Anatomical total shoulder arthroplasty used for glenohumeral osteoarthritis has higher survival rates than hemiarthroplasty: a Nordic registry-based study

Osteoarthritis and Cartilage
Jeppe V RasmussenSteen L Jensen

Abstract

To report the10-year survival rates of different shoulder arthroplasty types used for glenohumeral osteoarthritis. Data from 2004 to 2013 was prospectively collected by the national shoulder arthroplasty registers in Denmark, Norway and Sweden and merged into a harmonized dataset under the umbrella of the Nordic Arthroplasty Register Association. The common dataset included data that all three registers could deliver and where consensus regarding definitions could be made. Revision was defined as removal or exchange of any component or the addition of a glenoid component. The cumulative survival rates at 10 years after resurfacing hemiarthroplasty (RHA) (n = 1,923), stemmed hemiarthroplasty (SHA) (n = 1,587) and anatomical total shoulder arthroplasty (TSA) (n = 2,340) were 0.85, 0.93 and 0.96 respectively (P < 0.001, Log rank test). RHA (HR: 2.5; CI 1.9-3.4, P < 0.001) and SHA (HR: 1.4; CI 1.0-2.0, P < 0.04) had an increased risk of revision compared to TSA. Gender, age and period of surgery were included in the Cox regression model. For patients below 55 years, the 10-year cumulative survival rates were 0.75 (RHA, n = 354), 0.81 (SHA, n = 146), and 0.87 (TSA, n = 201). Anatomical TSA had the highest implant-survival rate. Youn...Continue Reading

Associated Clinical Trials

Citations

Nov 26, 2019·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Maria CrackauJessica Bertrand
Jul 18, 2019·EFORT Open Reviews·Keijo T MäkeläSøren Overgaard
Mar 9, 2021·Arthroscopy Techniques·Hannah M NashJames L Chen
Mar 24, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Stefanos TsitlakidisBoris Sowa
Jul 20, 2021·Journal of Shoulder and Elbow Surgery·Caroline CointatPascal Boileau
Aug 17, 2021·The American Journal of Sports Medicine·Michael PerretGregory Hoy
Jul 23, 2021·Journal of Shoulder and Elbow Surgery·Carolyn J BerkmortelJames A Johnson

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