Rotator Cuff Tears
Conditions
Keywords
irreparable
Brief summary
Randomized controlled trial examining superior capsule reconstruction versus tendon repair with graft interposition in irreparable rotator cuff tears.
Detailed description
RCT n = 50 Groups: 1. bridging 2. SCR Outcomes: 1. WORC 2. ASES 3. QuickDASH 4. MRI at 12 months post-op
Interventions
Superior Capsule reconstruction
Tendon repair with graft interposition
Sponsors
Study design
Masking description
Participant and research assistant collecting outcomes were blinded.
Eligibility
Inclusion criteria
1. Large to massive rotator cuff tear (with or without subscapularis tear) that may possibly be irreparable without the use of graft materials (confirmed intra-operatively) 2. Either primary tear or re-tear after previous repair 3. Radiographic evidence of Hamada stage 1-3, with or without Samilson & Prieto mild osteoarthritis (\<3mm inferior osteophyte)
Exclusion criteria
1. Primary glenohumeral osteoarthritis: radiographic evidence of Samilson & Prieto classification moderate or greater 2. Cuff tear arthropathy (CTA): radiographic evidence of Hamada stage 4 or above 3. Inflammatory joint disease of the shoulder (e.g. rheumatoid arthritis) 4. Medical issues precluding surgery 5. Unwilling or unable to complete study outcomes 6. Worker's Compensation Claim or litigation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| American Shoulder and Elbow Surgeon Outcome - patient portion | 24 months | American Shoulder and Elbow Surgeon Outcome - patient portion (minimum score = 0, maximum score = 100, best outcome = 100) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Western Ontario Rotator Cuff Index | 24 months | Western Ontario Rotator Cuff Index (score converted to /100, minimum = 0, maximum = 100, best outcome = 100) |
| Disabilities of the Arm, Shoulder and Hand - QuickDASH | 24 months | Disabilities of the Arm, Shoulder and Hand - QuickDASH (minimum = 100, maximum = 0, best outcome = 0) |
| Tendon healing, assessed via MRI | 12 months | Tendon healing (classifications: intact or retorn) |