跳至主要内容
临床试验/NCT06371833
NCT06371833招募中不适用

A Multicentric Study Evaluating Clinical and Radiological Outcomes of PRIMA Humeral Stem in Total Shoulder Arthroplasty

Limacorporate S.p.a2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2024年10月25日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
60
试验地点
2
主要终点
Changes of Costant Murley Score (CS)

研究概览

简要总结

This clinical study aims at evaluating clinical, radiographic and patient-reported outcomes after total anatomic or reverse shoulder replacement using PRIMA humeral stem up to 24 months after surgery, in order to assess the short-term performance of the implant. Furthermore, the objective is also to collect short-term data on the survivorship of the implant and the incidence of complications.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Other

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age ≥ 18 years old;
  • Full skeletal maturity;
  • Life expectancy over 24 months;
  • Patient's joint anatomically and structurally suited to receive the selected implants and functional deltoid muscle;
  • Patient meets at least one of the following indications:
  • For Anatomic configuration:
  • non-inflammatory degenerative joint disease (i.e., osteoarthritis);
  • inflammatory arthritis of the glenohumeral joint including rheumatoid arthritis;
  • avascular necrosis of the humeral head;
  • cuff tear arthropathy (CTA Heads only);
  • For Reverse configuration:
  • rotator cuff tear arthropathy;
  • osteoarthritiswith rotator cuff tear;
  • rheumatoid arthritis with rotator cuff tear;
  • massive irreparable rotator cuff tear;
  • Patient is able to understand the conditions of the study, to comply with the prescribed rehabilitation as well as willing to perform all scheduled follow-up visits;
  • Patient has signed the Informed Consent form previously approved by the Ethics Committee before study activities.

排除标准

  • Patients who lack capacity to be able to provide informed consent to participate in the study.
  • Local or systemic general infection;
  • Septicaemia;
  • Persistent acute or chronic local or systemic osteomyelitis;
  • Confirmed neurologic lesion compromising shoulder joint function;
  • Deltoid muscle insufficiency;
  • Poor meta-epiphyseal bone stock compromising stability of the implant (severe fracture of the proximal humerus, meta-epiphyseal pseudoarthrosis, osteoporosis, osteomalacia, extended bone loss after previous prosthetic or non-prosthetic surgery);
  • Affected by malignant cancer with life expectancy less than 2 years or where cancer treatment might affect the normal postoperative course;
  • Serious muscular, neurological, or arterial vascular diseases compromising stability of the implant;
  • Proximal humerus fracture sequelae with inadequate bone stock;
  • Vascular or nerve diseases affecting the concerned limb;
  • Metabolic disorders which may impair fixation and stability of the implant;
  • Any concomitant disease that might affect the implanted prosthesis;
  • Metal hypersensitivity to implant materials (CoCrMo);
  • Patient with significant renal impairment;
  • Lower mobility issues that may affect the study evaluation;
  • Unwillingness or inability (due to physical or mental issues) to comply with rehabilitation and to return for follow-up visits and any psychiatric illness that would prevent comprehension of the details and nature of the study;
  • Women of childbearing potential who are pregnant, nursing, or planning to become pregnant;
  • Any clinically significant pathology based on the medical history that the Investigator feels may affect the study evaluation.

研究组 & 干预措施

Adult patients requiring a primary TSA or RSA

Device: PRIMA humeral stem in anatomic or reverse configuration Shoulder arthroplasty according to the instruction for use.

干预措施: Shoulder Arthroplasy with PRIMA humeral stem (Device)

结局指标

主要结局

Changes of Costant Murley Score (CS)

时间窗: From preoperative (baseline) to 24-month follow-up.

The primary endpoint is to assess the change of Constant Murley Score (CS). Constant score (CS) is a clinical method of shoulder functional assessment that allows individual-parameter assessments to be combined with an overall 100-point scoring system. The final result is graded, with the normalized 100-point shoulder score, as excellent (85 to 100 points), good (71 to 84 points), fair (56-70), poor (0-55). The weighted Constant score is calculated as a percentage of norm

次要结局

  • Changes in the American Shoudler and Elbow Surgeons (ASES) score(From preoperative (baseline) to 24-month follow-up.)
  • Changes in Range of Motion measures(From preoperative (baseline) to 24-month follow-up.)
  • Radiographic stability of the humeral component(From immediate postoperative (baseline) to 24-months follow-up)
  • Survival rate (Kaplan-Meier estimate)(From immediate post-operative to 24-months follow-up.)
  • Incidence, type and severity of Adverse Events and Adverse Device Effects(From surgery to 24-months follow-up.)

研究者

发起方
Limacorporate S.p.a
申办方类型
Industry
责任方
Sponsor

研究点 (2)

Loading locations...

相似试验