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Multicenter Clinical Observation PROMOS®

Completed
Conditions
Primary and Secondary Omarthrosis
Registration Number
NCT02280499
Lead Sponsor
Smith & Nephew Orthopaedics AG
Brief Summary

Overall study design:

This study is a prospective, multicenter, postmarket clinical observation to validate the PROMOS™ Standard Shoulder System as state-of-the-art implant system for total shoulder arthroplasty in terms of radiographic and clinical performance as well as long-term survivorship over 10 years.

Detailed Description

Primary objective:

Radiological and clinical loosening rates of the glenoid and humeral components must be comparable or below the rates of other well documented state-of-the-art shoulder systems with cemented glenoid components. Complications occurring intra- or postoperatively will be assessed and sub-classified in their relation to the implant.

At the end of the observation, a long-term survival rate will be calculated according to Kaplan-Meier with revision due to aseptic loosening as the end-point.

Secondary objectives:

The Constant Murley score and the ASES clinical evaluation are used for documenting the improvement in pain, function and range of motion. For the patient's subjective view of improvement in function a patient self-assessment form is used.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
87
Inclusion Criteria
  • patient has no general medical contraindication to surgery
  • informed consent to participate in the observation signed by the patient
  • routine radiographic assessment is possible
  • patient is likely to comply with study follow-up requirements
  • primary total- or hemi-shoulder-arthroplasty to the affected side, unilateral or bilateral
Exclusion Criteria
  • acute shoulder trauma
  • tumor / malignoma
  • avascular necrosis
  • late stage rotator cuff disease
  • Charcot joint disease or other severe neurosensory deficits
  • high comorbidity
  • previously failed shoulder arthroplasty
  • fracture sequelae of proximal humerus
  • hypersensitivity to the implant materials used
  • addictive disorders such as alcohol or drug abuse
  • severe spinal disorders
  • bacterial infections

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Radiological and Clinical Loosening Rates of the Glenoid and Humeral Componentsup to 10 years

The long-term survival rate of the Promos™ Standard shoulder system was calculated with revision due to aseptic loosening as endpoint using a Kaplan-Meier Analysis.

Secondary Outcome Measures
NameTimeMethod
Constant Murley Score10 Years

The Constant Murley Score is a shoulder outcome score to determine the functionality of the shoulder after the treatment of a shoulder injury. The score ranges from 0 to 100 with a higher score indicating better shoulder function.

ASES Shoulder Score Index10Years

The American Shoulder and Elbow Surgeon's (ASES) evaluation is used to document the improvement in pain, function and range of motion after shoulder injury. The ASES Shoulder Score Index is calculated from the ASES patient related questionnaire and ranges from 0-100 with a higher score indicating improvement in pain and function.

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