Columbia Shoulder Study (CSS) (CSS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01488006
Recruitment Status : Completed
First Posted : December 8, 2011
Last Update Posted : July 9, 2015
Zimmer Biomet
Information provided by (Responsible Party):
Columbia University

November 29, 2011
December 8, 2011
July 9, 2015
April 2001
October 2009   (Final data collection date for primary outcome measure)
  • Preoperative Radiographic Measurements of Standard Glenohumeral Relationships [ Time Frame: Up to 16 weeks prior to date of surgery ]
  • Change in Post-operative Radiographic Measurements of Prosthetic Relationships (Anteroposterior and Axillary x-rays) [ Time Frame: Up to 5 years postoperatively ]
    Measurements include acromiohumeral interval, head to tuberosity distance, coracoid to glenohumeral joint distance, coracoid to tuberosity distance, humeral stem position (valgus/varus), humeral congruity and subluxation, glenoid comp version.
  • Change in Radiographic Analysis for Lucent Lines and Prosthesis Loosening [ Time Frame: Up to 5 year postoperatively ]
    glenoid and humeral component lucency
Same as current
Complete list of historical versions of study NCT01488006 on Archive Site
  • Change in Score on Short-Form 36 (SF-36) [ Time Frame: Up to 5 years postoperatively. ]
    Mental component score, physical component score, mental health, physical function, role emotional, role physical, social function, vitality, bodily pain and general health
  • Change in Score on EuroQOL (EQ-5D) [ Time Frame: Up to 5 years postoperatively. ]
    Total index, visual analog scale, mobility, anxiety/depression, pain/discomfort, self-care, and usual activities.
  • Change in ASES (American Shoulder and Elbow Surgeons) Score [ Time Frame: Up to 5 years postoperatively. ]
  • Change in Total Score on Simple Shoulder Test (SST) [ Time Frame: Up to 5 years postoperatively. ]
    Total score.
  • Change in Constant Score [ Time Frame: Up to 5 years postoperatively. ]
  • Change in Range of Motion [ Time Frame: Up to 5 years postoperatively. ]
    Active and passive external rotation at 90 degrees and at side, active and passive forward elevation, active and passive abduction, active and passive internal rotation
Same as current
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Columbia Shoulder Study (CSS)
5- Year Follow-up in Total Shoulder Arthroplasty for Primary Glenohumeral Osteoarthritis: A Prospective Multicenter Study
This prospective study will evaluate the Bigliani/Flatow prosthesis. The aims of this study are to establish the safety, effectiveness, and value of the prosthetic system, and to collect information from expert shoulder surgeons as to features of the implants, instruments, and techniques which may be further improved. In this study, the investigators hypothesize that this prosthetic device will significantly improve long-term patient-based outcomes, functional status and quality of life.
Over the last two decades, total shoulder joint replacement - or arthroplasty - has become a commonly performed procedure for the treatment of painful arthritis of the shoulder, and numerous studies have demonstrated its success. During this time, much has been learned about the efficacy, as well as the complications, of the procedure, and since its introduction in the 1950's, shoulder arthroplasty has undergone an evolution in design. The value of such innovations has not yet been determined and will depend on the results of long term follow-up studies. The purpose of this study is to provide follow-up information and design modification directives.
Observational Model: Cohort
Time Perspective: Prospective
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Probability Sample
Subjects will be recruited when the decision to undergo shoulder arthroplasty is made. The surgeon will confirm that the subject is appropriate for inclusion in the study. The surgeon will confirm that the subject is appropriate for inclusion in the study.
Osteoarthritis of Glenohumeral Joint
Device: Bigliani/Flatow Shoulder System
Primary Total Shoulder Arthroplasty with the Bigliani/Flatow prosthesis
Bigliani/Flatow Shoulder System
Other than the Bigliani/Flatow device, there will be no difference in treatment between those patients undergoing arthroplasty with the Bigliani / Flatow prosthesis and those who previously received other prosthesis. APatients who decide to participate in the study will complete various forms prior to surgery (The Informed Consent, Contact Information Form, Demographics Module, and standard outcomes forms such as American Shoulder and Elbow Surgeon Score form, Constant's Score form, and the Simple Shoulder Test, EuroQOL and SF-36). The patient will also complete forms postoperatively at 3-month, 6-month, 1-year, 2-year, 3-year, 4-year and 5-year intervals (American Shoulder and Elbow Surgeon Score form, Constant's Score form, Simple Shoulder Test, EuroQOL and SF-36).
Intervention: Device: Bigliani/Flatow Shoulder System
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
Same as current
November 2012
October 2009   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patient must be 18 years of age or over.
  • Patient must have signed The Informed Consent and Release of Medical Information forms.
  • The patient can be a man, postmenopausal woman, or a woman who is likely to become pregnant but is using adequate contraceptive precautions (defined as oral contraceptives, intrauterine devices, surgical contraception or a combination of a condom and spermicide).
  • Patient needs a total shoulder arthroplasty (humeral head and glenoid).
  • Patient has a diagnosis of primary osteoarthritis.

Exclusion Criteria:

  • Obstacles, which pose an inordinately high surgical risk, in the judgment of the certified surgeon.
  • Class IV or higher anesthetic risk.
  • Patient has a recent history of psychiatric disease (including drug or alcohol abuse) that is likely to impair the compliance with the study protocol.
  • Patient has had a shoulder fracture.
  • Patient had previous shoulder surgeries with the exception of an arthroscopic debridement procedure.
  • The patients has a massive rotator cuff tear (rupture >3 cm or total cicatrisation) demonstrated at time of the surgery that precludes the total shoulder replacement.
Sexes Eligible for Study: All
18 Years and older   (Adult, Older Adult)
Contact information is only displayed when the study is recruiting subjects
United States
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Not Provided
Columbia University
Columbia University
Zimmer Biomet
Principal Investigator: William N Levine, MD Columbia University
Columbia University
July 2015