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Arthroplasty, Replacement, ShoulderNCT07815535

Three Year Outcomes After Shoulder Arthroplasty

An observational study of Arthroplasty, Replacement, Shoulder and Arthritis Shoulder, run by Vani Sabesan at 5 sites in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The purpose of this multicenter observational cohort study is to evaluate three-year outcomes in adults who underwent anatomic or reverse total shoulder arthroplasty using a contemporary shoulder implant system. Read more about this study

Who is it for?
Ages 18 years and older
How many people
300 participants
Where
5 sitesUnited States
Study dates
Sep 2026to Aug 2028
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Eligible patients will be identified from a cohort of individuals who underwent either a total or reverse shoulder arthroplasty from 2020-2024 using a single innovative implant system, with a target enrollment of 300 patients. The cohort will include patients from participating sites and the data collected will be deidentified.

Who may be able to join

  • Primary shoulder arthroplasty
  • Age >18 years at the time of surgery
  • At least 2 years from the date of surgery

Who cannot join

  • Revision shoulder arthroplasty
  • Acute fracture cases
  • Inability to obtain consent for outcome collection

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Vani J Sabesan, MD contact

754-233-3658

sabes001@gmail.com

5 sites in 1 country

United States5 sites
  • Sabesan Orthopaedics Research Inc

    Atlantis, Florida, 33462

    Vani Sabesan, MD, 754-233-3658, sabesanorthoresearch@gmail.com

  • Somers Orthopaedic Surgery & Sports Medicine Group

    Carmel, New York, 10512

    Vani Sabesan, MD, 754-233-3658, sabesanorthoresearch@gmail.com

  • Tennessee Orthopaedic Alliance

    Columbia, Tennessee, 38401

    Vani Sabesan, MD, 754-233-3658, sabesanorthoresearch@gmail.com

  • Kansas City Orthopaedic Alliance

    Leawood, Kansas, 66224

    Vani Sabesan, MD, 754-233-3658, sabesanorthoresearch@gmail.com

  • Steindler Orthopaedic Clinic

    North Liberty, Iowa, 52317

    Vani Sabesan, MD, 754-233-3658, sabesanorthoresearch@gmail.com

Other trials in United States

About this study

Official title: Evaluating Three-Year Outcomes For Total Versus Reverse Shoulder Arthroplasty

The purpose of this multicenter observational cohort study is to evaluate three-year outcomes in adults who underwent anatomic or reverse total shoulder arthroplasty using a contemporary shoulder implant system. The main questions it aims to answer are:

Are three-year patient-reported outcomes after anatomic total shoulder arthroplasty comparable to those after reverse total shoulder arthroplasty? How often do the implants used during surgery differ from the preoperative three-dimensional (3D) surgical plan, and are these differences associated with patient outcomes, complications, or revision surgery?

Read more

Researchers will compare patient-reported outcomes, function, complications, and revision rates between patients who underwent anatomic and reverse total shoulder arthroplasty.

Researchers will review participant existing medical records and surgical information. Participants whose two- or three-year outcome measures are not available may be asked to complete a one-time questionnaire by telephone or secure electronic survey. No treatments or additional clinical procedures will be performed as part of this study.

Read the detailed description

Contemporary shoulder arthroplasty systems incorporate modular components, updated implant geometry, three-dimensional (3D)-printed technology, and preoperative 3D surgical planning to support patient-specific implant selection and intraoperative decision-making. Although these features are intended to improve procedural efficiency and flexibility, multicenter evidence regarding their clinical performance and associated patient outcomes remains limited.

This multicenter observational cohort study will evaluate patients who underwent primary anatomic total shoulder arthroplasty (aTSA) or reverse total shoulder arthroplasty (rTSA) using a single contemporary shoulder arthroplasty platform between 2020 and 2024. The study will combine retrospective review of existing clinical data with prospective collection of missing two- or three-year patient-reported outcome measures at a single follow-up time point. No investigational treatment, study-directed procedure, or alteration to routine clinical care will occur.

