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<p>A count of finished consultant episodes (FCEs)<sup>1</sup> with a main or secondary
procedure<sup>2</sup> for 'joint replacement surgery'<sup>3</sup> which includes shoulder,
hip and knee<sup>4</sup> in total and for selected age groups in England from 2011/12
to 2015/16<sup>5</sup> is provided in the tables below.</p><p> </p><table><tbody><tr><td><p>
</p></td><td colspan="5"><p>Knee replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40
years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60
years</p></td></tr><tr><td><p>2011-12</p></td><td><p>83,312</p></td><td><p>263</p></td><td><p>2,713</p></td><td><p>12,155</p></td><td><p>68,089</p></td></tr><tr><td><p>2012-13</p></td><td><p>82,976</p></td><td><p>271</p></td><td><p>2,838</p></td><td><p>12,558</p></td><td><p>67,200</p></td></tr><tr><td><p>2013-14</p></td><td><p>85,934</p></td><td><p>237</p></td><td><p>2,894</p></td><td><p>13,199</p></td><td><p>69,493</p></td></tr><tr><td><p>2014-15</p></td><td><p>91,542</p></td><td><p>228</p></td><td><p>2,964</p></td><td><p>14,076</p></td><td><p>74,148</p></td></tr><tr><td><p>2015-16</p></td><td><p>92,735</p></td><td><p>229</p></td><td><p>2,964</p></td><td><p>14,157</p></td><td><p>75,272</p></td></tr></tbody></table><p>
</p><table><tbody><tr><td><p> </p></td><td colspan="5"><p>Hip replacements</p></td></tr><tr><td><p>Year</p></td><td><p>Total</p></td><td><p>30-40
years</p></td><td><p>41-50 years</p></td><td><p>51-60 years</p></td><td><p>Over 60
years</p></td></tr><tr><td><p>2011-12</p></td><td><p>104,434</p></td><td><p>1,126</p></td><td><p>3,895</p></td><td><p>11,245</p></td><td><p>87,683</p></td></tr><tr><td><p>2012-13</p></td><td><p>105,499</p></td><td><p>1,145</p></td><td><p>4,239</p></td><td><p>11,369</p></td><td><p>88,249</p></td></tr><tr><td><p>2013-14</p></td><td><p>110,635</p></td><td><p>1,099</p></td><td><p>4,228</p></td><td><p>12,113</p></td><td><p>92,686</p></td></tr><tr><td><p>2014-15</p></td><td><p>113,111</p></td><td><p>1,157</p></td><td><p>4,386</p></td><td><p>12,796</p></td><td><p>94,227</p></td></tr><tr><td><p>2015-16</p></td><td><p>112,625</p></td><td><p>1,075</p></td><td><p>4,339</p></td><td><p>12,669</p></td><td><p>94,010</p></td></tr></tbody></table><p>
</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="5"><p>Shoulder
replacements</p></td></tr><tr><td><p>Total</p></td><td><p>30-40 years</p></td><td><p>41-50
years</p></td><td><p>51-60 years</p></td><td><p>Over 60 years</p></td></tr><tr><td><p>2011-12</p></td><td><p>5,852</p></td><td><p>61</p></td><td><p>222</p></td><td><p>518</p></td><td><p>5,010</p></td></tr><tr><td><p>2012-13</p></td><td><p>6,210</p></td><td><p>60</p></td><td><p>216</p></td><td><p>624</p></td><td><p>5,281</p></td></tr><tr><td><p>2013-14</p></td><td><p>6,827</p></td><td><p>78</p></td><td><p>219</p></td><td><p>676</p></td><td><p>5,809</p></td></tr><tr><td><p>2014-15</p></td><td><p>7,174</p></td><td><p>62</p></td><td><p>198</p></td><td><p>617</p></td><td><p>6,252</p></td></tr><tr><td><p>2015-16</p></td><td><p>7,343</p></td><td><p>71</p></td><td><p>229</p></td><td><p>687</p></td><td><p>6,326</p></td></tr></tbody></table><p>
</p><p>Source: Hospital Episode Statistics (HES), NHS Digital</p><p> </p><p>Notes:</p><p><sup>1
</sup>A FCE is a continuous period of admitted patient care under one consultant within
one healthcare provider. FCEs are counted against the year in which they end. Figures
do not represent the number of different patients, as a person may have more than
one episode of care within the same stay in hospital or in different stays in the
same year.</p><p><sup>2 </sup>The number of episodes where the procedure (or intervention)
was recorded in any of the 24 (12 from 2002-03 to 2006-07 and 4 prior to 2002-03)
procedure fields in a HES record. A record is only included once in each count, even
if the procedure is recorded in more than one procedure field of the record. It should
be noted that more procedures are carried out than episodes with a main or secondary
procedure. For example, patients undergoing a ‘cataract operation’ would tend to have
at least two procedures – removal of the faulty lens and the fitting of a new one
– counted in a single episode.</p><p><sup>3 </sup>Included in the codes are for both
partial and total joint replacements as well as conversion and revision codes. The
‘Conversion to’ codes provided in this resolution (e.g. W40.2) are assigned when the
procedure has converted to the specified type of joint replacement from a different
type of joint replacement. Examples could include conversion to a cemented total shoulder
replacement following previous partial shoulder replacement or conversion to a total
shoulder replacement following a previous uncemented shoulder replacement. This principle
would apply to all ‘Conversion to’ prosthetic joint procedures provided. The ‘Conversion
to’ codes could be considered ‘revisions’ in clinical terms, and you may wish to include
these codes in your data search.</p><p><sup>4 </sup>A range of OPCS codes covering
knee replacements, hemiarthroplasty knees, unicomparmental knee replacements, hip
replacements, hemiarthroplasty hips, shoulder replacements and hemiarthroplasty shoulder
have been included.</p><p><sup>5 </sup>HES figures are available from 1989-90 onwards.
Changes to the figures over time need to be interpreted in the context of improvements
in data quality and coverage (particularly in earlier years), improvements in coverage
of independent sector activity (particularly from 2006-07) and changes in National
Health Service practice. For example, apparent reductions in activity may be due to
a number of procedures which may now be undertaken in outpatient settings and so no
longer include in admitted patient HES data. Conversely, apparent increases in activity
may be due to improved recording of diagnosis or procedure information. It should
be noted that HES include activity ending in the year in question and run from April
to March, e.g. 2012-13 includes activity ending between 1 April 2012 and 31 March
2013.</p>
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