Skip to main content
SpringerLink
Log in

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

  • Orthopaedic Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Churchill RS, Athwal GS (2016) Stemless shoulder arthroplasty-current results and designs. Curr Rev Musculoskelet Med 9:10–16. https://doi.org/10.1007/s12178-016-9320-4

    Article  PubMed Central  PubMed  Google Scholar 

  2. Beck S, Beck V, Wegner A, Dudda M, Patsalis T, Jager M (2018) Long-term survivorship of stemless anatomical shoulder replacement. Int Orthop. https://doi.org/10.1007/s00264-018-3779-0

    Article  PubMed  Google Scholar 

  3. Hawi N, Magosch P, Tauber M, Lichtenberg S, Habermeyer P (2017) Nine-year outcome after anatomic stemless shoulder prosthesis: clinical and radiologic results. J Shoulder Elbow Surg 26:1609–1615. https://doi.org/10.1016/j.jse.2017.02.017

    Article  Google Scholar 

  4. Kadum B, Mafi N, Norberg S, Sayed-Noor AS (2011) Results of the total evolutive shoulder system (TESS): a single-centre study of 56 consecutive patients. Arch Orthop Trauma Surg 131:1623–1629. https://doi.org/10.1007/s00402-011-1368-4

    Article  PubMed  Google Scholar 

  5. Teissier P, Teissier J, Kouyoumdjian P, Asencio G (2015) The TESS reverse shoulder arthroplasty without a stem in the treatment of cuff-deficient shoulder conditions: clinical and radiographic results. J Shoulder Elbow Surg 24:45–51. https://doi.org/10.1016/j.jse.2014.04.005

    Article  PubMed  Google Scholar 

  6. Sirveaux F, Favard L, Oudet D, Huquet D, Walch G, Mole D (2004) Grammont inverted total shoulder arthroplasty in the treatment of glenohumeral osteoarthritis with massive rupture of the cuff. Results of a multicentre study of 80 shoulders. J Bone Jt Surg Br 86:388–395

    Article  CAS  Google Scholar 

  7. Huguet D, DeClercq G, Rio B, Teissier J, Zipoli B, Group T (2010) Results of a new stemless shoulder prosthesis: radiologic proof of maintained fixation and stability after a minimum of three years’ follow-up. J Shoulder Elbow Surg 19:847–852. https://doi.org/10.1016/j.jse.2009.12.009

    Article  PubMed  Google Scholar 

  8. Moroder P, Ernstbrunner L, Zweiger C, Schatz M, Seitlinger G, Skursky R, Becker J, Resch H, Krifter RM (2016) Short to mid-term results of stemless reverse shoulder arthroplasty in a selected patient population compared to a matched control group with stem. Int Orthop 40:2115–2120. https://doi.org/10.1007/s00264-016-3249-5

    Article  PubMed  Google Scholar 

  9. Ascione F, Domos P, Guarrella V, Chelli M, Boileau P, Walch G (2018) Long-term humeral complications after Grammont-style reverse shoulder arthroplasty. J Shoulder Elbow Surg 27:1065–1071. https://doi.org/10.1016/j.jse.2017.11.028

    Article  PubMed  Google Scholar 

  10. Cazeneuve JF, Cristofari DJ (2011) Long term functional outcome following reverse shoulder arthroplasty in the elderly. Orthop Traumatol Surg Res 97:583–589. https://doi.org/10.1016/j.otsr.2011.03.025

    Article  PubMed  Google Scholar 

  11. Levigne C, Garret J, Boileau P, Alami G, Favard L, Walch G (2011) Scapular notching in reverse shoulder arthroplasty: is it important to avoid it and how? Clin Orthop Relat Res 469:2512–2520. https://doi.org/10.1007/s11999-010-1695-8

