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Latest Results from the Swedish Shoulder
Arthroplasty Register 2012:
Latest Results from the Swedish Shoulder
Arthroplasty Register 2012:
Björn SalomonssonBjörn Salomonsson
The Swedish Shoulder Arthroplasty Register:
Started 1999
The Swedish Shoulder Arthroplasty Register:
Started 1999
NewsNews
New database at RCSyd. New possibilities for analyse.
New database at RCSyd. New possibilities for analyse.
20122012
> 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%
20122012
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 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.
Demografics Demografics
Demografics Demografics
Demografics Demografics
Results 2012 Results 2012
The 1, 5 and 10 year WOOS from primary procedures was analysed.
The 1, 5 and 10 year WOOS from primary procedures was analysed.
Results WOOS 1 yearResults 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, WOOSOsteoartrosis, WOOS
RA, WOOSRA, WOOS
Results WOOS 5 yearResults 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 timeWOOS over timeWOOS% pre-op and F.U. Reverse excluded.
34
75
7072
39
86 85
80
39
68
6367
38
80
70
82
50
6467
0
10
20
30
40
50
60
70
80
90
100
Pre 1Y 5Y 10Y
OA Hemi
OA Total
RA Hemi
RA Total
Fx Hemi
EQ5D over timeEQ5D over time
EQ5D 2012 Pre, 1, 5, 10 years, Reverse excluded
0,342
0,433
0,472
0,592
0,399 0,398 0,393
0,465
0,344
0,4910,513
0,455
0,324
0,5630,585
0,691
0,509
0,464
0,415
0
0,1
0,2
0,3
0,4
0,5
0,6
0,7
0,8
Pre 1Y 5Y 10Y
OA Hemi
OA Total
RA Hemi
RA Total
Fx Hemi
EQ5D, Bimodal?EQ5D, Bimodal?
Results RA / Osteoartrosis: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
Revisions 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
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 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%)
Results HSA / TSA: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
Results HSA / TSA: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
Results Fx 5 year 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%
Fractures HSA WOOS 65%
< 2 weeks to surgery WOOS 68% > 2 weeks to surgery WOOS 61%
Malunion WOOS 56% Non union WOOS 43%
Fracture, WOOSFracture, WOOS
Results Fx < 2w / >2w:Results Fx < 2w / >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
Revisions until 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%
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 Scandinavian Shoulder Meeting 2013 Sweden MALMÖ 2013 April 25-26 MALMÖ 2013 April 25-26
BOA Registry, Start 2008 BOA Registry, Start 2008
Artrosis Start 2008Education by physiotherapistMeeting “expert” patient, how to manageTraining, individuel or group
BOA Registry BOA Registry
BOA Registry BOA Registry
Fracture 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 Fracture Registry
Fracture Registry Fracture Registry
Fracture Registry Fracture Registry
Fracture Registry Fracture Registry
THANK YOU!THANK YOU!
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