	576	10%	29	3%	2	2%	607	9%
	Knee stage two of two-stage revision	509	9%	42	4%	2	2%	553	8%
	Knee conversion to arthrodesis	16	<1%	-	0%	-	0%	16	<1%
	Knee amputation	16	<1%	-	0%	-	0%	16	<1%
	Debridement and implant retention (dair)	493	8%	18	2%	4	3%	515	7%


	Bilateral or unilateral
	Bilateral	676	1%	452	1%	-	0%	1,128	1%
	Unilateral	67,582	99%	42,410	99%	4,394	100%	114,386	99%


	Funding
	NHS	67,369	99%	28,738	67%	4,317	98%	100,424	87%
	Independent	889	1%	14,124	33%	77	2%	15,090	13%

© National Joint Registry 2020

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

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