Arthroscopic Superior Capsular Reconstruction - Study of Different Types of Grafts

NCT ID: NCT03739749

Last Updated: 2023-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

WITHDRAWN

Clinical Phase

NA

Study Classification

INTERVENTIONAL

Study Start Date

2018-10-30

Study Completion Date

2022-10-30

Brief Summary

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Multicentric prospective clinical and radiological comparative study of consecutive patients with irreparable rotator cuff tears to test the hypothesis that there are significant differences in the improvement of the clinical and imaging outcomes of arthroscopic superior capsular reconstruction (ASCR) when a different type of graft is used.

Detailed Description

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Patients with irreparable rotator cuff tears who meet the eligibility criteria will be enrolled in the study and undergo arthroscopic superior capsular reconstruction using one of the following types of graft: fascia lata autograft, fascia lata allograft, Achilles tendon allograft, bovine pericardium xenograft, swine dermal xenograft, or collagen graft.

All patients will be assessed clinically, radiologically and with an MRI preoperatively and at the 6-months and at the 2-years postoperative evaluations. The range of motion (ROM), shoulder abduction strength, Constant (CS), simple shoulder test (SST) and subjective shoulder value (SSV) scores will be compared from preoperative to 6 months postoperative; from 6 months postoperative to 2 years postoperative (paired-samples t-test, two-tailed) in each group (allotment to groups is performed according to the type of graft used: fascia lata autograft, fascia lata allograft, Achilles tendon allograft, bovine pericardium xenograft, swine dermal xenograft, or collagen graft). The differences in ROM, shoulder abduction strength, CS, SST and SSV scores from preoperative to 6 months postoperative and from 6 months postoperative to 2 years postoperative will be compared between groups. All continuous variables will be compared between the group of patients with graft tears and the group without graft tears (Mann-Whitney U test). All categorical variables and outcome results will be compared between groups (Fisher's exact test). A significant difference will be defined as P\<0.05.

Conditions

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Rotator Cuff Tear Graft Complication

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Multiple group assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Fascia lata autograft

Arthroscopic superior capsular reconstruction using a fascia lata autograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Fascia lata allograft

Arthroscopic superior capsular reconstruction using a fascia lata allograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Achilles tendon allograft

Arthroscopic superior capsular reconstruction using an achilles tendon allograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Bovine pericardium allograft

Arthroscopic superior capsular reconstruction using a bovine pericardium allograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Swine dermal xenograft

Arthroscopic superior capsular reconstruction using a swine dermal xenograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Collagen allograft

Arthroscopic superior capsular reconstruction using a collagen allograft

Group Type ACTIVE_COMPARATOR

Arthroscopic superior capsular reconstruction

Intervention Type PROCEDURE

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Interventions

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Arthroscopic superior capsular reconstruction

The superior capsule of patients with irreparable rotator cuff tears will be reconstructed using an autograft or an allograft

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Rotator cuff tear arthropathy, Hamada stage 1 or 2
* Complete rotator cuff tendon tear involving one or more tendons, with a Patte stage 3 tendon retraction on the preoperative magnetic resonance imaging

Exclusion Criteria

* Rotator cuff tear arthropathy, Hamada stage 3 or 4
* Complete rotator cuff tendon tear involving one or more tendons, with Patte stage 1 or 2 tendon retraction on the preoperative magnetic resonance imaging
* Proximal humerus fracture
* Acute shoulder dislocation (in the previous 8 weeks)
Minimum Eligible Age

40 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Hospitalar Lisboa Ocidental

OTHER_GOV

Sponsor Role collaborator

General Hospital of Santo António

OTHER

Sponsor Role collaborator

Centro Hospitalar De São João, E.P.E.

OTHER

Sponsor Role collaborator

Hospital Santa Maria Maior de Barcelos

UNKNOWN

Sponsor Role collaborator

CUF Santarém Hospital

OTHER

Sponsor Role collaborator

Hospital de Braga

OTHER

Sponsor Role collaborator

Unidade Local de Saúde de Coimbra, EPE

OTHER

Sponsor Role collaborator

Hospital Cuf Descobertas

UNKNOWN

Sponsor Role collaborator

Hospital Vila Franca de Xira

OTHER

Sponsor Role collaborator

Hospital de Egas Moniz

OTHER

Sponsor Role lead

Responsible Party

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Clara Isabel de Campos Azevedo

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Clara Azevedo

Role: PRINCIPAL_INVESTIGATOR

Centro Hospitalar de Lisboa Ocidental

Locations

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Centro Hospitalar de Lisboa Ocidental

Lisbon, , Portugal

Site Status

Countries

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Portugal

References

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Lippitt S, Harryman DT, Matsen F. A pratical tool for function evaluation: the

Reference Type BACKGROUND

Patte D. Classification of rotator cuff lesions. Clin Orthop Relat Res. 1990 May;(254):81-6.

Reference Type BACKGROUND
PMID: 2323151 (View on PubMed)

Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987 Jan;(214):160-4.

Reference Type BACKGROUND
PMID: 3791738 (View on PubMed)

Gilbart MK, Gerber C. Comparison of the subjective shoulder value and the Constant score. J Shoulder Elbow Surg. 2007 Nov-Dec;16(6):717-21. doi: 10.1016/j.jse.2007.02.123.

Reference Type BACKGROUND
PMID: 18061114 (View on PubMed)

Other Identifiers

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01-2018-10HSFX

Identifier Type: -

Identifier Source: org_study_id

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