Radiographic and Clinical Outcomes After Short-Stem Reverse Shoulder Arthroplasty (STEP2yrs)
Humeral-Sided Radiographic Changes and Clinical Outcome After Reverse Total Shoulder Arthroplasty With Short Stem - Minimum 2-Year Follow-Up
Reverse total shoulder arthroplasty (RTSA) has become increasingly common in recent years due to expanding indications and improved surgical techniques. Short-stem humeral implants have gained attention because they preserve bone stock, allow metaphyseal fixation, and facilitate potential revision procedures.
The aim of this study is to evaluate radiographic and clinical outcomes following reverse shoulder arthroplasty with a short humeral stem after a minimum follow-up of two years. Patients who underwent RTSA at the Department of Orthopedics at Ordensklinikum Linz will be invited for clinical and radiographic follow-up.
Clinical outcomes will be assessed using established shoulder scores including the Constant Score, the American Shoulder and Elbow Surgeons (ASES) score, and the Simple Shoulder Test (SST). Radiographic evaluation will focus on humeral-sided changes such as stress shielding, radiolucent lines, osteolysis, and fractures. Patient satisfaction will additionally be assessed using visual analogue scales and patient-reported outcome measures.
Demographic variables, comorbidities, and implant-related characteristics will be collected to allow descriptive evaluation of factors potentially associated with clinical and radiographic outcomes.
調査の概要
詳細な説明
研究の種類
入学 (推定)
連絡先と場所
研究場所
-
-
-
Linz、オーストリア、3340
- Ordensklinikum Linz - Barmherzige Schwester
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
サンプリング方法
調査対象母集団
The study population consists of adult patients who underwent reverse total shoulder arthroplasty with a short humeral stem at the Department of Orthopedics, Ordensklinikum Linz, Austria. All eligible patients who received this procedure at least two years prior to enrollment will be invited for a clinical and radiographic follow-up examination.
Participants are identified through institutional medical records and include both male and female patients. Only patients who provide written informed consent will be included in the study.
説明
Inclusion Criteria:
- Reverse shoulder arthroplasty with short humeral stem
- Surgery performed at Ordensklinikum Linz
- Minimum postoperative follow-up of 2 years
- Written informed consent
Exclusion Criteria:
- Perioperative complications not related to the surgical procedure
- Lack of consent for study participation
研究計画
研究はどのように設計されていますか？
デザインの詳細
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Radiographic Changes of the Humeral Component
時間枠：≥2 years postoperatively
|
Assessment of humeral-sided radiographic changes including: Stress shielding Radiolucent lines Osteolysis Periprosthetic fractures Measured using standardized radiographs at follow-up. |
≥2 years postoperatively
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Constant-Murley Score (Constant Score)
時間枠：up to 3 years postoperatively
|
The Constant Score is a comprehensive shoulder function assessment.
The total score ranges from 0 to 100 points.
Higher scores indicate better shoulder performance and function; lower scores indicate greater functional impairment and symptoms.
|
up to 3 years postoperatively
|
|
American Shoulder and Elbow Surgeons Score (ASES)
時間枠：up to 3 years postoperatively
|
The American Shoulder and Elbow Surgeons Score is used to assess shoulder pain and function.
The total score ranges from 0 to 100 points.
Higher scores indicate better shoulder function, less pain, and fewer activity limitations; lower scores indicate greater pain, impaired shoulder function, and increased disability.
|
up to 3 years postoperatively
|
|
Simple Shoulder Test Score (SST)
時間枠：up to 3 Years Postoperatively
|
Shoulder function will be assessed using the Simple Shoulder Test.
The total score ranges from 0 to 12 points.
Higher scores indicate better shoulder function.
|
up to 3 Years Postoperatively
|
|
Return to Sport Rate (RTS)
時間枠：up to 3 years postoperatively
|
Return to sport will be assessed as the proportion or percentage of patients who returned to sport participation after surgery.
Higher percentages indicate a better outcome, reflecting a greater rate of successful return to sport.
|
up to 3 years postoperatively
|
協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 1035/2026
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。