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CompletedNCT03111147Updated Mar 5, 2024Results posted

Impact of Humeral Component Version on Outcomes Following RTSA

An interventional study of 0 degrees humeral component version and 30 degrees humeral component retroversion in Rotator Cuff Tear Arthropathy, sponsored by William Beaumont Hospitals. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-05.

Sponsored by William Beaumont Hospitals · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
95
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The proposed study is a prospective, single-blinded, randomized trial to investigate the impact of humeral component version on shoulder range of motion and patient reported functional outcomes following reverse total shoulder arthroplasty.

Read the detailed description

Retrospective clinical evidence suggests that increasing humeral component retroversion does not affect measured internal or external rotation, however patients with neutral version may experience better function with daily activities requiring internal rotation compared to those with 30 degrees of retroversion. Prospective data on clinical outcomes comparing different humeral component versions in RTSA is currently lacking. The proposed study is a prospective, single-blinded, randomized trial to investigate the impact of humeral component version on shoulder range of motion and patient reported functional outcomes following reverse total shoulder arthroplasty.

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Conditions studied

  • Rotator Cuff Tear Arthropathy
03

In context

Rotator Cuff Tear Arthropathy

52 studies on the registry are indexed under Rotator Cuff Tear Arthropathy; 15 are open to participants now.

This study's enrollment of 95 is close to the median of 93 across 29 interventional studies indexed under Rotator Cuff Tear Arthropathy.

Browse Rotator Cuff Tear Arthropathy studies →

Lead sponsor

William Beaumont Hospitals is the lead sponsor of 111 studies on the registry; none are open to participants now.

Of its 30 completed or terminated interventional studies of FDA-regulated products, 30 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients undergoing primary reverse total shoulder arthroplasty
  • Diagnosis of cuff tear arthropathy or primary OA with RCT
  • Intact posterior rotator cuff and subscapularis preoperatively, as determined by surgeon-administered physical exam
  • 18 years or older

Exclusion criteria

Exclusion Criteria:

  • Revision arthroplasty
  • Diagnosis of rheumatoid arthritis, infection, acute trauma or instability
  • Minors (under 18 years of age)

    • Prior open shoulder surgery
    • Concomitant latissimus dorsi transfer
    • Patients not undergoing a standard of care physical therapy protocol
    • Pregnant, patient-reported
    • Cognitively impaired
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
95 participants (actual)

Study arms

  • Experimental
    0 degrees humeral component version

    Reverse Total Shoulder Arthroplasty with humeral component positioned in 0 degrees of version

    Device: 0 degrees humeral component version

  • Experimental
    30 degrees humeral component retroversion

    Reverse Total Shoulder Arthroplasty with humeral component positioned in 30 degrees of retroversion

    Device: 30 degrees humeral component retroversion

Interventions

  • Device0 degrees humeral component version

    RTSA with humeral component positioned in 0 degrees of version

  • Device30 degrees humeral component retroversion

    RTSA with humeral component positioned in 30 degrees of retroversion

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What researchers measure

Primary outcomes

  1. Postoperative External Range of Motion (ROM)

    External range of motion measurements of the shoulder in degrees

    Time frame: 2 years

  2. Postoperative Internal Range of Motion (ROM)

    Internal range of motion measurements of the shoulder in degrees

    Time frame: 2 years

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Results

Posted Mar 5, 2024

Participant flow

Participant flow — Overall Study
Milestone0 Degrees Humeral Component Version30 Degrees Humeral Component Retroversion
Started4243
Completed3333
Not completed910
Withdrew: Lost to follow-up25
Withdrew: Withdrawal by subject43
Withdrew: Protocol violation21
Withdrew: Death11

Outcome measures

PrimaryPostoperative External Range of Motion (ROM)

External range of motion measurements of the shoulder in degrees

Time frame:
2 years
Reported as:
Mean · degrees
Postoperative External Range of Motion (ROM)
degrees0 Degrees Humeral Component Version30 Degrees Humeral Component Retroversion
Postoperative External Range of Motion (ROM)35 ± 3.439 ± 2.1
PrimaryPostoperative Internal Range of Motion (ROM)

Internal range of motion measurements of the shoulder in degrees

Time frame:
2 years
Reported as:
Mean · degrees
Postoperative Internal Range of Motion (ROM)
degrees0 Degrees Humeral Component Version30 Degrees Humeral Component Retroversion
Postoperative Internal Range of Motion (ROM)35.5 ± 3.233.5 ± 2.5

Adverse events

Collected over 2 years. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
0 Degrees Humeral Component Version1/42 (2.4%)1/42 (2.4%)11/42 (26.2%)
30 Degrees Humeral Component Retroversion1/43 (2.3%)3/43 (7%)9/43 (20.9%)
Most frequent serious events
Most frequent serious events
Event0 Degrees Humeral Component Version30 Degrees Humeral Component Retroversion
Revision Reverse Total Shoulder ArthroplastySurgical and medical procedures0/422/43
COVID Infection resulting in DeathInfections and infestations1/421/43
Most frequent other events
Showing 10 of 26
Most frequent other events
Event0 Degrees Humeral Component Version30 Degrees Humeral Component Retroversion
PainMusculoskeletal and connective tissue disorders7/427/43
Heteroptopic ossification on inferior glenoidInjury, poisoning and procedural complications0/423/43
ImpingementMusculoskeletal and connective tissue disorders1/423/43
CrepitusMusculoskeletal and connective tissue disorders2/421/43
New onset shoulder weaknessInjury, poisoning and procedural complications2/422/43
Limited Range of MotionInjury, poisoning and procedural complications2/420/43
Inferior Scapular NotchingMusculoskeletal and connective tissue disorders1/421/43
Fracture (Scapular body)Musculoskeletal and connective tissue disorders1/420/43
NumbnessMusculoskeletal and connective tissue disorders1/421/43
BrachioplexopathyInjury, poisoning and procedural complications1/420/43

Baseline characteristics

Age, Continuous
Age, Continuous(years)0 Degrees Humeral Component Version30 Degrees Humeral Component RetroversionTotal
Mean69.20 ± 8.2169.19 ± 7.4569.19 ± 7.78
Sex: Female, Male
Sex: Female, Male(Participants)0 Degrees Humeral Component Version30 Degrees Humeral Component RetroversionTotal
Female233154
Male191231
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)0 Degrees Humeral Component Version30 Degrees Humeral Component RetroversionTotal
Count of participants——0
Region of Enrollment
Region of Enrollment(Participants)0 Degrees Humeral Component Version30 Degrees Humeral Component RetroversionTotal
United States424385
08

Study locations

1 site
  • Beaumont Health
    Royal Oak, Michigan 48073, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Feb 8, 2021
  • Informed consent form · Feb 16, 2022

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 5, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03111147
Lead sponsor
William Beaumont Hospitals
Responsible party
Michael Wiater (◾Vice Chairman Orthopedic Surgery◾Chief of Shoulder Surgery ◾Program Director, Fellowship in Shoulder and Elbow Surgery ◾Program Director, Orthopaedic Surgery Residency, William Beaumont Hospitals) — Principal investigator
First posted
Apr 12, 2017
Start date
May 12, 2017
Primary completion
May 23, 2023
Completion
May 23, 2023
Results posted
Mar 5, 2024
Last update
Mar 5, 2024

Study contacts

J. Michael Wiater, MD
principal investigator · William Beaumont Hospitals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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