Superior Capsular Reconstruction Versus. Partial Repair for Irreparable Rotator Cuff Tears

Study Overview
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Brief Summary
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Rotator cuff tear is one of the common injuries that cause shoulder pain in the elderly. After the rotator cuff tendon is injured, repairing the torn rotator cuff tendon through arthroscopic surgery is an effective treatment that is currently widely used. In the rotator cuff injury, irreparable rotator cuff injury is a difficult point in treatment, especially for patients with a long injury time, the obvious shrinkage of the injured tendon, muscle atrophy and steatosis may occur, all of which lead to the poor quality of the rotator cuff tendon needed to be repaired , Poor healing ability, seriously affecting the shoulder joint function and daily life of these patients. For this part of patients, arthroscopic partial repair of torn rotator cuffs is one of the commonly used methods. In addition, in recent years, superior capsular reconstruction has been gradually applied to the clinic and has achieved good clinical effects, but there are no controlled studies to compare Clinical effect of partial repair and superior capsular reconstruction on irreparable rotator cuff injury.

Official Title
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Superior Capsular Reconstruction Versus. Partial Repair for Irreparable Rotator Cuff Tears: A Prospective Comparative Study

Conditions
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Rotator Cuff Tears

Intervention / Treatment
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* Procedure: superior capsular reconstuction
* Procedure: partial rotator cuff repair


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with Irreparable Rotator Cuff Tears underwent superior capsular reconstruction or partial repair at least two years follow-up Exclusion Criteria: reparable Rotator Cuff Tears underwent reverse total shoulder arthroplasty
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: SCR group<br>underwent superior capsular reconstruction | Procedure: superior capsular reconstuction<br>* these patients underwent arthroscopic superior capsular reconstuction<br>|
| Other: Partial group<br>underwent partial rotator cuff repair | Procedure: partial rotator cuff repair<br>* these patients underwent arthroscopic partial rotator cuff repair<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| American Shoulder and Elbow Surgeons (ASES) score | A patient-reported outcome measurement | 2 year postoperatively | 
| Acromiohumeral distance (AHD) | measured in x-ray | 1 year postoperatively | 
| retear rate | measured in MRI | 1 year postoperatively | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Irreparable Rotator Cuff Tears, Superior Capsular Reconstruction