1. Latest Results from the Swedish Shoulder Arthroplasty Register 2012: Björn Salomonsson

2. The Swedish Shoulder Arthroplasty Register: Started 1999

3. News  New database at RCSyd.  New possibilities for analyse.  New database at RCSyd.  New possibilities for analyse.

4. 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%

5. 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.

6. 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.  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.

7. Demografics

10. Results 2012  The 1, 5 and 10 year WOOS from primary procedures was analysed.

11. 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%

12. Osteoartrosis, WOOS

13. RA, WOOS

14. 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

15. WOOS over time

16. EQ5D over time

17. EQ5D, Bimodal?

18. Results RA / Osteoartrosis:  Survival 10 year Kaplan-Mayer: RA 4,8% OA 3,3%  Cumulative Revision Rate after indexoperation 1999-2009  Survival 10 year Kaplan-Mayer: RA 4,8% OA 3,3%  Cumulative Revision Rate after indexoperation 1999-2009

19. 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

20. 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%)  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%)

21. Results HSA / TSA:  Survival 10 year Kaplan-Mayer, HSA 3,4% TSA 2,4%  Cumulative Revision Rate after indexoperation 1999-2009  Survival 10 year Kaplan-Mayer, HSA 3,4% TSA 2,4%  Cumulative Revision Rate after indexoperation 1999-2009

22. Results HSA / TSA:  Survival 10 year  Risk Ratio versus Hemi after indexoperation 1999-2009  Survival 10 year  Risk Ratio versus Hemi after indexoperation 1999-2009

23. 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%

24. Fracture, WOOS

25. Results Fx 2w:  Survival 10 year Kaplan-Mayer 1,8% / 1,5%  Cumulative Revision Rate after indexoperation 1999-2009  Survival 10 year Kaplan-Mayer 1,8% / 1,5%  Cumulative Revision Rate after indexoperation 1999-2009

26. 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%  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%

27. Scandinavian Shoulder Meeting 2013 Sweden  MALMÖ 2013 April 25-26

28. BOA Registry, Start 2008  Artrosis Start 2008  Education by physiotherapist  Meeting “expert” patient, how to manage  Training, individuel or group

29. BOA Registry

31. 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

32. Fracture Registry

36. THANK YOU!

37. www.ssas.se www.ssas.se/axel