Reverse Shoulder Arthroplasty vs Rotator Cuff Repair for 60+ (RTSA-RCR)
Clinical Outcomes of Patients 60 Years of Age and Older: Reverse Total Shoulder Arthroplasty Versus Rotator Cuff Repair Involving Three Tendon Tears
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Margaret C Knack, BSN, MS
- Phone Number: 901-759-5413
- Email: mknack@campbell-foundation.org
Study Contact Backup
- Name: Tyler J Brolin, MD
- Phone Number: 901-759-5522
- Email: tbrolin@campbellclinic.com
Study Locations
-
-
Tennessee
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Germantown, Tennessee, United States, 38138
- Campbell Clinic
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- 60 years of age or more at time of surgery
- One year post-reverse total shoulder arthroplasty or one year post-rotator cuff repair involving all three tendons (infraspinatus, supraspinatus, subscapularis)
- Surgery completed by Dr. Tyler Brolin or Dr. Thomas Throckmorton
Exclusion Criteria:
- Less than 60 years of age at time of surgery
- Less than one year post-reverse total shoulder arthroplasty or post-rotator cuff repair
- Procedure completed by another provider than Dr. Brolin or Dr. Throckmorton
- Worker's compensation
- Fewer than three tendon tear
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Reverse Total Shoulder Arthroplasty
Retrospective record review and data abstraction of standard of care data preoperative and at least one year postoperative to include patient reported outcomes and range of motion measurements.
|
standard of care treatment reverse total shoulder arthroplasty delivered
|
|
Rotator Cuff Repair
Retrospective record review and data abstraction of standard of care data preoperative to include patient reported outcomes and range of motion measurements.
Study invitation will be extended to subjects for completion of a single study visit to collect three patient reported outcomes, range of motion and a ten minute magnetic resonance imaging exam.
|
standard of care treatment rotator cuff repair delivered
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
American Shoulder Elbow Surgeons
Time Frame: 90 days before surgery to day of surgery
|
numeric scale to quantify shoulder function from zero (worst) to one hundred (best)
|
90 days before surgery to day of surgery
|
|
American Shoulder Elbow Surgeons
Time Frame: one year after surgery
|
numeric scale to quantify shoulder function from zero (worst) to one hundred (best)
|
one year after surgery
|
|
Single Assessment Numeric Evaluation
Time Frame: 90 days before surgery to day of surgery
|
Satisfaction with Shoulder
|
90 days before surgery to day of surgery
|
|
Single Assessment Numeric Evaluation
Time Frame: one year after surgery
|
Satisfaction with Shoulder
|
one year after surgery
|
|
Visual Analog Scale
Time Frame: 90 days before surgery to day of surgery
|
numeric scale to quantify shoulder pain from zero (no pain) to ten (worst pain)
|
90 days before surgery to day of surgery
|
|
Visual Analog Scale
Time Frame: one year after surgery
|
numeric scale to quantify shoulder pain from zero (no pain) to ten (worst pain)
|
one year after surgery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Revision rate
Time Frame: one year after surgery
|
occurrence of repeat surgery
|
one year after surgery
|
|
Sugaya
Time Frame: one year after surgery
|
Measure of tendon quality from one (intact) to five (completely torn)
|
one year after surgery
|
|
Range of motion
Time Frame: 90 day to surgery
|
shoulder movement measurement
|
90 day to surgery
|
|
Range of motion
Time Frame: one year after surgery
|
shoulder movement measurement
|
one year after surgery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Tyler J Brolin, MD, Campbell Clinic
Publications and helpful links
General Publications
- Allert JW, Sellers TR, Simon P, Christmas KN, Patel S, Frankle MA. Massive Rotator Cuff Tears in Patients Older Than Sixty-five: Indications for Cuff Repair versus Reverse Total Shoulder Arthroplasty. Am J Orthop (Belle Mead NJ). 2018 Dec;47(12). doi: 10.12788/ajo.2018.0109.
- Jacquot A, Dezaly C, Goetzmann T, Roche O, Sirveaux F, Mole D; French Society for Shoulder, Elbow (SOFEC). Is rotator cuff repair appropriate in patients older than 60 years of age? prospective, randomised trial in 103 patients with a mean four-year follow-up. Orthop Traumatol Surg Res. 2014 Oct;100(6 Suppl):S333-8. doi: 10.1016/j.otsr.2014.04.004. Epub 2014 Aug 23.
- Robinson PM, Wilson J, Dalal S, Parker RA, Norburn P, Roy BR. Rotator cuff repair in patients over 70 years of age: early outcomes and risk factors associated with re-tear. Bone Joint J. 2013 Feb;95-B(2):199-205. doi: 10.1302/0301-620X.95B2.30246.
- Gowda CS, Mirza K, Galagali DA. Rotator Cuff Tears: Correlation Between Clinical Examination, Magnetic Resonance Imaging and Arthroscopy. Cureus. 2024 Mar 12;16(3):e56065. doi: 10.7759/cureus.56065. eCollection 2024 Mar.
- Adam MF, Ladermann A, Denard PJ, Lacerda F, Collin P. Preoperative diagnosis and rotator cuff status impact functional internal rotation following reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2024 Jul;33(7):1570-1576. doi: 10.1016/j.jse.2023.11.020. Epub 2024 Jan 11.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 25-010480-XP
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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