---
title: Milestones and What's Coming in 2026
---

[![AAOS Registries Logo](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/Registries_General.png?width=2277&height=296&name=Registries_General.png "AAOS Registries Logo")](https://www.aaos.org/registries/)

# 2025 Milestones and What's Ahead

# Data innovation is accelerating across the AAOS Registry Program.

# 2025 Milestones and What's Ahead

# Data innovation is accelerating across the AAOS Registry Program.

### 2025 Milestones

### 2025 Milestones

[![AAOS26_RegistryLP_ASRreport-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_ASRreport-icon.png "AAOS26_RegistryLP_ASRreport-icon")](https://communications.aaos.org/download-the-asr-2025-annual-report?hsLang=en)

##### INAUGURAL AMERICAN SPINE REGISTRY ANNUAL REPORT *348,800+ spine procedures analyzed*

The first Annual Report of the American Spine Registry (ASR), a collaborative effort between the American Association of Neurological Surgeons and AAOS, offers trends to guide physicians and patient decision making to improve spine care.

[Download the ASR Annual Report](https://communications.aaos.org/download-the-asr-2025-annual-report?hsLang=en)

[![AAOS26_RegistryLP_ASRreport-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_ASRreport-icon.png "AAOS26_RegistryLP_ASRreport-icon")](https://communications.aaos.org/download-the-asr-2025-annual-report?hsLang=en)

##### INAUGURAL AMERICAN SPINE REGISTRY ANNUAL REPORT *348,800+ spine procedures analyzed*

The first Annual Report of the American Spine Registry (ASR), a collaborative effort between the American Association of Neurological Surgeons and AAOS, offers trends to guide physicians and patient decision making to improve spine care.

[Download the ASR Annual Report](https://communications.aaos.org/download-the-asr-2025-annual-report?hsLang=en)

[![AAOS26_RegistryLP_institute-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_institute-icon.png "AAOS26_RegistryLP_institute-icon")](https://www.aaos.org/registries/registry-analytics-institute/)

##### **REGISTRY ANALYTICS INSTITUTE®** *136 proposals submitted, 12 approved proposals, and 17 peer-reviewed publications*

The RAI is a resource that provides data analyses to investigators that submit hypotheses about the information in AAOS registries.

[See how to apply](https://www.aaos.org/registries/registry-analytics-institute/)

[![AAOS26_RegistryLP_institute-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_institute-icon.png "AAOS26_RegistryLP_institute-icon")](https://www.aaos.org/registries/registry-analytics-institute/)

##### **REGISTRY ANALYTICS INSTITUTE®** *136 proposals submitted, 12 approved proposals, and 17 peer-reviewed publications*

The RAI is a resource that provides data analyses to investigators that submit hypotheses about the information in AAOS registries.

[See how to apply](https://www.aaos.org/registries/registry-analytics-institute/)

[![AAOS26_RegistryLP_scorecard-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_scorecard-icon.png "AAOS26_RegistryLP_scorecard-icon")](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#asrscorecards)

##### **ASR NEXT-GENERATION SCORECARDS** *Monitor adverse spine outcomes.*

Track key 90-day outcome measures for cervical and lumbar spine procedures and compare results against national ASR benchmarks.

[View Scorecard details](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#asrscorecards)

[![AAOS26_RegistryLP_scorecard-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_scorecard-icon.png "AAOS26_RegistryLP_scorecard-icon")](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#asrscorecards)

##### **ASR NEXT-GENERATION SCORECARDS** *Monitor adverse spine outcomes.*

Track key 90-day outcome measures for cervical and lumbar spine procedures and compare results against national ASR benchmarks.

[View Scorecard details](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#asrscorecards)

[![ajrr-growth2](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/ajrr-growth2.png "ajrr-growth2")](https://www.aaos.org/aaosnow/2025/nov/research/research08/)

##### AJRR GROWTH *5 million+ hip and knee arthroplasty procedures collected.*

Underscores AJRR’s scale and credibility, reinforcing its value as a trusted resource for improving patient outcomes.

[View AJRR participation details](https://www.aaos.org/registries/american-joint-replacement-registry/)

[![AAOS26_RegistryLP_revision-rate-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_revision-rate-icon.png "AAOS26_RegistryLP_revision-rate-icon")](https://www.aaos.org/aaosnow/2025/nov/research/research08/)

##### RISK-ADJUSTED REVISION RATE VISUALS *More equitable insights for total hip arthroplasty and total knee arthroplasty.*

Risk adjustment accounts for demographics, comorbidities, and surgical setting, providing more meaningful comparisons.