Existing electronic medical records, operative reports, imaging, preoperative planning files, implant information, and patient-reported outcome databases will be retrospectively reviewed. Data collected will include demographic and clinical characteristics, surgical and implant details, preoperative planning parameters, postoperative function, patient-reported outcomes, complications, readmissions, reoperations, and revisions. When two- or three-year patient-reported outcomes are not available through routine clinical follow-up, participants may be contacted to complete a one-time validated questionnaire by telephone or secure electronic survey.

The primary analysis will evaluate whether three-year outcomes after aTSA are non-inferior to those after rTSA using the American Shoulder and Elbow Surgeons score and a prespecified non-inferiority margin of 9 points. Additional analyses will compare functional outcomes, complications, and revision rates between the two procedure groups.

Among patients with available preoperative 3D planning data, the study will also evaluate agreement between the planned and implanted glenoid and humeral components. Investigators will characterize the frequency and types of intraoperative deviations from the surgical plan and assess whether these deviations are associated with postoperative outcomes, complications, patient satisfaction, or revision surgery. The target sample size is up to 300 participants, with approximately 150 participants in each procedure group.

Keywords
anatomic total shoulder arthroplasty, reverse total shoulder arthroplasty, shoulder replacement, patient-reported outcomes, preoperative planning, implant selection, shoulder prosthesis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT07815535
Study groupRoleWhat they receive
Anatomic Total Shoulder ArthroplastyPatients who underwent primary anatomic total shoulder arthroplasty using the study implant platform between 2020 and 2024.
Reverse Total Shoulder ArthroplastyPatients who underwent primary reverse total shoulder arthroplasty using the study implant platform between 2020 and 2024.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. American Shoulder and Elbow Surgeons (ASES) Score

    The ASES score is a patient-reported measure of shoulder pain and function scored from 0 to 100, with higher scores indicating better outcomes. Three-year ASES scores will be compared between patients who underwent anatomic and reverse total shoulder arthroplasty.

    Measured: Three Years Postoperatively

  2. ASES Score

    The ASES score is a patient-reported measure of shoulder pain and function scored from 0 to 100, with higher scores indicating better outcomes. Three-year ASES scores will be compared between patients who underwent anatomic and reverse total shoulder arthroplasty.

    Measured: One Year, Two Years Postoperatively

Secondary outcomes (13)
  1. Simple Shoulder Test score

    The Simple Shoulder Test is a 12-item patient-reported assessment of shoulder function. Scores range from 0 to 12, with higher scores indicating better shoulder function.

    Measured: One Year, Two Years, and Three Years Postoperatively

  2. Single Assessment Numeric Evaluation score

    Participants rate their shoulder function as a percentage of normal from 0 to 100, with higher scores indicating better perceived shoulder function.

    Measured: One Year, Two Years, Three Years Postoperatively

  3. Constant-Murley score

    The Constant-Murley score evaluates shoulder pain, activities of daily living, range of motion, and strength. Scores range from 0 to 100, with higher scores indicating better shoulder function.

    Measured: One Year, Two Years, Three Years Postoperatively

  4. PENN Shoulder Score

    The Penn Shoulder Score evaluates shoulder pain, satisfaction, and function. Scores range from 0 to 100, with higher scores indicating better outcomes.

    Measured: One Year, Two Years, Three Years Postoperatively

  5. University of California Los Angeles Shoulder Score

    The UCLA Shoulder Score evaluates pain, function, active forward flexion, strength, and patient satisfaction. Scores range from 0 to 35, with higher scores indicating better outcomes.

    Measured: One Year, Two Years, Three Years Postoperatively

  6. Shoulder Pain and Disability Index

    The SPADI evaluates shoulder pain and disability. Scores range from 0 to 100, with higher scores indicating greater pain and disability.

    Measured: One Year, Two Years, Three Years Postoperatively

  7. Disabilities of the Arm, Shoulder and Hand Score

    The DASH evaluates symptoms and difficulty performing upper-extremity activities. Scores range from 0 to 100, with higher scores indicating greater disability.

