Latest Results from the Swedish Shoulder

Arthroplasty Register 2012:

Björn Salomonsson

The Swedish Shoulder Arthroplasty Register:

Started 1999

News

New database at RCSyd. New possibilities for analyse.

2012 > 8700 primary reports since 1999

> 741 (8 %) were re-operations.

About 1200 reports yearly covers >90%

2012 WOOS score, Satisfaction and EQ5D since 2004: > 980 Pre-operative > 600 answers, 1-year. > 2250 answers, 5-year > 260 answers, 10 year.

But not all are complete.

Results 2012 Of the 2666 primary reports 1999-2004 in the register 1530 answered at 5 year. 57% answered. 20% was dead (or lost address). 23% did not answer.

Demografics

Demografics

Demografics

Results 2012

The 1, 5 and 10 year WOOS from primary procedures was analysed.

Results WOOS 1 year RA

HSA had WOOS 68% Resurfacing WOOS 68%

TSA had WOOS 80% Reversed WOOS 77%

OA HSA WOOS 75%

Resurfacing WOOS 76% TSA WOOS 86%

p<0,001 between TSA and HSA OA Reversed WOOS 77%

Osteoartrosis, WOOS

RA, WOOS

Results WOOS 5 year RA

HSA WOOS 63% TSA WOOS 70%

p<0,05 between TSA and HSA OA

HSA WOOS 70% TSA WOOS 85%

p<0,001 between TSA and HSA

WOOS over timeWOOS% pre-op and F.U. Reverse excluded.

34

7570 72

39

86 8580

39

6863

67

38

80

70

82

50

6467

0

10

20

30

40

50

60

70

80

90

100

Pre 1Y 5Y 10Y

OA HemiOA TotalRA HemiRA TotalFx Hemi

EQ5D over timeEQ5D 2012 Pre, 1, 5, 10 years, Reverse excluded

0,342

0,4330,472

0,592

0,399 0,398 0,393

0,465

0,344

0,4910,513

0,455

0,324

0,5630,585

0,691

0,5090,464

0,415

0

0,1

0,2

0,3

0,4

0,5

0,6

0,7

0,8

Pre 1Y 5Y 10Y

OA HemiOA TotalRA HemiRA TotalFx Hemi

EQ5D, Bimodal?

Results RA / Osteoartrosis: Survival 10 year Kaplan-Mayer: RA 4,8% OA 3,3% Cumulative Revision Rate after indexoperation

1999-2009

Revisions 2009 Among 637 reported re-operations, we had the index-operation in the register for 218 shoulders. Of these 62 shoulders OA 41 shoulders RA

Revisions until 2009 OA 1999-2009 (n=2625)

HSA: 37 revisions for Glenoid / 1311 (2,8%)

TSA: 3 revisions for Glenoid / 852(0,4%)

RA 1999-2009 (n=1070) HSA: 16 revisions for Glenoid / 634(2,5%)

TSA: 2 revisions for Glenoid / 192(1%) Bipolar: 3 revisions for Glenoid / 39 (8%)

Results HSA / TSA: Survival 10 year Kaplan-Mayer, HSA 3,4% TSA 2,4% Cumulative Revision Rate after indexoperation

1999-2009

Results HSA / TSA: Survival 10 year

Risk Ratio versus Hemi after indexoperation 1999-2009

Results Fx 5 year 2009 Fractures

HSA WOOS 65% < 2 weeks to surgery WOOS 68% > 2 weeks to surgery WOOS 61%

Malunion WOOS 56% Non union WOOS 43%

Fracture, WOOS

Results Fx < 2w / >2w: Survival 10 year Kaplan-Mayer 1,8% / 1,5% Cumulative Revision Rate after indexoperation

1999-2009

Revisions until 2009 Fracture 1999-2009 (n=2421)

Instability (n=15) 0,06% Infection (n=10) 0,04% Glenoid (HSA) (n=6) 0,02%

Nonunion 1999-2009 (n=262) Instability (n=6) 2,3% Infection (n=5) 2%

Cuffarthropathy 1999-2009 (n=264) Instability (n=9) 3,4% Infection (n=8) 3%

Scandinavian Shoulder Meeting 2013 Sweden MALMÖ 2013 April 25-26

BOA Registry, Start 2008

Artrosis Start 2008Education by physiotherapistMeeting “expert” patient, how to manageTraining, individuel or group

BOA Registry

BOA Registry

Fracture Registry Start 2012 All fractures at hospitals Classification by “AO” Treatment 1 year PROM

Fracture Registry

Fracture Registry

Fracture Registry

Fracture Registry

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