Irreparable Massive Rotator Cuff Tears
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age >=18 years, gender unrestricted; 2. Massive rotator cuff injury identified by preoperative MRI imaging (criteria for massive rotator cuff injury: sagittal plane tear length >=5 cm in the anterior-posterior direction, or involvement of two or more rotator cuff tendons); 3. Intraoperative arthroscopic confirmation of irreparable massive rotator cuff tear; 4. Consent to random assignment to undergo arthroscopic supraspinatus tendon reconstruction or superior capsular reconstruction;
Exclusion criteria
Exclusion criteria: 1. Severe contraindications to anesthesia (ASA classification III or above); 2. Visual inspection revealing severe atrophy of the muscles around the shoulder joint or electromyography confirming nerve damage; 3. Preoperative imaging examination classified as Hamada grade 4 or above: Grade 4: Grade 3 + narrowing of the glenohumeral joint space; Grade 5: Humeral head cartilage defect; 4. Presence of local or systemic infectious diseases of the shoulder joint;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| average peak abductor torque; | — |
Secondary
| Measure | Time frame |
|---|---|
| shoulder abduction ROM;shoulder external rotation ROM;shoulder internal rotation ROM;Visual Analogue Scale for Pain;American Shoulder and Elbow Surgeons (ASES) Score;University of California, Los Angeles Shoulder Rating Scale (UCLA-SRS);Constant-Murley Shoulder Outcome Score;Hamada Classification of Massive Rotator Cuff Tears;Articular Head Distance;Warner Classification;Goutallier classification of rotator cuff muscle fatty degeneration;Sugaya Classification;Operation Duration;Intraoperative Blood Loss;Postoperative Complications;shoulder flexion ROM; | — |
Countries
China
Contacts
The First Affiliated Hospital of Army Medical University