[Learn about risk adjustment](https://www.aaos.org/aaosnow/2025/nov/research/research08/)

[![AAOS26_RegistryLP_revision-rate-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_revision-rate-icon.png "AAOS26_RegistryLP_revision-rate-icon")](https://www.aaos.org/aaosnow/2025/nov/research/research08/)

##### RISK-ADJUSTED REVISION RATE VISUALS *More equitable insights for total hip arthroplasty and total knee arthroplasty.*

Risk adjustment accounts for demographics, comorbidities, and surgical setting, providing more meaningful comparisons.

[Learn about risk adjustment](https://www.aaos.org/aaosnow/2025/nov/research/research08/)

[![AAOS26_RegistryLP_iqr-data-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_iqr-data-icon.png "AAOS26_RegistryLP_iqr-data-icon")](https://www.aaos.org/registries/quality-collaborations/iqr-resources/)

##### CMS IQR PRO-PM DATA SUBMISSION *Supporting sites with performance measure reporting.*

AJRR submitted data on behalf of sites to the Centers for Medicare & Medicaid Services (CMS) for the first mandatory reporting window.  

[View our IQR PRO-PM resources](https://www.aaos.org/registries/quality-collaborations/iqr-resources/)

[![AAOS26_RegistryLP_iqr-data-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_iqr-data-icon.png "AAOS26_RegistryLP_iqr-data-icon")](https://www.aaos.org/registries/quality-collaborations/iqr-resources/)

##### CMS IQR PRO-PM DATA SUBMISSION *Supporting sites with performance measure reporting.*

AJRR submitted data on behalf of sites to the Centers for Medicare & Medicaid Services (CMS) for the first mandatory reporting window.  

[View our IQR PRO-PM resources](https://www.aaos.org/registries/quality-collaborations/iqr-resources/)

[![AAOS26_RegistryLP_asr-growth-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_asr-growth-icon.png "AAOS26_RegistryLP_asr-growth-icon")](https://www.americanspineregistry.org/)

##### ASR GROWTH *500,000+ spine procedures captured.*

Represents major expansion in complex spine data for quality improvement and research.

[Explore cervical and lumbar spine data](https://www.americanspineregistry.org/)

[![AAOS26_RegistryLP_asr-growth-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_asr-growth-icon.png "AAOS26_RegistryLP_asr-growth-icon")](https://www.americanspineregistry.org/)

##### ASR GROWTH *500,000+ spine procedures captured.*

Represents major expansion in complex spine data for quality improvement and research.

[Explore cervical and lumbar spine data](https://www.americanspineregistry.org/)

[![AAOS26_RegistryLP_mstr-report-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_mstr-report-icon.png "AAOS26_RegistryLP_mstr-report-icon")](https://communications.aaos.org/download-the-mstr-2025-annual-report?hsLang=en)

##### FIRST-EVER MsTR ANNUAL REPORT *Reflects 67% growth in the dataset.*

Inaugural MsTR Annual Report provides in-depth look at patient characteristics, tumor pathology, treatment patterns, device use, and outcomes within bone and soft-tissue sarcoma care.

[Download the MsTR Annual Report](https://communications.aaos.org/download-the-mstr-2025-annual-report?hsLang=en)

[![AAOS26_RegistryLP_mstr-report-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_mstr-report-icon.png "AAOS26_RegistryLP_mstr-report-icon")](https://communications.aaos.org/download-the-mstr-2025-annual-report?hsLang=en)

##### FIRST-EVER MsTR ANNUAL REPORT *Reflects 67% growth in the dataset.*

Inaugural MsTR Annual Report provides in-depth look at patient characteristics, tumor pathology, treatment patterns, device use, and outcomes within bone and soft-tissue sarcoma care.

[Download the MsTR Annual Report](https://communications.aaos.org/download-the-mstr-2025-annual-report?hsLang=en)

---

### What's Coming in 2026

### What's Coming in 2026

[![AAOS26_RegistryLP_obr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_obr-icon.png "AAOS26_RegistryLP_obr-icon")](https://www.aaos.org/registries/orthobiologics-registry/)

##### ORTHOBIOLOGICS REGISTRY PILOT PROGRAM *Measuring real-world outcomes of orthobiologic therapies.*

The new AAOS Orthobiologics Registry addresses a critical gap in orthobiologics evidence.  

[Learn about the OBR](https://www.aaos.org/registries/orthobiologics-registry/)

[![AAOS26_RegistryLP_obr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_obr-icon.png "AAOS26_RegistryLP_obr-icon")](https://www.aaos.org/registries/orthobiologics-registry/)

##### ORTHOBIOLOGICS REGISTRY PILOT PROGRAM *Measuring real-world outcomes of orthobiologic therapies.*

The new AAOS Orthobiologics Registry addresses a critical gap in orthobiologics evidence.  

