Results of the Total Evolutive Shoulder System (TESS®): a single-centre study of 56 consecutive patients

Kadum, Bakir; Mafi, Nader; Norberg, Sigge; Sayed-Noor, Arkan S.

doi:10.1007/s00402-011-1368-4

Cited by 65 publications

(42 citation statements)

References 19 publications

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“…The humeral implant stability was of concern initially. With the numbers given and considering eventual limitations related to the volume of this study, we found encouraging results with adequate humeral fixation in both anatomical and reverse versions [1,13,14]. In our study, with a mean follow-up of 39 months (15-66 months), there were no signs of humeral loosening after stemless implantation.…”

Section: Discussionmentioning

confidence: 48%

“…Grammont and Baulot revolutionised the treatment of cuff tear arthropathy (CTA) in the 1980s by introducing the concept of reverse shoulder arthroplasty (RSA), which moved the centre of rotation medially and distally [1]. Besides CTA, the indications for RSA include comminuted shoulder fractures, revisions, rheumatoid arthritis (RA) and severe osteoarthritis (OA) [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

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Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study

Kadum

Mukka

Englund

et al. 2014

International Orthopaedics (SICOT)

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Purpose The aims of this study were to assess the function and quality of life after the Total Evolutive Shoulder System (TESS) reverse shoulder arthroplasty (RSA), to evaluate the radiological stability of the stemless version and to address the effect of arm lengthening and scapular notching (SN) on the outcome. Methods This was a prospective comparative nonrandomised study. A total of 37 consecutive patients (40 shoulders) underwent TESS RSA between October 2007 and January 2012; 16 were stemless and 26 were stemmed. At a mean follow-up of 39 months (15-66), we evaluated range of motion (ROM), pain and functional outcome with QuickDASH and quality of life with EQ-5D score. Radiologically, component positioning, signs of loosening, SN and arm length difference were documented. Results We found a significant improvement in functional outcome and reduction of pain in both stemmed and stemless groups. No humeral loosening was evident, but there were four glenoid loosenings. In 12 shoulders that developed SN, seven already had scapular bone impression (SBI) evident on initial post-operative radiographs. Glenoid overhang seemed to decrease the risk of SN. Arm lengthening was associated with better EQ-5D but did not influence ROM or functional outcome.Conclusions Reverse shoulder arthroplasty markedly improved shoulder function. SN is of concern in RSA, but proper positioning of the glenoid component may prevent its development.

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Section: Discussionmentioning

confidence: 48%

Section: Introductionmentioning

confidence: 99%

Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study

Kadum

Mukka

Englund

et al. 2014

International Orthopaedics (SICOT)

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“…The authors achieved an anatomical reconstruction in all patients, even in post-traumatic arthritis cases in which no tuberosity osteotomy was required. In 2011, Kadum et al (15) reported on a group of 56 patients treated for a variety of shoulder conditions, including OA, post-traumatic arthritis, rotator cuff arthropathy, and proximal humeral fracture. This group was implanted with the Biomet TESS by standard hemiarthroplasty, primary total shoulder arthroplasty, or reverse arthroplasty, either with or without the optional intramedullary stem attachment to the corolla.…”

Section: Results: Literature Reviewmentioning

confidence: 99%

Stemless shoulder arthroplasty: a literature review

Petriccioli¹,

Bertone²,

Marchi³

2015

jts

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The design of humeral implants for shoulder arthroplasty has evolved over the years. The new-generation modular shoulder prostheses have an anatomical humeral stem that replicates the three-dimensional parameters of the proximal humerus. An anatomical reconstruction is the best way to restore stability and mobility of the prosthetic shoulder and improve implant durability. However, a perfect anatomical match is not always possible in, for example, patients with post-traumatic osteoarthritis of the shoulder and deformities in the metaphyseal region. To avoid stemrelated complications while retaining the advantages of the fourth generation of shoulder implants, different stemless implants have been developed. The stemless shoulder prosthesis is a new concept in shoulder arthroplasty. The authors review the indications, surgical technique, clinical and radiological midterm results, and complications of these humeral implants.

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“…The mean Constant score in this cohort was 75. Kadum et al followed a heterogeneous group cohort of 56 patients but unfortunately only had 14-month follow-up on average and as short at 9-month follow-up in some cases [25]. This cohort included 22 patients with an anatomic nonstemmed component.…”

Section: Biometmentioning

confidence: 99%

Total shoulder arthroplasty: are the humeral components getting shorter?

Harmer

Throckmorton

Sperling

2016

Curr Rev Musculoskelet Med

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Each generation of total shoulder arthroplasy has improved on the previous. The newest humeral component innovation is shortening the humeral component or eliminating the stem entirely to rely on stemless fixation in the humeral metaphysis. This offers theoretical advantages of preserved bone stock, less stress shielding, eliminating the diaphyseal stress riser, ease of stem removal at revision, and humeral head placement independent from the humeral shaft axis. There are a number of short term cohorts that have shown low complication rates and outcomes similar to previous generations of stemmed humeral components. Longer term and better designed studies are needed in order for short stems and stemless components to become the standard of care.

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Results of the Total Evolutive Shoulder System (TESS®): a single-centre study of 56 consecutive patients

Abstract: TESS prosthesis showed promising short-term results with few complications. The reverse version could be implanted without stem if initial stability was adequate. Long-term follow-up is required to confirm the results of this innovative system in the long run.

Cited by 65 publications

References 19 publications

Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study

Clinical and radiological outcome of the Total Evolutive Shoulder System (TESS®) reverse shoulder arthroplasty: a prospective comparative non-randomised study

Stemless shoulder arthroplasty: a literature review

Total shoulder arthroplasty: are the humeral components getting shorter?

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