Shoulder arthroplasty in Germany: 2005–2012

Oppermann, Johannes; Celik, Erkan; Bredow, Jan; Beyer, Frank; Hackl, Michael; Spies, Claudia; Müller, Lars Peter; Burkhart, Klaus J.

doi:10.1007/s00402-016-2417-9

Cited by 39 publications

(21 citation statements)

References 25 publications

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“… c Source: https://www.ssar-rapport.se/SAAR_web/publicReport.html?category=skulder d Based on numbers provided in Table 4 of publication: Oppermann et al. 2016 . e Total additionally includes 696 (6.1%) procedures with 2 or more diagnoses.…”

Section: Resultsmentioning

confidence: 99%

“… c Based on numbers provided in Table 4 of publication: Oppermann et al. 2016 . d For Norway use of resurfacing hemi-arthroplasty was described in 257 cases (2003–2014) in Rasmussen et al.…”

Section: Resultsmentioning

confidence: 99%

“…In all cases data were reported from registries except for Germany where data were based on publicly available hospitalization data from the Federal Bureau of Statistics in Wiesbaden, Germany (Oppermann et al. 2016 ). For simplicity the term registry will be used in the following for all countries/regions.…”

Section: Methodsmentioning

confidence: 99%

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International variation in shoulder arthroplasty

et al. 2017

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Background and purpose — The number of shoulder registries increases. We assessed international trends in use of shoulder arthroplasty, and described the current state of procedure selection and outcome presentation as documented in national and regional joint registries.Methods — Published reports from 9 population-based shoulder arthroplasty registries (country/region: Norway, Sweden, New Zealand, Denmark, California, Australia, Emilia-Romagna, Germany, and United Kingdom) were analyzed. Data were extracted on age, sex, disease indication, type of surgical procedure, surgical volume, and outcomes.Results — Shoulder arthroplasty incidence rate in 2012 was 20 procedures/105 population with a 6-fold variation between the highest (Germany) and lowest (United Kingdom) country. The annual incidence rate increased 2.8-fold in the past decade. Within the indications osteoarthritis, fracture, and cuff-tear arthropathy variations in procedure choice between registries were large. Outcomes evaluation focused on revision in all registries, but different measures and strata were used. Only Australia provided revision rates for prosthesis brands stratified by both indication and procedure. Finally, in 2 registries with available data surgeons performed on average 10–11 procedures yearly.Interpretation — Annual incidence rates of shoulder arthroplasty have almost tripled over the past decade. There is wide variation in procedure selection for the major indications, a low average surgeon volume, a substantial number of brands with small annual volume, and large variation in outcome presentation. The internationally increasing registry activity is an excellent basis for improving the so far weak evidence in shoulder arthroplasty.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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International variation in shoulder arthroplasty

et al. 2017

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“…The number of shoulder arthroplasties has been constantly increasing since the beginning of the century [ 1 – 3 ], even faster than lower extremity joint replacements lately [ 4 ]. This is especially the case with anatomic Total Shoulder Arthroplasty (aTSA) and reverse Total Shoulder Arthroplasty (rTSA) [ 2 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Use of Patient-Specific Instrumentation (PSI) for glenoid component positioning in shoulder arthroplasty. A systematic review and meta-analysis

Villatte

Müller

Pereira³

et al. 2018

PLoS ONE

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IntroductionTotal Shoulder Arthroplasty (TSA) anatomical, reverse or both is an increasingly popular procedure but the glenoid component is still a weak element, accounting for 30–50% of mechanical complications and contributing to the revision burden. Component mal-positioning is one of the main aetiological factors in glenoid failure and thus Patient-Specific Instrumentation (PSI) has been introduced in an effort to optimise implant placement. The aim of this systematic literature review and meta-analysis is to compare the success of PSI and Standard Instrumentation (STDI) methods in reproducing pre-operative surgical planning of glenoid component positioning.Material and methodsA search (restricted to English language) was conducted in November 2017 on MEDLINE, the Cochrane Library, EMBASE and ClinicalTrials.gov. Using the search terms “Patient-Specific Instrumentation (PSI)”, “custom guide”, “shoulder”, “glenoid” and “arthroplasty”, 42 studies were identified. The main exclusion criteria were: no CT-scan analysis results; studies done on plastic bone; and use of a reusable or generic guide. Eligible studies evaluated final deviations from the planning for version, inclination, entry point and rotation. Reviewers worked independently to extract data and assess the risk of bias on the same studies.ResultsThe final analysis included 12 studies, comprising 227 participants (seven studies on 103 humans and five studies on 124 cadaveric specimens). Heterogeneity was moderate or high for all parameters. Deviations from the pre-operative planning for version (p<0.01), inclination (p<0.01) and entry point (p = 0.02) were significantly lower with the PSI than with the STDI, but not for rotation (p = 0.49). Accuracy (deviation from planning) with PSI was about 1.88° to 4.96°, depending on the parameter. The number of component outliers (>10° of deviation or 4mm) were significantly higher with STDI than with PSI (68.6% vs 15.3% (p = 0.01)).ConclusionThis review supports the idea that PSI enhances glenoid component positioning, especially a decrease in the number of outliers. However, the findings are not definitive and further validation is required. It should be noted that no randomised clinical studies are available to confirm long-term outcomes.

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“…Shoulder arthroplasties for primary osteoarthritis of the shoulder are used in steadily increasing numbers [ 1 , 2 ] with good results [ 3 , 4 ]. Historically, monoblock designs have been used.…”

Section: Introductionmentioning

confidence: 99%

Fretting and Corrosion in Modular Shoulder Arthroplasty: A Retrieval Analysis

Eckert

Mueller

Jaeger

et al. 2016

BioMed Research International

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Tribocorrosion in taper junctions of retrieved anatomic shoulder arthroplasty implants was evaluated. A comparison of the tribocorrosion between cobalt-chromium and titanium alloy stems was conducted and the observations were correlated with the individual's clinical data. Adverse effects caused by metal debris and subsequent elevated serum metal ion levels are frequently reported in total hip arthroplasty. In total shoulder arthroplasty, to date only a small number of retrieval analyses are available and even fewer address the issue of tribocorrosion at the taper junctions. A total of 36 retrieved hemiarthroplasties and total shoulder arthroplasties were assessed using the modified Goldberg score. The prevalence of fretting and corrosion was confirmed in this cohort. Titanium stems seem to be more susceptible to damage caused by tribocorrosion than cobalt-chromium stems. Furthermore, stemless designs offered less tribocorrosion at the taper junction than stemmed designs. A weak correlation between time to revision and increased levels of tribocorrosion was seen. Whether or not tribocorrosion can lead to adverse clinical reactions and causes failure of shoulder arthroplasties remains to be examined.

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Shoulder arthroplasty in Germany: 2005–2012

Cited by 39 publications

References 25 publications

International variation in shoulder arthroplasty

International variation in shoulder arthroplasty

Use of Patient-Specific Instrumentation (PSI) for glenoid component positioning in shoulder arthroplasty. A systematic review and meta-analysis

Fretting and Corrosion in Modular Shoulder Arthroplasty: A Retrieval Analysis

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