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Latest Results from the Swedish Shoulder Arthroplasty Register 2012:

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.

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Latest Results from the Swedish Shoulder Arthroplasty Register 2012:

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  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.

  4. 2012 • > 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.

  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.

  7. Demografics

  8. Demografics

  9. 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%

  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

  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

  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

  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%)

  21. Results HSA / TSA: • 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

  23. 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%

  24. Fracture, WOOS

  25. Results Fx < 2w / >2w: • 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%

  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

  30. BOA Registry

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

  32. Fracture Registry

  33. Fracture Registry

  34. Fracture Registry

  35. Fracture Registry

  36. THANK YOU!

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

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