title: Military Orthopaedic Trauma Registry: Quality Data Now Available.
abstract: The Military Orthopaedic Trauma Registry (MOTR) orginally began as part of the Department of Defense Trauma Registry (DoDTR) and became a live registry in 2013. As a quality improvement process, this study examined MOTR data for 20 female amputees compared with DoDTR data. The DoDTR provided diagnosis and procedure codes as a list but no details. The MOTR provided additional data, including specific limb, fracture classifications, and associated injuries per limb. The MOTR allowed for construction of a treatment time line for each limb, including number and timing of debridements, antibiotics, and implant types. Orthopaedic-specific complications were also coded more frequently in the MOTR and clearly identified with a specific injury and treatment. During initial quality control checks, the MOTR provides a greater volume and granularity of detail for orthopaedic-specific injury and treatment information, indicating that the MOTR is on track to provide a valuable repository for data-driven orthopaedic management of combat injury.
authors: U.S. Army Institute of Surgical Research and Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, Texas. Jessica.cross@us.army.mil.
authors: Jessica C
authors: JC
authors: Rivera
authors: Renee M
authors: RM
authors: Greer
authors: Joseph C
authors: JC
authors: Wenke
authors: James R
authors: JR
authors: Ficke
authors: Anthony E
authors: AE
authors: Johnson
mesh_terms: D000671:Amputation, Surgical; D001753:Blast Injuries / Q000601:surgery; D002111:Calcaneus / Q000293:injuries; D000068598:Data Accuracy; D003646:Debridement; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery; D008887:Military Medicine; D009104:Multiple Trauma / Q000601:surgery; D009985:Orthopedics; D058996:Quality Improvement; D012042:Registries; D013530:Surgical Wound Infection; D013978:Tibial Fractures; D014947:Wounds and Injuries; D055815:Young Adult