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Shoulder arthroplasty in Germany: 2005–2012

Archives of Orthopaedic and Trauma Surgery volume 136, pages 723–729 (2016)Cite this article

Abstract

Introduction

The field of shoulder endoprothetics has undergone a rapid development in the last years. The purpose of the study was to provide an overview of the development of shoulder arthroplasties in Germany from 2005 until 2012. This study hypothesized that the surgical procedures of the shoulder joint is still increasing and have not reached a plateau until 2012.

Methods

Data of the German federal statistical office from 2005 until 2012 were analyzed to quantify hemiarthroplasty, anatomic total shoulder and reversed total shoulder arthroplasty rates depending on age, gender and main coded indications. Procedure codes and diagnosis were analyzed for each year. Comparative analyses were used to visualize the difference between the types of shoulder endoprostheses.

Results

A total number of 139.272 shoulder arthroplasties were performed between 2005 and 2012. Total should arthroplasties have increased continuously until 2009. In 2009 more total shoulder arthroplasties have been performed than hemiprothesis implantations, which have culminated in 2008. All in all, women have been treated 3-fold higher than men regarding hemiarthroplasty, total shoulder arthroplasties or reversed total shoulder arthroplasties. Under the age of 60 years the majority of treated patients were male.

Conclusion

Since 2005 shoulder arthroplasties are still increasing in Germany, whereas a slight reduction could be detected for shoulder hemiarthroplasty from 2009 up until 2012. Meanwhile total shoulder arthroplasties and reversed total shoulder arthroplasties are still increasing. Women have experienced a 3-fold higher hemiarthroplasty, total shoulder and reversed shoulder arthroplasties than men except for individual younger than 60 years.

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Acknowledgments

The authors did not and will not receive any financial benefit in any form concerning the subject of this article. No benefits in any form have been received related directly or indirectly to the subject of this article.

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Authors and Affiliations

  1. Department of Orthopaedics and Trauma Surgery, Medical Faculty, University Hospital of Cologne, Kerpener Strasse 62, 50937, Cologne, Germany

    Johannes Oppermann, Erkan Celik, Jan Bredow, Michael Hackl & Lars P. Müller

  2. Clinic for Shoulder and Elbow Surgery, Salzburger Leite 1, 97616, Bad Neustadt a. d. Saale, Germany

    Klaus J. Burkhart

  3. Department of Hand Surgery, Vulpius Klinik, Vulpiusstraße 29, 74906, Bad Rappenau, Germany

    Christian K. Spies

  4. Department of Orthopaedics and Trauma Surgery, Marien-Hospital Bergisch Gladbach, Dr.-Robert-Koch-Str. 18, 51465, Bergisch Gladbach, Germany

    Frank Beyer

Authors
  1. Johannes Oppermann
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  2. Erkan Celik
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  3. Jan Bredow
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  5. Michael Hackl
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  7. Lars P. Müller
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  8. Klaus J. Burkhart
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Corresponding author

Correspondence to Johannes Oppermann.

Ethics declarations

The study was approved by the Ethics Committee of the Medical Faculty of the University of Cologne (reference number 13-099).

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There is no conflict of interest of all authors.

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Oppermann, J., Celik, E., Bredow, J. et al. Shoulder arthroplasty in Germany: 2005–2012. Arch Orthop Trauma Surg 136, 723–729 (2016). https://doi.org/10.1007/s00402-016-2417-9

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  • DOI: https://doi.org/10.1007/s00402-016-2417-9

Keywords

  • Epidemiology
  • Germany
  • Shoulder hemiprothesis
  • Total shoulder arthroplasty
  • Reversed shoulder arthroplasty