Arthroscopic Repair Of Partial Thickness Articular Side Rotator Cuff Tears Using Transtendon Versus Conversion Repair Techniques

NCT06870708 | Completed

• 1 other identifier: N-383-2023
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to compare the functional results of patients who underwent two different arthroscopic methods for the management of articular-sided partial-thickness rotator cuff tears (PT-RCTs). The present study aims to compare the functional results following the repair of PT-RCTs using the conversion versus the trastendon techniques

Conditions

Rotator Cuff Tears

Keywords

Partial thickness rotator cuff tear; Transtendon technique; conversion technique.

Outcome Measures

Primary Outcomes (2)

• American Shoulder and Elbow Surgeons score

  shoulder score, the maximum is 100, the minimum is zero, a higher score means a better outcome

  baseline, and 18 months after surgery

• Constant and Murley score

  shoulder score, the maximum is 100, the minimum is zero, a higher score means a better outcome

  baseline, and 18 months after surgery

Secondary Outcomes (1)

• Visual analogue scale

  baseline, and 18 months after surgery

Study Arms (2)

The Conversion repair technique: Group A

EXPERIMENTAL

arthroscopic repair of partial rotator cuff tear using the conversion technique

Procedure: arthroscopic repair of partial rotator cuff tear using the conversion versus the transtendon technique

The Transtendon repair technique: Group B

EXPERIMENTAL

arthroscopic repair of partial rotator cuff tear using the transtendon technique

Procedure: arthroscopic repair of partial rotator cuff tear using the conversion versus the transtendon technique

Interventions

arthroscopic repair of partial rotator cuff tear using the conversion versus the transtendon technique PROCEDURE

arthroscopic repair of partial rotator cuff tear using the conversion versus the transtendon technique

The Conversion repair technique: Group A; The Transtendon repair technique: Group B

Eligibility Criteria

• Age: 49 Years - 63 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients suffering symptomatic PT-RCTs exceeding 50% of the tendon thickness, documented by preoperative magnetic resonance imaging (MRI) and confirmed by arthroscopy intraoperative.
• Failure of nonoperative management for at least 3 months.

You may not qualify if:

• Prior shoulder surgery.
• Severe concomitant pathologies including glenohumeral arthritis, advanced subscapularis tear, and biceps tendon rupture.
• Associated Bankart lesion.
• Patients with uncontrolled Diabetes mellites.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Medicine, Cairo University

Giza, Cairo Governorate, Egypt

Location

Related Publications (5)

• Yang Y, Hu D, Chen S, Guan S, Shang X. Transtendon technique versus repair after completion of the tear for articular-sided partial rotator cuff tear: a meta-analysis of comparative studies. J Orthop Surg Res. 2023 May 22;18(1):378. doi: 10.1186/s13018-023-03831-4.

  PMID: 37217901 BACKGROUND

• Thamrongskulsiri N, Limskul D, Itthipanichpong T, Tanpowpong T, Kuptniratsaikul S. Similar outcomes between transtendon repair and tear completion repair techniques for partial articular-sided supraspinatus tendon avulsion lesions: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2023 Oct;31(10):4575-4584. doi: 10.1007/s00167-023-07502-z. Epub 2023 Jul 15.

  PMID: 37452830 BACKGROUND

• Sun L, Zhang Q, Ge H, Sun Y, Cheng B. Which is the best repair of articular-sided rotator cuff tears: a meta-analysis. J Orthop Surg Res. 2015 May 28;10:84. doi: 10.1186/s13018-015-0224-6.

  PMID: 26016477 BACKGROUND

• Shin SJ. A comparison of 2 repair techniques for partial-thickness articular-sided rotator cuff tears. Arthroscopy. 2012 Jan;28(1):25-33. doi: 10.1016/j.arthro.2011.07.005. Epub 2011 Oct 14.

  PMID: 22000411 BACKGROUND

• Castagna A, Borroni M, Garofalo R, Rose GD, Cesari E, Padua R, Conti M, Gumina S. Deep partial rotator cuff tear: transtendon repair or tear completion and repair? A randomized clinical trial. Knee Surg Sports Traumatol Arthrosc. 2015 Feb;23(2):460-3. doi: 10.1007/s00167-013-2536-6. Epub 2013 May 21.

  PMID: 23689964 BACKGROUND

MeSH Terms

Conditions

Rotator Cuff Injuries

Condition Hierarchy (Ancestors)

Rupture; Wounds and Injuries; Shoulder Injuries; Tendon Injuries

Study Officials

• mohamed H khalil, M.D

  Cairo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: prospective comparative study

Study Record Dates

• First Submitted: March 6, 2025
• First Posted: March 11, 2025
• Study Start: October 1, 2022
• Primary Completion: December 31, 2024
• Study Completion: December 31, 2024
• Last Updated: March 11, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)