Acute Hospitals

Irish National Orthopaedic Register


The establishment of an Irish National Orthopaedic Register (INOR)  will define the epidemiology of joint replacement surgery in Ireland, provide timely information on the outcomes of joint replacements and identify risk factors for a poor outcome. 


The objectives of INOR and associated Governance processes are to:

•Increase patient safety, confidence and overall experience

•Enable early detection of failing devices, procedures, institutions or surgeons or any combination (device, implanted materials, procedures, institutions and / or surgeons) to limit the impact for future patients

•Enable better identification and management of individuals in at-risk groups to improve patient experience and outcomes

•Reduce surgical revision rates improving both costs and patient outcomes

•Optimise the pre-operative, peri-operative and post operative process to improve quality of service

•Provide orthopaedic surgeons the opportunity to participate and contribute to measurable clinical audit

•To monitor implant performance against the group norms for Ireland and within the wider international community

•To monitor patient outcome and to use patient self scoring as part of the indicator for device failure (and not just revision surgery)


This will provide continuous feedback to participating centres and surgeons enabling:

•A defined epidemiology of joint replacement surgery in a particular patient population

•Timely generation and sharing of information on the outcomes of joint replacements and Identify risk factors for a poor outcome

•Identification of the most effective procedures and devices for recommended deployment


NOCA (National Office of Clinical Audit) has worked closely with OoCIO to develop and build an INOR solution which adequately collects the minimal dataset required to introduce an electronic arthroplasty register nationally