Clinical trial NCT06870708: Arthroscopic Repair Of Partial Thickness Articular Side Rotator Cuff Tears Using Transtendon Versus Conversion Repair Techniques
Official title: Arthroscopic Repair Of Partial Thickness Articular Side Rotator Cuff Tears Using Transtendon Versus Conversion Repair Techniques
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Rotator Cuff Tears
Keywords: Partial thickness rotator cuff tear; Transtendon technique; conversion technique.
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2025-03-11
Enrollment: 50
Sex: ALL
Minimum age (years): 49
Maximum age (years): 63
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: prospective comparative study
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: The inclusion criteria were:

* 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.

The exclusion criteria were:

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

Primary outcomes:
measure: American Shoulder and Elbow Surgeons score
timeFrame: baseline, and 18 months after surgery
measure: Constant and Murley score
timeFrame: baseline, and 18 months after surgery
Secondary outcomes:
measure: Visual analogue scale
timeFrame: baseline, and 18 months after surgery
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Faculty of Medicine, Cairo University
state: Cairo
Study officials:
affiliation: Cairo University
name: mohamed H khalil, M.D
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.
citation: 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.