Pilot story



ISHKS’ joint registry vision goes online
The Indian Joint Registry successfully pilots across seven Indian hospitals

Dr. Jahavir Pachore, along with other founding members of ISHKS, has been instrumental in making their online registry dream a reality. The team consistently worked with the NPS team in explaining their vision and requirement to create India’s first and the world’s largest orthopaedic joint registry.

“Earlier this year, the ISHKS took a significant step when they announced the launch of the Indian Joint Registry, an online registry that would turn the joint registry project into a world class online system, the likes of which only a few countries boast of. Partnering with Northgate Public Services (who run the UK’s National Joint Registry), to develop the Indian Joint Registry (IJR), the new online system went live in June 2016, with a pilot launch across seven hospitals in Mumbai, Delhi, Hyderabad and Ahmedabad. The system is a comprehensive application which is easy to use and allows cases to be registered securely."

"I am very pleased to see the early success of the pilot, and would like to thank my colleagues and their staff who have been involved in diligently registering cases in the system. I look forward to the first set of analysis on this new data set and for everyone to see the value that the IJR brings so that the system can be made available to a much wider set of surgeons very soon. This is a landmark step in our journey to create a truly national registry that gives us important information about surgeries across India, and to develop our understanding of long-term outcomes for our patients.”


Participating surgeons

6 months Pilot Study

A step towards building an evidence-based joint replacement practice in India - The Indian Joint Registry Pilot



On 9th April 2016 at the annual meeting of the Indian Society for Hip and Knee Surgery (ISHKS), Dr Javahir Pachore announced the signing of a partnership agreement between ISHKS and Northgate Public Services (NPS) to implement a pilot project for the Indian Joint Registry. The purpose of the pilot was to develop a high-end technology platform suitable for use in India and to develop the necessary processes within hospitals to ensure that the data can be collected efficiently.

Implementing the IJR pilot

Working closely with Dr. Javahir A. Pachore and Dr. Rajesh Maniar, the NPS team implemented technology to collect inputs from six consultants working across seven hospitals in India. Indian manufacturers and suppliers of implant devices were also involved in order to upload implant details to a component database.

With the system in place, on-site training was provided to the hospital staff who were responsible for the registry. Using this solution, hospital staff were able to start submitting operation details to the IJR.

NPS’ Mumbai team have provided support to the users throughout the pilot, addressing technical queries and monitoring data quality.


The system accepts data via a web-based application and it takes only a few minutes to enter the data. The IJR has access to a comprehensive library of components so the user only has to enter the product code for each component for the system to recognise it. The database also holds information about each component, such as brand, size, material, cemented/uncemented, and modular/Monobloc. This reduces the time spent in submitting surgery details and ensures good data quality, further enhancing the application’s ability to provide detailed analysis of implant use.

Building a stronger database


"As we stand on the cusp of realizing a long-held dream of building a world-class joint registry in India, I wish to thank all the surgeons and their staff who helped in the pilot exercise for the Indian Joint Registry. We anticipated a great many challenges and roadblocks along the way but the hospitals and surgeons covered in the pilot made everything seem so easy, of course with tremendous

support from the NPS team as well. This will be a huge step in the advancement of the joint surgery practice in India and I am very hopeful that a lot many surgeons will find this extremely useful when this becomes a nationwide Registry."


- Dr. Arun Mullaji

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