5 Step Mini-open Method of Massive Rotator Cuff Repair

NCT06242158 | Completed DMC

• 1 other identifier: MS-518-2019
• Study Type: observational
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

48 patients with massive rotator cuff tears were treated with a standardized five step technique of arthroscopic guided mini-open tranosseous repair with bursal augmentation. Their follow up is noted

Conditions

Massive Rotator Cuff Tears

Outcome Measures

Primary Outcomes (1)

• Constant score

  for function of shoulder

  (Pre operative) then at post operative 1 year and 2 years

Secondary Outcomes (2)

• Vas score

  (Pre operative) then at post operative 1 year and 2 years

• UCLA score

  (Pre operative) then at post operative 1 year and 2 years

Study Arms (1)

Case with massive rotator cuff tear

Case with massive rotator cuff tear defined as more than 2 complete tendon tear that is repairable

Procedure: arthroscopic assisted mini-open 5 step repair

Interventions

arthroscopic assisted mini-open 5 step repair PROCEDURE

First step Identifying the tear size , quality and if reducible on the foot print . minimal removal of the bursa and pulling of the tendon with a grasper to reach the foot print area with gentle mobilization of the tendon . Step two Acromioplasty Using a probe, the LHBT was palpated and mobilized, looking for any signs of degeneration and fraying or instability . The LHBT was inspected either through the tear by the subacrominal portal or through the glenohumeral portal . Step three Antero-lateral mini-open approach was used through a longitudinal 4 cm skin incision Step four Transosseous repair using the giant needle was used. 3 to 4 number two fiber wire sutures was passed equidistance through the tendon Step five The subarominal bursa was used for biological augmentation of the repair

Case with massive rotator cuff tear

Eligibility Criteria

• Age: 60 Years - 84 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

These are patients who presented to cairo university hospitals between 2019 and 2023

You may qualify if:

• a case with massive rotator cuff tear that is repairable (judged intraoperative by arthroscope that the tear returns to its footprint)
• ages from 60 to 84

You may not qualify if:

• Osteoarthritis
• associated fractures
• younger than 60 orolder than 84

Sponsors & Collaborators

• Kasr El Aini Hospital: lead

Study Sites (1)

Kasr Alainy Hospital - Faculty of Medicine - Cairo University

Cairo, 11765, Egypt

Location

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PI

Study Record Dates

• First Submitted: January 27, 2024
• First Posted: February 5, 2024
• Study Start: September 19, 2019
• Primary Completion: December 30, 2023
• Study Completion: December 30, 2023
• Last Updated: February 5, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will share

Locations

EG (1)