Arthroscopic Rotator Cuff Tear Repair: Single Versus Double Layer Fixation
A Randomized Clinical Trial Comparing Arthroscopic Double- Versus Single-layer Reconstruction of the Rotator Cuff: Clinical and Radiological Outcome
1 other identifier
interventional
70
1 country
1
Brief Summary
Retear rates after arthroscopic rotator cuff repairs remain unsatisfactorily high. Recently, attention has been paid to restore the rotator cuff's native anatomy by reconstructing the superior joint capsule. However, the debate whether to reconstruct only the superficial tendinous part or also the deeper capsulo-ligamentous part of the rotator cuff is ongoing. Thus, the intention of the present study is to compare double-layer versus single-layer arthroscopic rotator cuff repair regarding retear rate and clinical 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 Jun 2015
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
June 18, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2017
CompletedFirst Submitted
Initial submission to the registry
November 16, 2017
CompletedFirst Posted
Study publicly available on registry
December 5, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedJuly 14, 2020
July 1, 2020
1.7 years
November 16, 2017
July 11, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Retear rate
Comparison of re-ruptures rate evaluated with magnetic resonance imaging between groups
12 months postoperatively
Secondary Outcomes (11)
Constant-Murley score
baseline, 24 and 60 months postoperatively
Range of motion (ROM)
baseline, 24 and 60 months postoperatively
Satisfaction with the procedure
24 and 60 months postoperatively
VAS
baseline, 24 and 60 months postoperatively
SST
baseline and 24 months postoperatively
- +6 more secondary outcomes
Study Arms (2)
double layer fixation
EXPERIMENTALPatients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with double layer fixation
single layer fixation
EXPERIMENTALPatients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with single layer fixation
Interventions
Eligibility Criteria
You may qualify if:
- patients with repairable supra- and infraspinatus tears scheduled for arthroscopic rotator cuff fixation
- tear size of at least 2.5 cm and up to 4.0 cm
- signed informed consent
You may not qualify if:
- axillary nerve palsy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
St. Vincent Shoulder & Sports Clinic
Vienna, Austria
Related Publications (1)
Heuberer PR, Pauzenberger L, Gruber MS, Ostermann RC, Hexel M, Laky B, Anderl W. Delaminated Rotator Cuff Tears Showed Lower Short-term Retear Rates After Arthroscopic Double-Layer Repair Versus Bursal Layer-Only Repair: A Randomized Controlled Trial. Am J Sports Med. 2020 Mar;48(3):689-696. doi: 10.1177/0363546519897033. Epub 2020 Jan 9.
PMID: 31917608DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Werner Anderl, MD
Austrian Research Group for Regenerative and Orthopedic Medicine
- PRINCIPAL INVESTIGATOR
Philipp R Heuberer, MD
Austrian Research Group for Regenerative and Orthopedic Medicine
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
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
November 16, 2017
First Posted
December 5, 2017
Study Start
June 18, 2015
Primary Completion
February 28, 2017
Study Completion
December 1, 2022
Last Updated
July 14, 2020
Record last verified: 2020-07