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Arthroscopic Repair of Partial Thickness Articular-Side Rotator Cuff Tears: Transtendon Versus Conversion Repair Techniques

NCT ID: NCT07289659

Last Updated: 2025-12-17

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

54 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2023-03-30

Brief Summary

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This prospective randomized clinical trial compared two arthroscopic techniques for repairing partial-thickness articular-side rotator cuff tears: transtendon repair and conversion repair. Eligible patients with symptomatic tears exceeding 50% of tendon thickness, confirmed by MRI and intraoperative assessment, were randomly assigned to either repair technique. Functional outcomes, range of motion, complications, and MRI healing were assessed up to 24 months postoperatively

Detailed Description

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Conditions

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Partial Thickness Articular-Side Rotator Cuff Tears

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conversion Repair

Patients with PT-RCTs treated using the arthroscopic conversion technique.

Group Type ACTIVE_COMPARATOR

Arthroscopic Conversion Repair

Intervention Type PROCEDURE

Patients undergo arthroscopic conversion repair, where the partial-thickness tear is converted to a full-thickness tear and repaired using standard arthroscopic techniques.

Transtendon Repair

Patients with PT-RCTs treated using the arthroscopic transtendon repair technique.

Group Type ACTIVE_COMPARATOR

Arthroscopic Transtendon Repair

Intervention Type PROCEDURE

Patients undergo arthroscopic transtendon repair, preserving the intact bursal surface of the tendon while repairing the articular-side defect using suture anchors.

Interventions

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Arthroscopic Conversion Repair

Patients undergo arthroscopic conversion repair, where the partial-thickness tear is converted to a full-thickness tear and repaired using standard arthroscopic techniques.

Intervention Type PROCEDURE

Arthroscopic Transtendon Repair

Patients undergo arthroscopic transtendon repair, preserving the intact bursal surface of the tendon while repairing the articular-side defect using suture anchors.

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

18 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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Mahmoud Ahmed El-Desouky

Associate Professor of Orthopedic surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kasr Alainy

Cairo, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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N-383-2019

Identifier Type: -

Identifier Source: org_study_id