The AAOS Fracture & Trauma Registry

The AAOS announced the Fracture & Trauma Registry (FTR) as the fifth in a series of anatomical, evidence-based registries that are part of the AAOS Registry Program. FTR will collect data on five of the more common fractures in the United States. The FTR marks the first AAOS Registry built on a synergistic approach where collaborative modules will be available across the AAOS RegistryInsights® platform, offering expanded, crossover benefits to AAOS Registry Program participants. The FTR will begin with a limited-release beta testing group in late 2020 with full participant enrollment in Spring 2021.

FTR Data Elements Collected

The FTR will collect data on:

  • Ankle fracture
  • Distal femur fracture
  • Distal radius fracture
  • Hip fracture – a collaborative module with the AAOS American Joint Replacement Registry (AJRR)
  • Proximal humerus fracture – a future module planned in collaboration with the AAOS Shoulder & Elbow Registry (SER)

 

Below is an overview of the FTR data elements and module-specific elements. For more information, please contact AAOS Registry Program staff at RegistryInfo@aaos.org.

Procedural

Patient

  • Name (Last, First)
  • Date of Birth
  • Social Security Number
  • Diagnosis (ICD-10)
  • Gender
  • Race/Ethnicity
  • Residential Setting
  • Ambulatory Status
  • Pre-operative Modified Fraility Index (MFI-5)
  • Delirium Score

Site of Service

  • Name and Address (TIN/NPI)

Surgeon

  • Name (NPI)

Fracture

  • Fracture Type
  • Fracture Classification

Procedure

  • Type (ICD-10, CPT)
  • Date of Surgery
  • Injury Date
  • Regional Block
  • Osteoporosis Screening
  • Calcium/Vitamin D Supplementation
  • Implants and Grafts

Comorbidities and Complications

  • Comorbidities (ICD-10)
  • Height + Weight/Body Mass Index
  • Length of Stay
  • American Society of Anesthesiologists Score
  • Charlson Comorbidity Index (CCI)
  • Operative and Post-operative Complications
  • COVID-19 as a prior diagnosis

Patient-Reported Outcomes

  • PROMIS-10 Global or VR-12
  • PROMIS Physical Function
  • Anatomic-specific PROMs for each module

Also Accepted

  • PROMIS-29
  • PROMIS Depression
  • PROMIS Anxiety
  • PROMIS-CAT *summary score only
  • PROMIS Pain Interference

Ankle Fracture

Fracture

  • Dislocation Type
  • Open/Closed
  • Injury Mechanism
  • Pre-operative Closed Reduction

Procedure

  • External Fixation
  • Syndesmotic Fixation
  • Lateral, Posterior Malleolus, Medial Treatment
  • Adjunct Treatments
  • Associate Articular Impaction Details
  • Stress Evaluation Method and Findings

Anatomic-Specific PROMs

  • PROMIS Pain Interference

Additionallly Accepted

  • FAOS
  • FAAM

Distal Femur Fracture

Fracture

  • Presence of Bone Defect

Procedure

  • Use of Bone Cement
  • Planned Return to OR

Anatomic-Specific PROMs

  • KOOS, Jr.

Additionally Accepted

  • KOOS

Distal Radius Fracture

Fracture

  • Fracture Status
  • Pre-operative Closed Reduction
  • Angulation Type
  • Shear Type
  • Presence of Scaphoid Fracture
  • Presence of Ipsilateral Ulnar Fracture

Procedure

  • Fixation Type
  • ORIF Fixation
  • Pre-ORIF with Staged External Fixation
  • TFCC Repair
  • Distal Radioulnar Joint Stabilization

Post-Operative

  • Range of Motion
  • Grip Strength

Anatomic-Specific PROMs

  • DASH or QuickDash

Hip Fracture

Fracture

  • Fracture Stability

Procedure

  • Surgical Approach *arthroplasty only
  • Surgical Technique
  • Fixation Type

Anatomic-Specific PROMs

  • HOOS, Jr.

Additionally Accepted

  • HOOS

Proximal Humerus Fracture

Patient

  • Pre-operative Advanced Imaging

Fracture

  • Presence of Full-Thickness Rotator Cuff Tear
  • Presence of Glenohumeral Dislocation
  • Presence of Osteoarthritis or Inflammatory Arthritis

Procedure

  • Surgical Approach
  • Surgical Technique

Anatomic-Specific PROMs

  • ASES
  • SANE

FTR Data Submission

After FTR participating sites collect the necessary data elements, they submit their data through the AAOS RegistryInsights® data upload process via a secure file transfer protocol (SFTP) or hypertext transfer protocol secure (HTTPS).

A few data submission best practices include:

  • Submitting data monthly
  • Consulting with your site’s IT team to set up automated reports
  • Monitoring data submission uploads and addressing errors
  • Utilizing an AAOS Registry Program Authorized Vendor to facilitate the data submission process

For more information about FTR data submission, click here.

FTR Participation Benefits

Participating in FTR allows a site or surgeon to demonstrate their commitment to quality. The FTR provides access to sitewide, systemwide, and nationwide data. Reuse of Registry data has value to certifying bodies, quality reporting, device surveillance, reimbursement, and quality measurement efforts.

A few top benefits of FTR participation include:

  • Access to national benchmarks
  • Standard reports and personalized dashboards for procedural, post-operative, and PROMs data
  • Surgeon dashboards that can help attain up to 10 Self-Assessment Exam credits for the American Board of Orthopaedic Surgeons Maintenance of Certification program

Learn more about FTR participation benefits here.

FTR Leadership

The FTR Steering Committee is comprised of surgeons that are vested in improving orthopaedic care. The 2020-2021 FTR Steering Committee members include:

  • Michael J. Gardner, MD, FAAOS, Chair
  • Jaimo Ahn, MD, PhD, FAAOS
  • Douglas W. Lundy, MD, MBA, FAAOS
  • Saam Morshed, MD, FAAOS
  • William T. Obremskey, MD, MPH, FAAOS
  • Steven A. Olson, MD, FAAOS
  • Heather A. Vallier, MD, FAAOS
  • Philip R. Wolinsky, MD, FAAOS

The surgeons below provided their expertise to the Steering Committee for the creation of the modules:

  • David J. Bozentka, MD, FAAOS
    Distal Radius Fracture Module
  • Grant E. Garrigues, MD, FAAOS
    Shoulder & Elbow Registry Steering Committee Member
    Proximal Humerus Fracture Module
  • Kenneth Hunt, MD, FAAOS
    Ankle Fracture Module
  • Bryan D. Springer, MD, FAAOS
    American Joint Replacement Registry Steering Committee Chair
    Hip Fracture Module

Enrolling in the FTR is Easy

Your site can join the FTR in 5 simple steps. Learn about the enrollment process here. Visit the AAOS Registry Program FAQs page for more details about Registry Program participation. If you have additional questions about joining the FTR please email RegistryEngagement@aaos.org or call (847) 292-0530.