Comparing Two Surgical Methods of Fixation of Subscapularis During Shoulder Arthroplasty
Comparison of Two Methods of Fixation of Subscapularis During Shoulder Arthroplasty
1 other identifier
interventional
87
1 country
1
Brief Summary
This pilot study is being conducted to compare 2 methods of access to the shoulder for arthroplasty in patients with Osteoarthritis as we do not know has a better outcome.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2006
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2006
CompletedFirst Submitted
Initial submission to the registry
July 25, 2007
CompletedFirst Posted
Study publicly available on registry
July 27, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedResults Posted
Study results publicly available
April 7, 2020
CompletedMay 5, 2020
April 1, 2020
5.1 years
July 25, 2007
May 29, 2017
April 27, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Subscapularis Strength
Subscapularis muscle strength will be measured with an electronic handheld dynamometer. Patients are asked to press the dynamometer in towards their chest (belly-press) for a period of approximately 3 seconds before releasing. Strength is measured in kilograms of force.
2 years
Secondary Outcomes (2)
Western Ontario Osteoarthritis of the Shoulder Index
2 Years
American Shoulder and Elbow Score
2 Years
Study Arms (2)
subscapularis peel
ACTIVE COMPARATORosteotomy
ACTIVE COMPARATORInterventions
Detachment of the subscapularis tendon from its insertion on the lesser tuberosity "the peel".
This group will use a technique that involves elevation of the tendon with a wafer of bone in order to gain access to the shoulder.
Eligibility Criteria
You may qualify if:
- Patients who have failed standard non-surgical management of their shoulder arthritis who would benefit from a shoulder arthroplasty.
You may not qualify if:
- Active joint or systemic infection
- Significant muscle paralysis
- Rotator cuff tear arthroplasty
- Major medical illness
- Unable to speak or read English/French
- Psychiatric illness that precludes informed consent
- Unwilling to be followed for 1 year
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Ottawa Hosptial
Ottawa, Ontario, K1y 4E9, Canada
Related Publications (2)
Lapner PL, Sabri E, Rakhra K, Bell K, Athwal GS. Healing rates and subscapularis fatty infiltration after lesser tuberosity osteotomy versus subscapularis peel for exposure during shoulder arthroplasty. J Shoulder Elbow Surg. 2013 Mar;22(3):396-402. doi: 10.1016/j.jse.2012.05.031. Epub 2012 Sep 1.
PMID: 22944077RESULTLapner PL, Sabri E, Rakhra K, Bell K, Athwal GS. Comparison of lesser tuberosity osteotomy to subscapularis peel in shoulder arthroplasty: a randomized controlled trial. J Bone Joint Surg Am. 2012 Dec 19;94(24):2239-46. doi: 10.2106/JBJS.K.01365.
PMID: 23318614RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Peter Lapner
- Organization
- Ottawa Hospital Research Institute
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Lapner, MD
OHRI
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 25, 2007
First Posted
July 27, 2007
Study Start
November 1, 2006
Primary Completion
December 1, 2011
Study Completion
December 1, 2011
Last Updated
May 5, 2020
Results First Posted
April 7, 2020
Record last verified: 2020-04