Rotator Cuff Tears of the Shoulder
Conditions
Keywords
rotator cuff, shoulder, platelet rich plasma, fibrin
Brief summary
The objective of this study was to prospectively evaluate the influence of local application of Platelet Rich Fibrin (PRF) on the functional outcome and integrity of the arthroscopically repaired tendons in patients with massive tears of the rotator cuff.
Detailed description
A prospective, randomized clinical trial was performed on 28 patients (22 females, 6 males) with an average age of 65 years (range, 53 to 77) undergoing complete arthroscopic repair of a massive rotator cuff tear. In 14 patients, after the repair was completed, 6 cc. of PRF (vivostat ®) were locally applied to the repair site. In 14 patients no addition of PRF was performed. All patients underwent an arthro-MRI to evaluate the integrity of the repair and a clinical exam one year after the operation. All patients were then followed clinically at a minimum of 2 years. Functional outcome was evaluated with the Constant and DASH scores.
Interventions
after the tendon is repaired, no additional procedures are performed and no PRF is administered
7cc. of autologous PRF are locally administered to the repair site after reconstruction of the rotator cuff
Sponsors
Study design
Eligibility
Inclusion criteria
* Massive rotator cuff tears affecting supraspinatus and infraspinatus * Failed conservative treatment for at least 6 months * No hematologic disorder
Exclusion criteria
* Rotator cuff affecting subscapularis * chronic infectious disease * anemia * clot disorders * low platelet count * history of difficulty in venous puncture
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| rotator cuff tear healing rate after surgical reconstruction evaluated by arthro-MRI | one year |
Secondary
| Measure | Time frame |
|---|---|
| functional outcome evaluated with constant score | two years |
| disability outcome evaluated with dash score | two years |
Countries
Spain