Hip and Knee Arthroplasty - Surface Hippy Guide to Hip Resurfacing

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Federal Quality Assurance Activity The Australian Orthopaedic Association National Joint Replacement Registry was initially declared a Federal Quality Assurance Activity in March 1999, by the then Federal Minister for Health and Aged Care, Dr Wooldridge. This was renewed in November 2001 and again for a further five years in November 2006. This ensures freedom from subpoena and absolute confidentiality of information held by the Registry. The Quality Assurance legislation is part of the Health Insurance Act of 1973. This act was amended in 1992 to include quality assurance confidentiality. The Act operates on the underlying assumption that quality assurance activities are in the public interest. A declaration as a Quality Assurance Activity by the Commonwealth Minister of Health and Ageing prohibits the disclosure of information, which identifies individual patients or health care providers that is known solely as a result of the declared quality assurance activity. It is not possible to provide identifying information to any individual or organisation including the government. The protection provided by the declaration assures surgeons, hospitals and government that information supplied to the Registry remains confidential and secure. The act also protects persons engaging in those activities in good faith from civil liability in respect of those activities. 198
INTRODUCTION - about the Registry APPENDIX 3 Patient Information You are about to have a joint replacement. Joint replacement is very successful and most people do not require any further surgery following this procedure. However, a number of people who have a joint replacement may at some time in the future require another operation on that joint. This may occur due to a variety of reasons; the most common being that the joint replacement has worn out. Furthermore, differences between the many types of artificial joints available may affect the time at which they wear out and require replacing. In order to improve the success of this surgery, the Australian Orthopaedic Association has set up a National Joint Replacement Registry so that joint replacement and prostheses can be monitored. The purpose of the Registry is to assess the performance of all joint replacement. If a joint replacement is identified as having a problem, the Registry can assist hospitals to locate those people who may be affected. To do this it is important to record information on every person having a joint replacement. Approximately 65,000 people have joint replacement surgery each year in Australia. It is also important to record details on any subsequent operations and the reason the surgery was performed. By analysing this information it will be possible to identify the cause of any problems as well as determine which types of joint replacement have the best results. To be successful, the Registry needs to gather information on as many people having joint replacement surgery as possible. We are asking you to participate in the Registry, by allowing us to document information relevant to your operation. Your Involvement - the information we need The information we require includes your name, date of birth, address, Medicare number, hospital identity number, the name of the hospital and the reason you are having a joint replacement. This information is necessary to accurately link you to the artificial joint inserted as well as linking any following joint surgery you may have, to your previous records. We will also record the day of the operation, which joint was operated on and the type of artificial joint used. No other personal information is recorded. Hospitals and government will send reports to the Registry on a regular basis to validate the information collected. Information - how we will keep your information confidential Your personal information is confidential and cannot be used outside the Registry. Procedures are in place to protect your information and to keep it confidential. When your details have been entered into the Registry your record will be given a specific Registry number. In addition, you cannot be identified in any reports produced by the Registry. How we will collect the information Although we are asking to record your operation details in the Registry you are not required to do anything. Your surgeon and/or theatre staff will complete the form that contains your personal details at the time of your operation and send it to us. The information will be entered into the Registry computer. Risks and Benefits - to you There are no risks to you by having your details in the Registry. Your information is protected and we are not allowed to identify you by law. The Registry will produce general reports on a variety of factors that influence the success of joint replacement surgery. This will improve the quality of future joint replacement surgery. What to do if you don’t want to be in the Registry We understand that not everyone is comfortable about having his or her personal details documented in a Registry. If you feel this way and do not want your details recorded please contact Ms Ann Tomkins, Coordinator, on 1800 068 419 (freecall). A decision on whether or not you wish to be involved in the Registry does not affect your treatment in any way. If you have any questions, concerns or require further information on the National Joint Replacement Registry, please do not hesitate to contact Ms Ann Tomkins. 199
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Hip and Knee Arthroplasty ANNUAL RE
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Australian Orthopaedic Association
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PRIMARY PARTIAL KNEE REPLACEMENT...
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PRIMARY TOTAL HIP REPLACEMENT......
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PRIMARY TOTAL KNEE REPLACEMENT ....
