Archives of Orthopaedic and Trauma Surgery

, Volume 139, Issue 8, pp 1039–1044 | Cite as

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

  • Sascha BeckEmail author
  • Theodor Patsalis
  • André Busch
  • Florian Dittrich
  • Marcel Dudda
  • Marcus Jäger
  • Alexander Wegner
Orthopaedic Surgery



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.


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).


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.


TESS Stemless Reverse shoulder arthroplasty Long-term follow-up Survivorship 



There is no funding source to declare.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study has been approved by the local ethical committee, study number 15-6695.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopaedics and Trauma SurgeryUniversity Hospital Essen, University of Duisburg-EssenEssenGermany
  2. 2.Department of Shoulder, Elbow, Hand and Foot SurgerySt. Josef HospitalWuppertalGermany

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