Outcome, revision rate and indication for revision following resurfacing hemiarthroplasty for osteoarthritis of the shoulder: 837 operations reported to the Danish Shoulder Arthroplasty Registry

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In this study, we evaluated patient-reported outcomes, the rate of revision and the indications for revision following resurfacing hemiarthroplasty of the shoulder in patients with osteoarthritis. All patients with osteoarthritis who underwent primary resurfacing hemiarthroplasty and reported to the Danish Shoulder Arthroplasty Registry (DSR), between January 2006 and December 2010 were included. There were 772 patients (837 arthroplasties) in the study. The Western Ontario Osteoarthritis of the Shoulder (WOOS) index was used to evaluate patient-reported outcome 12 months (10 to 14) post-operatively. The rates of revision were calculated from the revisions reported to the DSR up to December 2011 and by checking deaths with the Danish National Register of Persons. A complete questionnaire was returned by 688 patients (82.2%). The mean WOOS was 67 (0 to 100). A total of 63 hemiarthroplasties (7.5%) required revision; the cumulative five-year rate of revision was 9.9%. Patients aged < 55 years had a statistically significant inferior WOOS score, which exceeded the minimal clinically important difference, compared with older patients (mean difference 14.2 (8.8; 95% CI 19.6; p < 0.001), but with no increased risk of revision. There was no significant difference in the mean WOOS or the risk of revision between designs of resurfacing hemiarthroplasty.
Original languageEnglish
JournalJournal of Bone and Joint Surgery: British Volume
Volume96-B
Issue number4
Pages (from-to)519-525
Number of pages7
ISSN0301-620X
DOIs
Publication statusPublished - Apr 2014

    Research areas

  • Adult, Age Factors, Aged, Aged, 80 and over, Female, Hemiarthroplasty, Humans, Joint Prosthesis, Kaplan-Meier Estimate, Male, Middle Aged, Osteoarthritis, Prosthesis Design, Prosthesis Failure, Registries, Reoperation, Shoulder Joint, Treatment Outcome, Young Adult

ID: 138615532