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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Prof
Ian
Trail
+44 (0)1257 488213
Ian.Trail@wwl.nhs.uk
Prof
Joseph
Dias
+44 (0)116 258 4702
joseph.dias@uhl-tr.nhs.uk
Dr
Stephen
Brealey
+44 (0)7450027363
stephen.brealey@york.ac.uk
More information about this study, what is involved and how to take part can be found on the study website.
Painful osteoarthritis of the shoulder joint
This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.
The aim of this study is to find the best type of joint replacement for the treatment of painful osteoarthritis of the shoulder.
With increasing age, shoulder osteoarthritis is common and causes severe pain and stiffness making everyday activities difficult. A shoulder replacement is an effective solution, reducing pain and allowing the shoulder to move better. The operation replaces damaged bone with new metal and plastic parts. There are two types of shoulder replacement:
1. Anatomic Total Shoulder Replacement which relies on the tendons (Rotator Cuff) around the shoulder to be intact and healthy
2. Reverse Total Shoulder Replacement, which is usually used when the rotator cuff becomes weaker or torn
The rotator cuff can weaken with age which may cause an anatomic replacement to stop working. This could mean a further operation to change the shoulder to a reverse total shoulder replacement. For this reason, an increasing number of patients are offered reverse shoulder replacements even when their rotator cuff is intact. Currently, there is no scientific evidence to support this change and no guidance to recommend which is the best type of shoulder joint replacement. We will investigate which type of surgery gives value for money and the best outcome.
The local PPI Group played a central role in designing this study. They felt that this is an important question to answer and that with surgery it is vital to get ‘it’ right the first time both for the patient and for economic reasons. We, therefore, asked 34 surgeons in a survey about their practice and found 87% already perform or would consider a reverse shoulder in patients with an intact rotator cuff and 74% would be willing to change practice based on the results of the study evidence. Fourteen people who are volunteers for the hospital completed a survey containing a study information sheet. Thirteen said that they would consider being randomised to a study of this type. The PPI group influenced the choice of outcome measure and suggested the addition of a linked qualitative study. A member of the group has agreed to be a co-applicant for the study. All participant documentation will be written with input from the PPI group, strengthened with support from diversity and inclusion experts.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
You can take part if:
You may not be able to take part if:
1. Shoulder replacement surgery contra-indicated2. A diagnosis of inflammatory arthritis, acute trauma or trauma sequelae3. Evidence that the patient would be unable to adhere to trial procedures or complete questionnaires4. Trial participant for TSR for opposite shoulder
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Dr
Stephen
Brealey
+44 (0)7450027363
stephen.brealey@york.ac.uk
Prof
Ian
Trail
+44 (0)1257 488213
Ian.Trail@wwl.nhs.uk
Prof
Joseph
Dias
+44 (0)116 258 4702
joseph.dias@uhl-tr.nhs.uk
More information about this study, what is involved and how to take part can be found on the study website.
The study is sponsored by Wrightington, Wigan and Leigh NHS Foundation Trust and funded by National Institute for Health and Care Research.
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Or CPMS 53735
You can print or share the study information with your GP/healthcare provider or contact the research team directly.