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viii
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RIMARY TOTAL RESURFACING HIP REPLAC
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EXECUTIVE SUMMARY This executive su
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INTRODUCTION This is the eighth Ann
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supply aggregate data and negotiati
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PARTICIPATING HOSPITALS & COORDINAT
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VICTORIA PUBLIC HOSPITALS Austin He
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QUEENSLAND PUBLIC HOSPITALS Bundabe
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WESTERN AUSTRALIA PUBLIC HOSPITALS
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HIP REPLACEMENT GENERAL INTRODUCTIO
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difference is also evident when com
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Table HG2: Number of Hip Replacemen
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Table HG4: Primary Hip Replacement
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Table HG8: Primary Total Resurfacin
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The use of monoblock prostheses in
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PRIMARY PARTIAL HIP REPLACEMENT 1/9
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Table HP2: 10 Most Common Unipolar
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Table HP4: 10 Most Common Bipolar H
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Table HP6: Primary Partial Hip Repl
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Table HP14: Primary Partial Hip Rep
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Table HP15: Primary Unipolar Monobl
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Table HP19: Primary Bipolar Hip Rep
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Table HP24: Primary Unipolar Monobl
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Table HP32: Primary Unipolar Modula
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Primary Unipolar Modular Hip Replac
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Primary Bipolar Hip Replacement Pro
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PRIMARY TOTAL HIP REPLACEMENT The a
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Effect of Bearing Surface For the f
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since 2004. The three total resurfa
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combination has been used in 1,649
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Table HT2: Primary Conventional Tot
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Table HT6: 10 Most Common Femoral C
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Table HT8: 10 Most Common Femoral C
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Table HT10: 10 Most Common Acetabul
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Table HT12: 10 Most Common Primary
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Primary Conventional Total Hip Repl
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Table HT19: Primary Conventional To
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Figure HT18: Cumulative Percent Rev
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Primary Total Resurfacing Hip Repla
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Table HT39: Primary Total Resurfaci
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Table HT48: Yearly Cumulative Perce
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Figure HT34-43: Cumulative Percent
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Primary Total Resurfacing Hip Repla
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REVISION HIP REPLACEMENT This repor
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REVISION HIP REPLACEMENT 1/9/1999 -
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‘Revision of Known Primary’ Hip
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Table HR10: Outcomes of ‘Revision
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knee increased from 29.4% in 2003 t
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Table KG2: Number of Knee Replaceme
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Table KG4: Primary Knee Replacement
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PRIMARY PARTIAL KNEE REPLACEMENT Th
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Effect of Age and Gender The risk o
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Primary Partial Resurfacing Knee Re
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Table KP6: Primary Patella/Trochlea
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Table KP12: Primary Unicompartmenta
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Primary Patella/Trochlear Knee Repl
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Figure KP11-14: Cumulative Percent
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decrease in use and now accounts fo
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as having a higher than anticipated
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Table KT2: 10 Most Common Femoral C
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Table KT4: 10 Most Common Femoral C
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Figure KT5: Trends in Prosthesis Fi
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Page 165 and 166: Figure KT10: Primary Total Knee Rep
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Page 183 and 184: Figure KT24-KT33: Cumulative Percen
Page 185 and 186: REVISION KNEE REPLACEMENT This repo
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Page 189 and 190: Figure KR1: Trends in Usage for Rev
Page 191 and 192: ‘Revision of Known Primary’ Kne
Page 193 and 194: Table KR10: Outcome of ‘Revision
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Page 197 and 198: CEMENT IN HIP AND KNEE REPLACEMENT
Page 199 and 200: CEMENT IN HIP AND KNEE REPLACEMENT
Page 201 and 202: Table C3: Top 10 Cements used in Re
Page 203 and 204: Table C7: Yearly Cumulative Percent
Page 205 and 206: Table C11: Yearly Cumulative Percen
Page 207 and 208: MORTALITY FOLLOWING PRIMARY HIP AND
Page 209 and 210: Table M5: Mortality following Prima
Page 211 and 212: Appendices APPENDIX 1 Glossary of S
Page 213: APPENDIX 2 Patient Consent and Conf
Page 217 and 218: APPENDIX 5 ICD-10-AM Codes PRIMARY
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Hip and Knee Arthroplasty - Surface Hippy Guide to Hip Resurfacing

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