latest results from the swedish shoulder arthroplasty register 2012:
DESCRIPTION
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. - PowerPoint PPT PresentationTRANSCRIPT
![Page 1: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/1.jpg)
Latest Results from the Swedish Shoulder
Arthroplasty Register 2012:
Björn Salomonsson
![Page 2: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/2.jpg)
The Swedish Shoulder Arthroplasty Register:
Started 1999
![Page 3: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/3.jpg)
News
New database at RCSyd. New possibilities for analyse.
![Page 4: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/4.jpg)
2012 > 8700 primary reports since 1999
> 741 (8 %) were re-operations.
About 1200 reports yearly covers >90%
![Page 5: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/5.jpg)
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.
![Page 6: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/6.jpg)
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.
![Page 7: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/7.jpg)
Demografics
![Page 8: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/8.jpg)
Demografics
![Page 9: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/9.jpg)
Demografics
![Page 10: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/10.jpg)
Results 2012
The 1, 5 and 10 year WOOS from primary procedures was analysed.
![Page 11: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/11.jpg)
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%
![Page 12: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/12.jpg)
Osteoartrosis, WOOS
![Page 13: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/13.jpg)
RA, WOOS
![Page 14: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/14.jpg)
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
![Page 15: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/15.jpg)
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
![Page 16: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/16.jpg)
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
![Page 17: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/17.jpg)
EQ5D, Bimodal?
![Page 18: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/18.jpg)
Results RA / Osteoartrosis: Survival 10 year Kaplan-Mayer: RA 4,8% OA 3,3% Cumulative Revision Rate after indexoperation
1999-2009
![Page 19: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/19.jpg)
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
![Page 20: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/20.jpg)
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%)
![Page 21: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/21.jpg)
Results HSA / TSA: Survival 10 year Kaplan-Mayer, HSA 3,4% TSA 2,4% Cumulative Revision Rate after indexoperation
1999-2009
![Page 22: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/22.jpg)
Results HSA / TSA: Survival 10 year
Risk Ratio versus Hemi after indexoperation 1999-2009
![Page 23: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/23.jpg)
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%
![Page 24: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/24.jpg)
Fracture, WOOS
![Page 25: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/25.jpg)
Results Fx < 2w / >2w: Survival 10 year Kaplan-Mayer 1,8% / 1,5% Cumulative Revision Rate after indexoperation
1999-2009
![Page 26: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/26.jpg)
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%
![Page 27: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/27.jpg)
Scandinavian Shoulder Meeting 2013 Sweden MALMÖ 2013 April 25-26
![Page 28: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/28.jpg)
BOA Registry, Start 2008
Artrosis Start 2008Education by physiotherapistMeeting “expert” patient, how to manageTraining, individuel or group
![Page 29: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/29.jpg)
BOA Registry
![Page 30: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/30.jpg)
BOA Registry
![Page 31: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/31.jpg)
Fracture Registry Start 2012 All fractures at hospitals Classification by “AO” Treatment 1 year PROM
![Page 32: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/32.jpg)
Fracture Registry
![Page 33: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/33.jpg)
Fracture Registry
![Page 34: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/34.jpg)
Fracture Registry
![Page 35: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/35.jpg)
Fracture Registry
![Page 36: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/36.jpg)
THANK YOU!
![Page 37: Latest Results from the Swedish Shoulder Arthroplasty Register 2012:](https://reader033.vdocument.in/reader033/viewer/2022051518/56815daa550346895dcbdbf8/html5/thumbnails/37.jpg)
www.ssas.se
www.ssas.se/axel