latest results from the swedish shoulder arthroplasty register 2012: björn salomonsson

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!

www.ssas.se www.ssas.se

www.ssas.se/axel