Rotator Cuff Tears
Conditions
Keywords
Massive cuff tears, Biceps autograft, Arthroscopic repair partial or complete, Retear, Superior capsular augmentation
Brief summary
The Goal of this clinical trial is to asses the function of arthroscopic repair with or without superior capsular augmentation using biceps tendon .
Detailed description
All patients included in this clinical trial Will be informed by written consent will undergo a one week screening to determine the eligibility for study entry. Patients who meet the eligibility requirements Will be randomised in a single blinded manner ( patients).
Interventions
Arthroscopic massive rotator cuff repair without biceps tendon augmentation either partial or complete repair.
Arthroscopic massive rotator cuff repair with superior capsular augmentation using the long head of biceps tendon .
Sponsors
Study design
Eligibility
Inclusion criteria
* age 40 to 80 years old * Patients with massive rotator cuff tear
Exclusion criteria
* patients with glenohumeral arthritis * Acromioclavicular arthritis that requires distal clavicle resection * Patients with other intra articular pathology like slap lesion * Neural damage( brachial plexus injury) * Revision cases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Functional shoulder constant score (assess the change pre operative and post operative during study period completion) | 1- preoperative 2- six months post operative 3- one year post operative | Assess the change of Constant score of the patients pre operative and during follow up duration of the study on multiple periods (a multi-item functional scale assessing pain, activity of daily living , range of motion and strength of the affected shoulder. Its score ranges from 0 to 100 points, representing worst and best shoulder function, respectively.) |
| Functional shoulder ases score (assess the change preoperative and postoperative during study period completion ) | 1- preoperative 2- six months post operative 3- one year post operative | Assess the change in Ases score pre operative and post operative during study completion on multiple periods ( American shoulder and elbow surgeons standardized form)Scores range from 0 to 100 with a score of 0 indicating a worse shoulder condition and 100 indicating a better shoulder condition. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Shoulder Pain ( assess the change preoperative and postoperative during the study period completion) | 1 pre operative 2 two weeks post operative 3 six months post operative | Asses the change in the visual analog score ( zero equal no pain and 10 equal severest pain ) pre operative and post operative during study period on different periods |
Countries
Egypt