    Measured: One Year, Two Years, Three Years Postoperatively

  8. Western Ontario Osteoarthritis of the Shoulder Index

    The WOOS evaluates shoulder-related physical symptoms, sports and recreation, work, and emotional function. Scores will be converted to a percentage from 0 to 100, with higher normalized scores indicating better shoulder-related quality of life.

    Measured: One Year, Two Years, Three Years Postoperatively

  9. Short Form-12 Outcome Score

    The SF-12 evaluates general health-related quality of life and produces physical and mental component summary scores. Higher scores indicate better health-related quality of life.

    Measured: One Year, Two Years, Three Years Postoperatively

  10. Shoulder Range of Motion

    Shoulder forward flexion, abduction, external rotation, and internal rotation will be obtained from available clinical records. Forward flexion, abduction, and external rotation will be measured in degrees, and each motion will be analyzed separately.

    Measured: One, Two, Three Years Postoperatively

  11. Postoperative Complications

    The number and percentage of participants experiencing postoperative complications, including infection, dislocation or instability, scapular notching, acromial stress fracture, implant failure, or rotator cuff failure, will be assessed through review of existing clinical records.

    Measured: From date of surgery to time of data abstraction

  12. Revision Shoulder Surgery

    The number and percentage of participants undergoing revision shoulder arthroplasty or another reoperation involving the operative shoulder will be assessed through review of existing clinical records.

    Measured: From date of surgery through time of study completion, an average of three years

  13. Concordance between planned and implanted components

    Among participants with available preoperative three-dimensional planning data, the proportion of cases in which the planned glenoid and humeral component characteristics match the components implanted during surgery will be determined. The number and percentage of cases with one or more deviations from the preoperative surgical plan will be assessed.

    Measured: Date of Index Surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Sep 2026
  2. Study startSep 2026 (estimated)
  3. Primary completionJan 2028 (estimated)
  4. Study completionAug 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Other
Enrolment
300 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07815535
Sponsor's protocol ID
SORE3Y001
Other IDs
DPS-JMP-CS-2025-015
Status last verified
Sep 2026
First submitted
31 Aug 2026
Last updated
11 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Simovitch R, Flurin PH, Wright T, Zuckerman JD, Roche CP. Quantifying success after total shoulder arthroplasty: the minimal clinically important difference. J Shoulder Elbow Surg. 2018 Feb;27(2):298-305. doi: 10.1016/j.jse.2017.09.013. Epub 2017 Nov 20.

    PubMed 29162305
  • Baumgarten KM. Patients who have intraoperative deviations in their preoperative plan have inferior clinical and radiographic outcomes after anatomic total shoulder arthroplasty. J Shoulder Elbow Surg. 2023 Sep;32(9):e451-e463. doi: 10.1016/j.jse.2023.01.035. Epub 2023 Mar 2.

    PubMed 36868298
  • Raiss P, Walch G, Wittmann T, Athwal GS. Is preoperative planning effective for intraoperative glenoid implant size and type selection during anatomic and reverse shoulder arthroplasty? J Shoulder Elbow Surg. 2020 Oct;29(10):2123-2127. doi: 10.1016/j.jse.2020.01.098. Epub 2020 Apr 25.

    PubMed 32340791
  • Lilley BM, Lachance A, Peebles AM, Powell SN, Romeo AA, Denard PJ, Provencher CMT. What is the deviation in 3D preoperative planning software? A systematic review of concordance between plan and actual implant in reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2022 May;31(5):1073-1082. doi: 10.1016/j.jse.2021.12.006. Epub 2022 Jan 10.

    PubMed 35017079
  • Hill JR, Jackson GR, To W, Zmistowski B, Movassaghi A, Sabesan VJ. Navigating the future: A comprehensive review of technology in shoulder arthroplasty. J Hand Microsurg. 2025 Feb 4;17(3):100224. doi: 10.1016/j.jham.2025.100224. eCollection 2025 May.

