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

NCT ID: NCT06870708

Last Updated: 2025-03-11

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

COMPLETED

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-01

Study Completion Date

2024-12-31

Brief Summary

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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

Detailed Description

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This is a prospective randomized study carried out at a tertiary trauma center between October 2022 and June 2023. The research ethical Committee authorized this study protocol \[(Institutional Review Board (IRB) number: N-383-2023)\], and all participants signed an informed consent prior to joining the study. This study included 50 patients with PT-RCTs who underwent arthroscopic repair using either the conversion technique (25 patients) in group A or the transtendon technique (25 patients) in group B. The random assignment of all patients to enter either group was computerized using simple randomization.

Conditions

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Rotator Cuff Tears

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

prospective comparative study
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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The Conversion repair technique: Group A

arthroscopic repair of partial rotator cuff tear using the conversion technique

Group Type EXPERIMENTAL

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

Intervention Type PROCEDURE

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

The Transtendon repair technique: Group B

arthroscopic repair of partial rotator cuff tear using the transtendon technique

Group Type EXPERIMENTAL

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

Intervention Type PROCEDURE

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

Interventions

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

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

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

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

49 Years

Maximum Eligible Age

63 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed hussein khalil

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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mohamed H khalil, M.D

Role: PRINCIPAL_INVESTIGATOR

Cairo University

Locations

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Faculty of Medicine, Cairo University

Giza, Cairo Governorate, Egypt

Site Status

Countries

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Egypt

References

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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.

Reference Type BACKGROUND
PMID: 37217901 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 37452830 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 26016477 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 22000411 (View on PubMed)

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.

Reference Type BACKGROUND
PMID: 23689964 (View on PubMed)

Other Identifiers

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N-383-2023

Identifier Type: -

Identifier Source: org_study_id

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