Orthopaedics
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age between 19 and 45 years Irreparable massive posterosuperior rotator cuff tear confirmed intraoperatively Goutallier grade =2 fatty infiltration of supraspinatus and/or infraspinatus Tendon retraction to or medial to the glenoid rim (Patte stage 3) Failure of nonoperative treatment for at least 6 months Intact or repairable subscapularis tendon Ability to comply with postoperative rehabilitation and follow-up schedule Provided written informed consent
Exclusion criteria
Exclusion criteria: Previous surgery on the affected shoulder Subscapularis tear requiring repair or irreparable subscapularis Advanced glenohumeral osteoarthritis (Hamada grade =3) Rheumatoid arthritis or inflammatory arthropathy Shoulder infection or systemic infection Neuromuscular disorders affecting shoulder function Rotator cuff arthropathy requiring reverse shoulder arthroplasty Massive anterior cuff deficiency Inability to comply with rehabilitation or follow-up Contraindications to anesthesia or surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in American Shoulder and Elbow Surgeons (ASES) score from baseline to 24 months postoperatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS pain during activity. | — |
Countries
Egypt
Contacts
Medical doctor