    PubMed 40170673
  • Barreto Vega A, Ramkumar PN, Kassam H, Navarro RA. Advanced technology in shoulder arthroplasty surgery: Artificial intelligence, extended reality, and robotics. Shoulder Elbow. 2024 Jul;16(4):347-351. doi: 10.1177/17585732241259165. Epub 2024 Jun 5.

    PubMed 39318415
  • Dragonas CG, Mamarelis G, Dott C, Waseem S, Bajracharya A, Leivadiotou D. Anatomic Total Shoulder Arthroplasty Versus Reverse Total Shoulder Arthroplasty in Patients Aged Over 70 Without a Full-Thickness Rotator Cuff Tear: A Systematic Review and Meta-Analysis. J Shoulder Elb Arthroplast. 2023 Oct 6;7:24715492231206685. doi: 10.1177/24715492231206685. eCollection 2023.

    PubMed 37808225
  • Beleckas CM, Schodlbauer DF, Mousad AD, Levy JC. Evaluation of new normal after shoulder arthroplasty: comparison of anatomic vs. reverse total shoulder arthroplasty. J Shoulder Elbow Surg. 2025 Jun;34(6S):S43-S49. doi: 10.1016/j.jse.2025.02.010. Epub 2025 Mar 10.

    PubMed 40074195
  • Sanchez-Sotelo J. Current Concepts in Humeral Component Design for Anatomic and Reverse Shoulder Arthroplasty. J Clin Med. 2021 Nov 2;10(21):5151. doi: 10.3390/jcm10215151.

    PubMed 34768670
  • Frank JK, Siegert P, Plachel F, Heuberer PR, Huber S, Schanda JE. The Evolution of Reverse Total Shoulder Arthroplasty-From the First Steps to Novel Implant Designs and Surgical Techniques. J Clin Med. 2022 Mar 10;11(6):1512. doi: 10.3390/jcm11061512.

    PubMed 35329837
  • Leafblad N, Asghar E, Tashjian RZ. Innovations in Shoulder Arthroplasty. J Clin Med. 2022 May 16;11(10):2799. doi: 10.3390/jcm11102799.

    PubMed 35628933
  • Best MJ, Aziz KT, Wilckens JH, McFarland EG, Srikumaran U. Increasing incidence of primary reverse and anatomic total shoulder arthroplasty in the United States. J Shoulder Elbow Surg. 2021 May;30(5):1159-1166. doi: 10.1016/j.jse.2020.08.010. Epub 2020 Aug 26.

    PubMed 32858194
  • Kim SH, Wise BL, Zhang Y, Szabo RM. Increasing incidence of shoulder arthroplasty in the United States. J Bone Joint Surg Am. 2011 Dec 21;93(24):2249-54. doi: 10.2106/JBJS.J.01994.

    PubMed 22258770
  • Cuff D, Pupello D, Virani N, Levy J, Frankle M. Reverse shoulder arthroplasty for the treatment of rotator cuff deficiency. J Bone Joint Surg Am. 2008 Jun;90(6):1244-51. doi: 10.2106/JBJS.G.00775.

    PubMed 18519317
  • Chelli M, Boileau P, Domos P, Clavert P, Berhouet J, Collin P, Walch G, Favard L. Survivorship of Reverse Shoulder Arthroplasty According to Indication, Age and Gender. J Clin Med. 2022 May 10;11(10):2677. doi: 10.3390/jcm11102677.

    PubMed 35628804

Questions about this trial

What is this clinical trial studying?

An observational study of Arthroplasty, Replacement, Shoulder and Arthritis Shoulder, run by Vani Sabesan at 5 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 11 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Vani J Sabesan, MD (754-233-3658, sabes001@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

American Shoulder and Elbow Surgeons (ASES) Score (time frame: Three Years Postoperatively). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07815535, which also lists 16 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Sep 2026.

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