The AAOS Fracture & Trauma Registry

Participating in FTR allows a site or surgeon to demonstrate their commitment to quality. 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.

Your site can join 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 FTR, please email RegistryEngagement@aaos.org or call (847) 292-0530.

Below is an overview of 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 Anxiety
• PROMIS Depression
• PROMIS Pain Interference
• PROMIS-CAT (only accepting summary scores)

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:

• FAAM
• FAOS

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

Additionally Accepted:

• PROMIS Upper Extremity

FTR Powered by PatientIQ

The FTR powered by PatientIQ reduces the administrative and technological burden traditionally associated with enrollment. PatientIQ can integrate its cloud-based platform directly with FTR participants' electronic health record (EHR) to extract the necessary health information. Additionally, PatientIQ can format the data collected to meet Registry specifications and submit the data on the participating organization's behalf.

View the PatientIQ FAQs page.

Traditional Submission Options

While participation through PatientIQ is encouraged, participating sites may also submit data utilizing an AAOS Registry Program Authorized Vendor.

Submission Best Practices

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

For more information about FTR data submission, click here.

View information about FTR's supporters here.

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

• Michael J. Gardner, MD, FAAOS, Chair
  Stanford University Surgery
  
• Jaimo Ahn, MD, PhD, FAAOS
  University of Michigan
  
• Kyle J. Jeray, MD, FAAOS
  Prisma Health
  
• Douglas W. Lundy, MD, MBA, FAAOS
  St. Luke’s University Health Network
  
• Saam Morshed, MD, FAAOS
  University of California, San Francisco
  
• William T. Obremskey, MD, MPH, FAAOS
  Vanderbilt Ortho Institute
  
• Steven A. Olson, MD, FAAOS
  Duke University Health System
  
• Heather A. Vallier, MD, FAAOS
  MetroHealth Medical Center
  

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