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Clinical Trial to Compare Clinical and Functional Results of the Augmentation of Supraspinatus Tears With the Long Head of the Biceps Brachii Tendon
Use of Long Head of bíceps Brachii Tendon as an Augmentation for Supraspinatus Tears: a Comparative Clinical Trial.
The goal of this clinical trial is to reduce the risk for re-tear in rotator cuff surgeries and improve clinical results in a working age population. The main questions it aims to answer are:
If we can improve surgical results using the long head of the biceps tendon as a graft.
If we can reduce the risk of re-tear using the long head of the biceps tendon as a graft.
Researchers will compare participants with rotator cuff tears with two different surgical techniques to see if their clinical results improve using the long head of the biceps tendon as a graft compared with not using a graft.
Participants will be asked to get enrolled in the study not knowing in which group they will be assigned to by signing a Informed Consent Form and both groups would have the same follow up conditions and treatment.
Studie Overzicht
Toestand
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- Active workers.
- A supraspinatus tear diagnosed in MRI.
- Modified Rohi equal or over 5 points.
- Failed conservative treatment (at least 3 months of phisiotherapy) or surgical indication secondary to acute traumatic tear with severe functional limitation.
- Age between 18 and 65.
- Long head of the biceps tendon pathology.
- Able to understand and sign the Informed Consent Form.
Exclusion Criteria:
- Tear of the subscapularis or infraspinatus tendon.
- Supraspinatus tears <1cm.
- Lack of long head of the biceps tendon.
- Rotator Cuff Arthropathy (Hamada >3).
- Glenohumeral osteoarthritis.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Verviervoudigen
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Rotator Cuff Tear Augmented with Long head of the Biceps Tendon
After the supraspinsatus tendon repair, a piece of the tenotomized long head of the biceps tendon will be obtained and it will be prepared using a device to obtain a plain rectangular shaped graft that will be used to augment the supraspinatus.
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After conventional arthroscopic repair of the supraspinsatus with a double row technique, an autologous graft obtained from the long head of the biceps will be used as a Graf to improve biological properties of the supraspinatus tear; aiming to reduce re-tears and to improve Clinical results.
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Actieve vergelijker: Rotator Cuff Tear Without Augmentation
After the supraspinatus repair, a piece of the tenotomized long head of the biceps will be obtained but not used as a graft.
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A double row technique will be performed arthroscopically.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Constant Murley Score
Tijdsspanne: From enrollment to the end of follow up at 1 year after surgery
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Shoulder specific clinical Score
|
From enrollment to the end of follow up at 1 year after surgery
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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ASES score
Tijdsspanne: From enrollment to 1 year after surgery
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American Shoulder and Elbow Score
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From enrollment to 1 year after surgery
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VAS
Tijdsspanne: From enrollment to 1 year after surgery
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Pain scale
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From enrollment to 1 year after surgery
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Range of Motion
Tijdsspanne: From enrollment to 1 year after surgery
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Motion
|
From enrollment to 1 year after surgery
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Strenght in abduction
Tijdsspanne: From enrollment to 1 year after surgery
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From enrollment to 1 year after surgery
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Re-tear rate
Tijdsspanne: From enrollment to 1 year after surgery
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From enrollment to 1 year after surgery
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Satisfaction index
Tijdsspanne: From enrollment to 1 year after surgery
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PASS score
|
From enrollment to 1 year after surgery
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Andere uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
|---|---|
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Time to return to work
Tijdsspanne: From enrollment to 1 year after surgery
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From enrollment to 1 year after surgery
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Medewerkers en onderzoekers
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 23/654-E_Tesis
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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