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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

06.02.2019 | Orthopaedic Surgery

Long-term results of the reverse Total Evolutive Shoulder System (TESS)

verfasst von: Sascha Beck, Theodor Patsalis, André Busch, Florian Dittrich, Marcel Dudda, Marcus Jäger, Alexander Wegner

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 8/2019

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Abstract

Introduction

Latest trends in shoulder replacement aim at bone stock preservation. Long-term results of stemless anatomical total shoulder implants compare favourably with stemmed designs in terms of function and survivorship. The Total Evolutive Shoulder System (TESS) has been one of the first designs offering a stemless implant not only for anatomical but also for reverse total shoulder arthroplasty with optional short stem attachment in cases with poor bone quality. The aim of the present study was to evaluate long-term results of the reverse Total Evolutive Shoulder System (TESS).

Materials and methods

Between 2006 and 2009, 49 shoulders in 47 patients were replaced using the Biomet reverse Total Evolutive Shoulder System (TESS). 29 shoulders in 27 patients who were aged 72.4 ± 6.7 (53–88) years were available for review at a mean follow-up of 101.6 ± 24.6 (75–142) months.

Results

The implant survival rate was 93.1% at 101 months (8.4 years). The overall revision rate of the TESS implant was 17.2%. No implant associated complications to the reverse corolla implant could be observed. All reverse corolla implants showed solid fixation at follow-up. Scapular notching was found in 72.3% of the shoulders. Clinical scores significantly improved at long-term follow-up (VAS from 7.5 ± 1.2 to 1.4 ± 1.5, p < 0.001; quick-DASH from 70.9 ± 12.0 to 28.9 ± 22.9, p < 0.001 and Constant score from 13.0 ± 3.7 to 60.5 ± 16.8, p < 0.001).

Conclusions

In terms of clinical scores, radiographic loosening, complication rates and implant survivorship the reverse Total Evolutive Shoulder System provides results comparable to those of conventional stemmed reverse shoulder arthroplasty.

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Titel: Long-term results of the reverse Total Evolutive Shoulder System (TESS)
verfasst von: Sascha Beck
Theodor Patsalis
André Busch
Florian Dittrich
Marcel Dudda
Marcus Jäger
Alexander Wegner
Publikationsdatum: 06.02.2019
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 8/2019
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-019-03135-5

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Long-term results of the reverse Total Evolutive Shoulder System (TESS)