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临床试验/NCT07226388
NCT07226388Enrolling By Invitation不适用

Hemiarthroplasty Versus Total Shoulder Arthroplasty for the Treatment of Glenohumeral Osteoarthritis: The Impact of Modern Implant Options

Washington University School of Medicine1 个研究点 分布在 1 个国家目标入组 74 人开始时间: 2026年2月3日最近更新:
干预措施

试验速览

阶段
不适用
状态
Enrolling By Invitation
入组人数
74
试验地点
1
主要终点
Single Assessment Numeric Evaluation score

研究概览

简要总结

This is a multi-center study assessing postoperative outcomes associated with hemiarthroplasty with pyrocarbon (hPYC) versus anatomic total shoulder arthroplasty (aTSA). Once eligibility criteria is met, the subject will be randomized to one of the two study arms. Subjects will be followed for ten years. Clinical and patient-reported outcome measures (PROMs) will be assessed.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Single (Participant)

入排标准

年龄范围
40 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Fluent in English language
  • Willing to sign an informed consent form
  • Willing to comply with all study procedures and be available for the duration of the study
  • Age 40 to 65 years
  • In good general health as evidenced by medical history
  • Surgical indication of glenohumeral osteoarthritis
  • In the opinion of the surgeon, there is clinical equipoise for the subject to be implanted with a humeral hemiarthroplasty with pyrocarbon or anatomic total shoulder arthroplasty

排除标准

  • Presence of Walch Type C or D glenoid
  • Presence of a glenoid that could not be reconstructed with the anatomic glenoid resurfacing components
  • Presence of extreme preoperative glenoid deformity including uniplanar retroversion deformity >30 o or severe biplanar deformity (retroversion >20 o and inclination > 10 o).
  • Workers' compensation case
  • Presence of full-thickness rotator cuff tear
  • Known allergic reactions to components of the study product(s)
  • History of consistent narcotic use within three months of surgery
  • History of chronic oral corticosteroid use
  • History or current drug or alcohol abuse
  • In the surgeon's opinion, the subject will be non-compliant with the study protocol.

研究组 & 干预措施

Hemiarthroplasty with pyrocarbon

Active Comparator

干预措施: Hemiarthroplasty with pyrocarbon (Device)

Anatomic total shoulder arthroplasty

Active Comparator

干预措施: Anatomic total shoulder arthroplasty (Device)

结局指标

主要结局

Single Assessment Numeric Evaluation score

时间窗: 2-years

Assess shoulder pain and function. The score ranges from 0 to 100 with higher scores indicating a better shoulder function and less pain.

次要结局

  • American Shoulder and Elbow Visual Analog Pain Score(2-weeks, 3-months, 6-months, 1-year, 2-years, 5-years, 10-years)
  • Forgotten Joint score(2-weeks, 3-months, 6-months, 1-year, 2-years, 5-years, 10-years)
  • Range of motion(2-weeks, 3-months, 6-months, 1-year, 2-years, 5-years, 10-years)
  • Assess rates of glenoid erosion(2-years, 5-years, 10-years)
  • Assess rates of aseptic glenoid loosening(2-years, 5-years, 10-years)
  • Single Assessment Numeric Evaluation Score(5-years, 10-years)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Benjamin Zmistowski

Assistant Professor

Washington University School of Medicine

研究点 (1)

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