    Article  PubMed  Google Scholar 

  12. Bacle G, Nove-Josserand L, Garaud P, Walch G (2017) Long-term outcomes of reverse total shoulder arthroplasty: a follow-up of a previous study. J Bone Jt Surg Am 99:454–461. https://doi.org/10.2106/JBJS.16.00223

    Article  Google Scholar 

  13. Levigne C, Boileau P, Favard L, Garaud P, Mole D, Sirveaux F, Walch G (2008) Scapular notching in reverse shoulder arthroplasty. J Shoulder Elbow Surg 17:925–935. https://doi.org/10.1016/j.jse.2008.02.010

    Article  PubMed  Google Scholar 

  14. von Engelhardt LV, Manzke M, Filler TJ, Jerosch J (2015) Short-term results of the reverse total evolutive shoulder system (TESS) in cuff tear arthropathy and revision arthroplasty cases. Arch Orthop Trauma Surg 135:897–904. https://doi.org/10.1007/s00402-015-2218-6

    Article  Google Scholar 

  15. Erickson BJ, Frank RM, Harris JD, Mall N, Romeo AA (2015) The influence of humeral head inclination in reverse total shoulder arthroplasty: a systematic review. J Shoulder Elbow Surg 24:988–993. https://doi.org/10.1016/j.jse.2015.01.001

    Article  PubMed  Google Scholar 

  16. Werner BS, Chaoui J, Walch G (2017) The influence of humeral neck shaft angle and glenoid lateralization on range of motion in reverse shoulder arthroplasty. J Shoulder Elbow Surg 26:1726–1731. https://doi.org/10.1016/j.jse.2017.03.032

    Article  PubMed  Google Scholar 

  17. Ballas R, Beguin L (2013) Results of a stemless reverse shoulder prosthesis at more than 58 months mean without loosening. J Shoulder Elbow Surg 22:e1–e6. https://doi.org/10.1016/j.jse.2012.12.005

    Article  PubMed  Google Scholar 

  18. Ernstbrunner L, Suter A, Catanzaro S, Rahm S, Gerber C (2017) Reverse total shoulder arthroplasty for massive, irreparable rotator cuff tears before the age of 60 years: long-term results. J Bone Jt Surg Am 99:1721–1729. https://doi.org/10.2106/JBJS.17.00095

    Article  Google Scholar 

  19. Guery J, Favard L, Sirveaux F, Oudet D, Mole D, Walch G (2006) Reverse total shoulder arthroplasty. Survivorship analysis of eighty replacements followed for five to ten years. J Bone Jt Surg Am 88:1742–1747. https://doi.org/10.2106/JBJS.E.00851

    Article  Google Scholar 

  20. Favard L, Levigne C, Nerot C, Gerber C, De Wilde L, Mole D (2011) Reverse prostheses in arthropathies with cuff tear: are survivorship and function maintained over time? Clin Orthop Relat Res 469:2469–2475. https://doi.org/10.1007/s11999-011-1833-y

    Article  PubMed Central  PubMed  Google Scholar 

Download references

Funding

There is no funding source to declare.

Author information

Authors and Affiliations

  1. Department of Orthopaedics and Trauma Surgery, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany

    Sascha Beck, André Busch, Florian Dittrich, Marcel Dudda, Marcus Jäger & Alexander Wegner

  2. Department of Shoulder, Elbow, Hand and Foot Surgery, St. Josef Hospital, Bergstrasse 6-12, 42105, Wuppertal, Germany

    Theodor Patsalis

Authors
  1. Sascha Beck
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Theodor Patsalis
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. André Busch
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Florian Dittrich
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Marcel Dudda
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Marcus Jäger
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Alexander Wegner
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sascha Beck.

Ethics declarations

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.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Beck, S., Patsalis, T., Busch, A. et al. Long-term results of the reverse Total Evolutive Shoulder System (TESS). Arch Orthop Trauma Surg 139, 1039–1044 (2019). https://doi.org/10.1007/s00402-019-03135-5

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-019-03135-5

Keywords

Search

Navigation