Self-locking Tenodesis of the Long Chief of the Biceps Vs. Lasso 360 Tenodesis in Arthroscopic Rotator Cuff Repair Rotator Cuff Repair

NCT ID: NCT06774820

Last Updated: 2025-02-12

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-01-22
• Study Completion Date: 2028-01-15

Brief Summary

The aim of this study is to compare the clinical results and complications of self-locking biceps tenodesis and double 360 lasso loop biceps tenodesis for the treatment of long chief of biceps or superior labrum anterior-posterior (SLAP) tendon pathology during shoulder arthroscopy in patients undergoing arthroscopic rotator cuff repair. Currently, there is no consensus on the use of tenodesis versus tenotomy to treat pathology of the long head of the biceps during arthroscopic rotator cuff repair. Numerous studies have examined the clinical results of long biceps tenotomy versus long biceps tenodesis, and there is no evidence to date of superiority of either technique. At Clinique Générale, we use a new, innovative technique called autobloc tenodesis to treat pathologies of the long head of the biceps. There are no comparative studies between autobloc tenodesis of the biceps and biceps tenodesis. Given its potential advantages, self-locking biceps tenodesis could emerge as the new technique of choice for treating biceps longus tendon pathology, potentially reducing differences in outcomes such as Popeye deformity. The information provided by this study could potentially guide future clinical practice, helping surgeons to choose the most appropriate treatment for their patients suffering from long biceps tendon pathology.

Conditions

Rotator Cuff Injury

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

self-blocking tenodesis

Group Type: EXPERIMENTAL

self-blocking tenodesis

Intervention Type: PROCEDURE

the LHB tendon is detached from its origin in the superior labrum. This technique supports the self-locking mechanism of the LHB tendon in the bicipital groove by detaching the tendon from the Y-shaped superior glenoid, including the superior labrum. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate later localization of the LHB tendon during imaging (3-0 stainless steel, ethicon).

arthroscopic tenodesis

Group Type: ACTIVE_COMPARATOR

arthroscopic tenodesis

Intervention Type: PROCEDURE

LHB tendon is detached from its origin, and sutured. Next, the LHB tendon is fixed in the bicipital groove using a 360-lasso loop tenodesis technique. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate subsequent localization of the LHB tendon during imaging (3-0 stainless steel, ethicon).

Interventions

self-blocking tenodesis

the LHB tendon is detached from its origin in the superior labrum. This technique supports the self-locking mechanism of the LHB tendon in the bicipital groove by detaching the tendon from the Y-shaped superior glenoid, including the superior labrum. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate later localization of the LHB tendon during imaging (3-0 stainless steel, ethicon).

Intervention Type: PROCEDURE

arthroscopic tenodesis

LHB tendon is detached from its origin, and sutured. Next, the LHB tendon is fixed in the bicipital groove using a 360-lasso loop tenodesis technique. A radiographically visible suture will be attached to the proximal part of the LHB tendon to facilitate subsequent localization of the LHB tendon during imaging (3-0 stainless steel, ethicon).

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Full-thickness rotator cuff tear of the supraspinatus/infraspinatus tendon, diagnosed preoperatively by ultrasound, arthro-CT or MRI.
• Patients must be able to read and write in French in order to complete the questionnaires and sign the informed consent form.

Exclusion Criteria

• Partial rotator cuff tear
• Massive and irreparable rotator cuff tear
• Grade 4 according to Goutallier classification of fatty degeneration of rotator cuff muscles
• Rupture of the long biceps
• Hourglass deformity of biceps tendon origin
• Osteoarthritis of the glenohumeral joint, defined by narrowing of the glenohumeral joint space or osteophytes, using AP radiography of the affected shoulder.
• Distance between acromion and humeral head measuring 6 mm or less, defined by Hamada classification as grade 2 or higher.
• Previous shoulder surgery.
• Dementia or inability to complete questionnaires and assessments.
• Pregnant, parturient or breast-feeding patients.
• Persons under legal protection (curatorship, guardianship, safeguard of justice).
• Persons deprived of their liberty by judicial or administrative measure
• Persons under psychiatric care
• Persons not affiliated to a social security scheme

• Minimum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Clinique Générale dAnnecy

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Clinique Générale

Annecy, , France

Site Status: RECRUITING

Countries

France

Central Contacts

Geert Alexander Buijze, MD

Role: CONTACT

gabuijze@hotmail.com

+33 6 69 96 27 33

Other Identifiers

2024-45-CGA

Identifier Type: -

Identifier Source: org_study_id