Results of Arthroscopic Massive Rotator Cuff Tears Repair With or Without Using Long Head of Biceps Tendon

Ain Shams University

Status: Active, not recruiting

Conditions: Rotator Cuff Tears

Treatments: Procedure: Arthroscopic massive rotator cuff repair; Procedure: Arthroscopic massive rotator cuff repair with superior capsular augmentation using the long head of biceps tendon

Study type: Interventional

Funder types: Other

Identifiers

NCT05817071

FMASU MD 246/2021

Details and patient eligibility

About

The Goal of this clinical trial is to asses the function of arthroscopic repair with or without superior capsular augmentation using biceps tendon .

Full description

All patients included in this clinical trial Will be informed by written consent will undergo a one week screening to determine the eligibility for study entry. Patients who meet the eligibility requirements Will be randomised in a single blinded manner ( patients).

Enrollment: 30 patients

Sex: All

Ages: 40 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 40 to 80 years old
• Patients with massive rotator cuff tear

Exclusion criteria

• patients with glenohumeral arthritis
• Acromioclavicular arthritis that requires distal clavicle resection
• Patients with other intra articular pathology like slap lesion
• Neural damage( brachial plexus injury)
• Revision cases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Arthroscopic massive Rotator Cuff Tears Repair without using long head of biceps tendon augmentation

Active Comparator group

Description:

Arthroscopic repair either complete or partial with medialization or not by anchors without using proximal part of long head of biceps tendon) ( single row or double row )(partial or complete anatomical)

Treatment:

Procedure: Arthroscopic massive rotator cuff repair

Arthroscopic Massive Rotator Cuff Tears Repair With biceps Augmentation

Experimental group

Description:

• Single or double row repair technique by Rotator Cuff(RC) anchors. Biceps augmentation will be done via release and mobilize the Long Head of Biceps Tendon from bicipital groove. then the proximal part of long head of biceps tendon will be lateralized towards greater tuberosity crossing the gap by passing 1 limb of the RC anchor using suture passer (scorpion or lasso loop) and the other limb of the same anchor was passed through torn cuff. a horizontal limb of distal part biceps tendon was interpositioned between the Rotator Cuff Tears And humeral head, aiding in biological healing and strengthening poor quality rotator cuff tendons

Treatment:

Procedure: Arthroscopic massive rotator cuff repair with superior capsular augmentation using the long head of biceps tendon