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The National Joint Registry

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The National Joint Registry

The National Joint Registry (NJR) collects information on a combination of hip replacements, knee replacements (both total and unicompartmental), shoulder replacements, ankle replacements and elbow replacements.

The Royal College of Surgeons of England’s review into the high-profile failure of 3M’s Capital Hip led to the recommendation of a British joint replacement registry. Consequently, the NJR was established. Later on, data submission to the registry became mandatory for NHS organizations in 2011.

Minimum Data Sets

The NJR Minimum Data Set (MDS) defines the data collected for each surgical procedure recorded in the registry.

Versions
VersionEnd of lifeChanges
MDSv8N/AMDSv8 forms can be used for capturing procedures performed before and after 12 June 2023
MDSv712 June, 2023Only for procedures carried out before 12 June, 2023.

Forms

Data from surgical procedures should be entered directly into the NJR data entry system. Where this is not feasible, data collection forms can be used by hospital staff to record data, prior to later electronic submission.

MDSv8
JointForm(s)Procedure(s)

Ankle

MDSv8.0 A1 v1
A1
A primary ankle operation.
MDSv8.0 A2 v1
A2
A single stage revision (includes DAIR with modular exchange and modular exchange for indications other than infection).
A two-stage revision.The first stage of a two-stage revision.
The second stage of a two-stage revision.
A conversion to arthrodesis.
An amputation.

Elbow

MDSv8.0 E1 v1
E1
A primary elbow operation.
MDSv8.0 E2 v1
E2
A single stage revision (includes DAIR with modular exchange and modular exchange for indications other than infection).
A two-stage revision.The first stage of a two-stage revision.
The second stage of a two-stage revision.
A conversion to arthrodesis.
A partial excision arthroplasty (i.e. removal of radial head prosthesis).
An excision arthroplasty.
An amputation.

Hip

MDSv8.0 H1 v1
H1
All primary hip operations.
MDSv8.0 H2 v1
H2
A single stage revision (includes DAIR with modular exchange and modular exchange for indications other than infection).
A two-stage revision.The first stage of a two-stage revision
The second stage of a two-stage revision.
An excision arthroplasty.
An insertion of a PLAD/stabiliser.

Knee

MDSv8.0 K1 v1
K1
A primary knee operation.
MDSv8.0 K2 v1
K2
A single stage revision (includes DAIR with modular exchange and modular exchange for indications other than infection)
A two-stage revision.The first stage of a two-stage revision
The second stage of a two-stage revision.
A conversion to arthrodesis.
An amputation.
A secondary resurfacing of the patella.
A secondary/subsequent partial replacement (Unicompartmental or PFJR).
Shoulder
Patient Reported Outcome Measures (PROMs) - pre-operative questionnaire
Q1
MDSv8.0 S1 v1
S1
A primary shoulder operation.
MDSv8.0 S2 v1
S2
A single stage revision (includes DAIR with modular exchange and modular exchange for indications other than infection).
A two-stage revision.The first stage of a two-stage revision.
The second stage of a two-stage revision.
The second stage of a planned incomplete primary procedure.
A conversion to arthrodesis.
An excision arthroplasty.
An amputation.

NJR Connect

You can sign in to NJR Connect and manually submit your forms. Once you have signed in, you can make note a patient’s NJR record.

▲ The “NJR Connect - Data Services” page where you can sign in.


Bulk uploads

Submit records automatically to the National Joint Registry (NJR) without manual intervention.

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