Avascular Necrosis of the Head of Humerus, Localized, Primary Osteoarthritis, Post-traumatic Arthrosis of Other Joints, Shoulder Region
Conditions
Brief summary
Aequalis® Resurfacing Head implant is a range of shoulder arthroplasty device available for the treatment of various shoulder pathologies. It received CE Mark in June 2007. The aim of this study is to collect immediate medium and long term data on performance and safety of the implant, retrospectively as well as prospectively, from a consecutive series of patients to assess the patients' outcomes and functional status.
Detailed description
Resurfacing head implants allow restoring of the normal joint mechanics and stability of the shoulder with minimal bone resection and low peripheral fracture risk, while preserving humeral bone stock. Non cemented head implants also allow for an easy re-intervention if needed. The success of resurfacing implants largely depends on the etiology, with the best results in primary shoulder arthrosis, and the worst in post-traumatic and cuff-tear arthropathy. The Aequalis® Resurfacing Humeral Head is designed to restore the humeral head. It shares the same indications as shoulder arthroplasty in general, including the various types of arthritis and conditions resulting in loss of joint cartilage, joint incongruity, pain, and stiffness. Resurfacing humeral head implants allow minimal bone resection while preserving humeral bone stock as compared to standard anatomic humeral implants. However, few data are available on mid-term effects of the resurfacing head implant developed by Tornier. This Post-Marketing study is implemented for the Aequalis® Resurfacing Head in shoulder arthroplasty to collect medium and long-term clinical data on performance and safety. It is designed to collect data from consecutive series in European patients for at least 12 months of follow-up and up to 10 years. If possible, the study duration and collection of information will be prolonged. Further follow-up can be implemented, by amendments.
Interventions
Sponsors
Stryker Trauma and Extremities
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient has received an Aequalis® Resurfacing Head implant as per the manufacturer's instructions (including the recommended indication): degenerative indication such as primary osteoarthritis, secondary osteoarthritis (post-traumatic post instability), avascular osteonecrosis of the humeral head ; * with a functional rotator cuff ; * has clinical and radiographic follow-up data available ; * is informed about the study and has provided Informed Consent as applicable.
Exclusion criteria
* Patient with proximal humeral fracture, * previous history of infection, * rotator cuff tear, cuff tear arthropathy, * significant bone loss of the glenoid (more than 25% of the articular surface), * nerve palsy, * revision arthroplasty.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Implant survival rate | up to 10-year follow-up | Number or device or procedure related adverse events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline and previous visit in Constant Murley score | at 3-month, 1, 2, 5, 10 years follow-up | — |
| Change from baseline and previous visit in Range Of Motion | at 3-month, 1, 2, 5, 10 years follow-up | Passive and active Abduction, external rotation and internal rotation will be assessed. |
| Change from baseline and previous visit in SSV. | at 3-month, 1, 2, 5, 10 years follow-up | The Subjective Shoulder Value (SSV) is defined as a patient's subjective shoulder assessment expressed as a percentage of an entirely normal shoulder, which would score 100%. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Timely evaluation of fixation and migration of the implant. | at 3-month, 1, 2, 5, 10 years follow-up | Presence of radiolucent line(s) around the implant (Radiological imaging : X-Rays of MRI). |
| Timely evaluation of glenoid status. | at 3-month, 1, 2, 5, 10 years follow-up | Radiological imaging (X-Rays or MRI). |
Outcome results
None listed