[Learn about the OBR](https://www.aaos.org/registries/orthobiologics-registry/)

[![AAOS26_RegistryLP_ajrr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_ajrr-icon.png "AAOS26_RegistryLP_ajrr-icon")](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#epic)

##### AJRR INTEGRATION WITH EPIC’S COMMUNITY REGISTRIES *EHR integration—simplified.*

Epic’s cloud-based Community Registries centralize extraction and reduce technical burden across sites.

[Learn about Epic integration](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#epic)

[![AAOS26_RegistryLP_ajrr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_ajrr-icon.png "AAOS26_RegistryLP_ajrr-icon")](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#epic)

##### AJRR INTEGRATION WITH EPIC’S COMMUNITY REGISTRIES *EHR integration—simplified.*

Epic’s cloud-based Community Registries centralize extraction and reduce technical burden across sites.

[Learn about Epic integration](https://www.aaos.org/registries/current-participant-resources/registry-enhancements/#epic)

[![AAOS26_RegistryLP_-ftr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_-ftr-icon.png "AAOS26_RegistryLP_-ftr-icon")](https://www.aaos.org/registries/learn-about-participation/faqs/#GF5)

##### FRACTURE & TRAUMA DATA INTEGRATION *Unified fracture data, broader clinical impact.*

Hip fracture data is moving to AJRR and proximal humerus data is moving to the Shoulder & Elbow Registry (SER) in 2026. Stay tuned as more specific information becomes available.

[See transition details](https://www.aaos.org/registries/learn-about-participation/faqs/#GF5)

[![AAOS26_RegistryLP_-ftr-icon](https://communications.aaos.org/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/AAOS26_RegistryLP_-ftr-icon.png "AAOS26_RegistryLP_-ftr-icon")](https://www.aaos.org/registries/learn-about-participation/faqs/#GF5)

##### FRACTURE & TRAUMA DATA INTEGRATION *Unified fracture data, broader clinical impact.*

Hip fracture data is moving to AJRR and proximal humerus data is moving to the Shoulder & Elbow Registry (SER) in 2026. Stay tuned as more specific information becomes available.

[See transition details](https://www.aaos.org/registries/learn-about-participation/faqs/#GF5)

[![Registry HubSpot_Return to Home Button](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Registry%20HubSpot_Return%20to%20Home%20Button.png?width=250&height=57&name=Registry%20HubSpot_Return%20to%20Home%20Button.png "Registry HubSpot_Return to Home Button")](https://communications.aaos.org/where-orthopaedic-innovation-meets-real-world-evidence?hsLang=en)

[![Registry HubSpot_Return to Home Button](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Registry%20HubSpot_Return%20to%20Home%20Button.png?width=250&height=57&name=Registry%20HubSpot_Return%20to%20Home%20Button.png "Registry HubSpot_Return to Home Button")](https://communications.aaos.org/where-orthopaedic-innovation-meets-real-world-evidence?hsLang=en)

# Join Us in Advancing Orthopaedic Care

[![Schedule a Demo_Icon](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Schedule%20a%20Demo_Icon.png?width=100&height=92&name=Schedule%20a%20Demo_Icon.png "Schedule a Demo_Icon")](https://communications.aaos.org/talk-to-a-rep-website-footer?_ga=2.253567498.2040238389.1769216579-1338308502.1753806741&hsLang=en)

## [Schedule a Demo](https://communications.aaos.org/talk-to-a-rep-website-footer?_ga=2.84806042.2040238389.1769216579-1338308502.1753806741&hsLang=en)

[![Contact Us_Icon](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Contact%20Us_Icon.png?width=100&height=100&name=Contact%20Us_Icon.png "Contact Us_Icon")](https://www.aaos.org/link/f191b1b24ac348cfa8b58883599e9a5d.aspx)

## [Contact Us](https://www.aaos.org/link/f191b1b24ac348cfa8b58883599e9a5d.aspx)

# Join Us in Advancing Orthopaedic Care

[![Schedule a Demo_Icon](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Schedule%20a%20Demo_Icon.png?width=100&height=92&name=Schedule%20a%20Demo_Icon.png "Schedule a Demo_Icon")](https://communications.aaos.org/talk-to-a-rep-website-footer?_ga=2.253567498.2040238389.1769216579-1338308502.1753806741&hsLang=en)

## [Schedule a Demo](https://communications.aaos.org/talk-to-a-rep-website-footer?_ga=2.84806042.2040238389.1769216579-1338308502.1753806741&hsLang=en)

[![Contact Us_Icon](https://communications.aaos.org/hs-fs/hubfs/Program%20Marketing/Registries/AM26%20Landing%20Page/Contact%20Us_Icon.png?width=100&height=100&name=Contact%20Us_Icon.png "Contact Us_Icon")](https://www.aaos.org/link/f191b1b24ac348cfa8b58883599e9a5d.aspx)

## [Contact Us](https://www.aaos.org/link/f191b1b24ac348cfa8b58883599e9a5d.aspx)

Copyright © 2026