The Swedish Shoulder Arthroplasty Register. An analysis of 255 re-operations on arthroplasties reported to the register. Ulf Lillkrona MD PhD Anders Nordqvist MD PhD Hans Rahme MD PhD Björn Salomonsson MD The Swedish Shoulder and Elbow Society Board of Quality Registers
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The Swedish Shoulder Arthroplasty Register. An analysis of 255 re-operations on arthroplasties reported to the register. Ulf Lillkrona MD PhD Anders Nordqvist.
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The Swedish Shoulder Arthroplasty Register.
An analysis of 255 re-operations on
arthroplasties reported to the register.
Ulf Lillkrona MD PhD Anders Nordqvist MD PhD
Hans Rahme MD PhDBjörn Salomonsson MD
The Swedish Shoulder and Elbow Society Board of Quality Registers
1999-2006
Experiences of 8 years
THE REGISTER
• Started 1999• All Swedish hospitals except 2
participates.• Is owned by the Swedish Shoulder
and Elbow Society.• Covers more than 90% in Sweden.
REPORTS 1999 -2006
Total 4238 reports (285 / 3953)
Primary arthroplasty93%
Re-operation7%
MOST COMMON DIAGNOSES
731
1215
1432
0
200
400
600
800
1000
1200
1400
1600
Reumatoid OsteoArthritis Fracture
The most common diagnoses
RE-OPERATIONS
Revison/Reoperation 285 st (243 / 42)
Revision85%
Other re-op15%
133 WITH INDEX 1999-2006
133 reop since 1999 (118 / 15)
Index report89%
No report11%
REASON FOR RE-OPERATION
Reason for Re-operation
16,5%
6,3%
2,1%
4,2%6,7%
1,8%
20,7%
2,1%3,9%
Glenoid erosion
Pain
Loose glenoid
Loose stem
Infection
Periprostetic fx
Instability
Loose tubercle
Cuff insuff
RE-OPERATION
Re-operation procedure
17,5%
6,0%0,7%
7,4%
0,7%
1,4%
1,1%
2,5%
4,9%
2,1%1,4% 1,4%
Change Stem
Change mod-Caput
Change Glenoid
Glenoid insert
Delta plastic change
Spacer
Lavage
Extraktion Implant
Other soft tissue
Arthroscopy
Refix Tubercles
Closed reduction
RE-OPERATION / DIAGNOSE
Re-operation burden / Diagnose
6,5%
4,8%
4,4%
3,4%3,1%
2,1% 2,0%
1,5%
0,0%
1,0%
2,0%
3,0%
4,0%
5,0%
6,0%
7,0%
CuffArthropathy
Nonunion Ostenecrosis Reumatoid Osteoartrosis Fracture Malunion Other
Bipolar (n=49) Delta-3 (n=210) Hemi (n= 3147) Total (n=476)
CONCEPT/GLENIOD PROBLEM
Glenoid Erosion / Loosening-Wear
2,0%
2,4%
1,7%
0,8%
0,0%
0,5%
1,0%
1,5%
2,0%
2,5%
Bipolar Delta-3 Hemi Total
CONCLUSION
• The Swedish Shoulder Arthroplasty Register now has a possibility to analyse revision rate and reason to re-operations for different implants as well as diagnoses.