NCT04507880

Brief Summary

The objective of this study is to evaluated the efficacy and safety of the reverse total shoulder prosthesis (RTSA) for complex proximal humerus fractures. The clinical results of RTSA will be compared to clinical results from a historical cohort, that received a hemiarthroplasty of the shoulder.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
42

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Aug 2020

Longer than P75 for not_applicable

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 31, 2020

Completed
1 day until next milestone

Study Start

First participant enrolled

August 1, 2020

Completed
10 days until next milestone

First Posted

Study publicly available on registry

August 11, 2020

Completed
4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2024

Completed
Last Updated

August 11, 2020

Status Verified

July 1, 2020

Enrollment Period

4 years

First QC Date

July 31, 2020

Last Update Submit

August 8, 2020

Conditions

Keywords

Humeral Fractures, Proximal

Outcome Measures

Primary Outcomes (1)

  • Change in Constant score (CS)

    The CS consists of four parameters (pain, mobility, ADL, strength) assessing shoulder function after the treatment of shoulder injury, both subjectively and objectively. The scale rates from worst (0) to best (100) quality of shoulder function.

    The outcome is measured 3 months, 6 months, 1 year and 2 years after surgery

Secondary Outcomes (6)

  • Change in Oxford Shoulder Score (OSS)

    The outcome is measured 3 months, 6 months, 1 year and 2 years after surgery

  • Change in Western Ontario Osteoarthritis of the Shoulder Index (WOOS)

    The outcome is measured 3 months, 6 months, 1 year and 2 years after surgery

  • Change in EQ5D questionnaire

    The outcome is measured 3 months, 6 months, 1 year and 2 years after surgery

  • Change in Numeric Ranking Scale

    The outcome is measured 3 months, 6 months, 1 year and 2 years after surgery

  • Complications

    The outcome is registered 2 years after surgery

  • +1 more secondary outcomes

Study Arms (2)

RTSA group

EXPERIMENTAL

Participants with a complex proximal humerus fracture given a RTSA

Device: Reverse Total Shoulder Arthroplasty

Hemiarthroplasty group

ACTIVE COMPARATOR

Historical cohort of participants, operated with a hemiarthroplasty of the shoulder

Device: Hemiarthroplasty

Interventions

The RTSA (GLOBAL UNITE Reverse Fracture System) from DePuy Synthes.

RTSA group

The shoulder hemiarthroplasty

Hemiarthroplasty group

Eligibility Criteria

Age65 Years - 120 Years
Sexall
Healthy VolunteersNo
Age GroupsOlder Adult (65+)

You may qualify if:

  • Fracture or fracture dislocation not suitable for non-operative treatment or for osteosynthesis due to displacement and comminution
  • Patients older than 65-years of age, or younger than 65-year of age if the surgeon assesses the physiological age as older.
  • All patients, regardless of age, with an insufficient or irreparable rotator cuff

You may not qualify if:

  • Brachial plexus palsy
  • Previous ipsilateral fracture of clavicula, scapula, or proximal humerus
  • Cognitive disabilities or substance abuse enabling rehabilitation and follow-up
  • Patients without a Danish civil registration number

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Shoulder Fractures

Interventions

Hemiarthroplasty

Condition Hierarchy (Ancestors)

Fractures, BoneWounds and InjuriesShoulder Injuries

Intervention Hierarchy (Ancestors)

Arthroplasty, ReplacementArthroplastyOrthopedic ProceduresSurgical Procedures, OperativePlastic Surgery ProceduresProsthesis Implantation

Study Officials

  • Bo S Olsen, Professor

    Herlev and Gentofte Hospital

    STUDY CHAIR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
MD, orthopedic resident, principal investigator

Study Record Dates

First Submitted

July 31, 2020

First Posted

August 11, 2020

Study Start

August 1, 2020

Primary Completion

August 1, 2024

Study Completion

August 1, 2024

Last Updated

August 11, 2020

Record last verified: 2020-07

Data Sharing

IPD Sharing
Will not share