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.  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%  > 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.  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 in the register 1530 answered at 5 year.  57% answered.  20% was dead (or lost address).  23% did not answer.  Of the 2666 primary reports in the register 1530 answered at 5 year.  57% answered.  20% was dead (or lost address).  23% did not answer.

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%  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  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 time

EQ5D over time

EQ5D, Bimodal?

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

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  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 (n=2625)  HSA: 37 revisions for Glenoid / 1311 (2,8%)  TSA: 3 revisions for Glenoid / 852(0,4%)  RA (n=1070)  HSA: 16 revisions for Glenoid / 634(2,5%)  TSA: 2 revisions for Glenoid / 192(1%)  Bipolar: 3 revisions for Glenoid / 39(8%)  OA (n=2625)  HSA: 37 revisions for Glenoid / 1311 (2,8%)  TSA: 3 revisions for Glenoid / 852(0,4%)  RA (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  Survival 10 year Kaplan-Mayer, HSA 3,4% TSA 2,4%  Cumulative Revision Rate after indexoperation

Results HSA / TSA:  Survival 10 year  Risk Ratio versus Hemi after indexoperation  Survival 10 year  Risk Ratio versus Hemi after indexoperation

Results Fx 5 year 2009  Fractures  HSA WOOS 65%  < 2 weeks to surgery WOOS 68%  > 2 weeks to surgery WOOS 61%  MalunionWOOS 56%  Non unionWOOS 43%  Fractures  HSA WOOS 65%  < 2 weeks to surgery WOOS 68%  > 2 weeks to surgery WOOS 61%  MalunionWOOS 56%  Non unionWOOS 43%

Fracture, WOOS

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

Revisions until 2009  Fracture (n=2421)  Instability (n=15) 0,06%  Infection (n=10)0,04%  Glenoid (HSA) (n=6)0,02%  Nonunion (n=262)  Instability (n=6) 2,3%  Infection (n=5)2%  Cuffarthropathy (n=264)  Instability (n=9) 3,4%  Infection (n=8)3%  Fracture (n=2421)  Instability (n=15) 0,06%  Infection (n=10)0,04%  Glenoid (HSA) (n=6)0,02%  Nonunion (n=262)  Instability (n=6) 2,3%  Infection (n=5)2%  Cuffarthropathy (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 2008  Education by physiotherapist  Meeting “expert” patient, how to manage  Training, individuel or group

BOA Registry

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

Fracture Registry

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