Failed Shoulder Replacement, Rotator Cuff Deficiency, Shoulder Arthropathy
Conditions
Brief summary
The purpose of this study is to evaluate the use and efficacy of the Reverse® Shoulder Prosthesis for treatment of rotator cuff deficiency in subjects who are candidates for a total shoulder replacement (primary and revision subjects).
Detailed description
Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency and glenohumeral arthritis have shown favorable outcomes in pain and function over the short and medium term. A prospective, multi-center study on the outcomes of subjects treated with the RSP would be a valuable addition to the literature and give important information regarding an ever-increasing treatment option for subjects with rotator cuff deficiency. The study will take place at multiple sites across the United States and will be managed by the DJO Surgical Clinical Affairs Department. The study will include only subjects who meet the indications for use criteria for the Reverse® Shoulder Prosthesis and who are candidates for total shoulder replacement surgery.
Interventions
DEVICEEncore Reverse Shoulder Prosthesis (RSP®)
The RSP is indicated for use in subjects with grossly rotator cuff deficient shoulder joints with severe arthropathy or a previously failed joint replacement with a grossly rotator cuff deficient shoulder joint.
Sponsors
DJO Incorporated
Encore Medical, L.P.
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Subject must be a candidate for a total shoulder joint replacement * Subject must be diagnosed with one or more of the following conditions: Irreparable rotator cuff tear with gleno-humeral arthritis; Failed rotator cuff surgery with gleno-humeral instability or antero- superior escape; Failed shoulder replacement surgery * Subject has a functional deltoid muscle * Subject's joint must be anatomically and functionally suited to receive the selected implant * Subject is 60 years of age or older (≥ 60 yrs of age) at time of consent * Subject is likely to be available for all study visits * Subject is able and willing to sign the informed consent and follow study procedures * Subject is not pregnant
Exclusion criteria
* Subject has a non-functional deltoid muscle * Subject has a mental condition(s) that may interfere with the subject's ability to give an informed consent or willingness to fulfill the study requirements (i.e., severe mental retardation such that the Subject cannot understand the informed consent process, global dementia, prior strokes that interfere with the Subject's cognitive abilities, senile dementia, and Alzheimer's Disease) * Subject is a prisoner * Subject has high levels of physical activity (ex. competitive sports, heavy physical labor) * Subject is pregnant * Subject has an active infection or sepsis * Subject has loss of ligamentous structures * Subject has a history of alcoholism or other addictions (current or past) * Subject has muscular, neurological or vascular deficiencies which compromise the affected extremity (i.e., Parkinson's Disease, Syringomyelia and Multiple Sclerosis, Charcot joints) * Subject has severe glenoid bone loss * Subject has known materials sensitivity (to metals) * Subject is younger than 60 years of age (\< 60 years of age) at consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Improvement in American Shoulder and Elbow Surgeons Score (ASES) from Baseline | 2 year | Improvement in American Shoulder and Elbow Surgeons Score (ASES) from Baseline. Assessments include: 1) Pain score where 0=no pain at all and 10=pain as bad as it can be 2) Function score where 0=my should is useless and 10=my shoulder is normal 3) Activity score where 0=unable to do and 3=Normal. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Subject Satisfaction Survey | 5 year | Patient Related Outcome of Device Satisfaction (score 1-5 with 1 = best and 5 = worst) Device satisfaction |
| Radiologic Success | 5 year | Changes in radiolucency compared with Baseline |
| Change in ASES score from Baseline | 5 year | Improvement in American Shoulder and Elbow Surgeons Score (ASES) from Baseline. Assessments include: 1) Pain score where 0=no pain at all and 10=pain as bad as it can be 2) Function score where 0=my should is useless and 10=my shoulder is normal 3) Activity score where 0=unable to do and 3=Normal. |
| SF36- (Short Form 36)Health Survey | 5 year | Change from baseline using the SF36-Health Status. There are multiple scales for general health, pain and activities of daily living |
| Change in Simple Shoulder Test from Baseline | 5 year | Change in Simple Shoulder Test from Baseline. Twelve questions about pain and functionality with responses being yes or no |
Countries
United States
Outcome results
None listed