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The Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) is an initiative of the Australian Orthopaedic Association (AOA). The AOANJRR was established in 1999 becoming fully national in mid 2002. The purpose of the AOANJRR is to improve and maintain the quality of care for individuals receiving joint replacement surgery. Information on hip, knee, shoulder, elbow, wrist, ankle and spinal disc replacement is collected from all hospitals in Australia undertaking joint replacement surgery.

The Commonwealth of Australia has declared the AOANJRR a Federal Quality Assurance Activity under part VC of the Health Insurance Act, 1973.

The AOANJRR is funded by the Commonwealth Department of Health.

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Professor Stephen Graves

Deputy Directors
Professor Richard de Steiger
Mr Peter Lewis
Professor Ian Harris

Professor Richard Page

Assistant Deputy Directors
Mr James Stoney
Mr William Donnelly

Ms Cindy Turner

General Enquiries:
Please direct all enquiries to the AOANJRR Manager

T: +61 8 8128 4280

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2020 Annual and Supplementary Reports

It is a pleasure to present the Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR) 2020 Annual Report. This important document reflects the Australian Orthopaedic Association’s (AOA) commitment to ongoing improvement in orthopaedic care. A critically important prerequisite to achieve this is the provision of quality data that can be used to inform beneficial change. Encouraged by the membership, the AOA established the AOANJRR over 20 years ago for this very purpose. This is the Registry’s 21st Annual Report.

The AOANJRR’s core activity is the routine collection, analysis, and reporting of procedure data on the ever-increasing number of joint replacements undertaken each year in Australia. The Annual Report which currently has over 30,000 downloads per year provides an up-to-date overview of current practice and results. This information has changed practice and improved outcomes not only in Australia but also internationally.

Previously reported analyses on the outcome of primary hip, knee and shoulder replacement have been updated and extended. The analysis was undertaken on 1,603,846 joint replacement procedures (694,730 hips, 849,329 knees, and 59,787 shoulders) reported to the AOANJRR up to the end of 2019. As with previous annual reports, a number of new topics have been selected for more detailed analysis. The outcomes of revision hip and knee replacement are the new topics included in this year’s report.

As in previous years, in addition to the main report, the Registry is also publishing supplementary reports. They include a Lay Summary of the main report,12 different reports on arthroplasty topics, as well as detailed analyses of all prostheses identified as having a higher than anticipated rate of revision.

It is important to acknowledge that this has not been an easy year. There were the widespread devastating bushfires in the Australian summer that caused extensive damage to property, the environment, destroyed livelihoods, and resulted in extensive loss of life. This was quickly followed by COVID-19 and the consequent tragic global pandemic that we are all still dealing with. Health systems have been under strain and the capacity to provide routine health care has been reduced. During this difficult time, AOANJRR staff and staff at SAHMRI and UniSA have continued to work tirelessly to maintain Registry activities and develop and implement improvement strategies. Without the support of all involved, the work of the Registry would not be possible.

All reports are available by clicking on the link above or via the ‘Publications' tab on the menu ribbon above.