Arthroscopic Rotator Cuff Repair: Suture Anchors Versus Arthroscopic Transosseous Fixation
Study Details
Study Description
Brief Summary
Arthroscopic transosseous fixation of rotator cuff tears has become an alternative to arthroscopic suture anchor.
This novel technique that allows surgeons to perform a standardized arthroscopic transosseous (anchor free) repair of rotator cuff tears can improve postoperative pain and reduce the incidence of shoulder stiffness.
The aim of the this study is to compare clinical outcomes of two groups of patients: patients that received an arthroscopic transosseous fixation using the ArthroTunneler tunneling device (Tornier Inc, Edina, Minnesota) versus patients that received an arthroscopic rotator cuff repair using suture anchors.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Arthroscopic transosseous fixation Patients with torn rotator cuff randomized to experimental treatment receive a complete arthroscopic transosseous cuff repair |
Device: Arthroscopic transosseous fixation
Other Names:
|
Other: Repair using suture anchors Patients randomized to this arm receive an arthroscopic rotator cuff repair using suture anchors. |
Device: Suture anchors
|
Outcome Measures
Primary Outcome Measures
- Pain [first 28 days after surgery]
Paracetamol/Codeine 500/30 is given to every patient at 08.00 and 20.00 for the first 5 days. The patient is highly recommended to indicate his pain at 19.30 and to write if there is any modification in the assumption of pain killers.
Secondary Outcome Measures
- Shoulder Stiffness [Postoperative passive range of motion is measured 2 months after surgery]
For evaluation of shoulder stiffness, passive range of motion is measured with a goniometer by a single examiner in 3 directions: forward elevation, external rotation at the side and internal rotation at the back
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age > 18, <65
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Rotator cuff tears
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Patients given written informed consent
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BMI ≤ 33
Exclusion Criteria:
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Age > 65, < 18
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previous surgical intervention
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Informed consent not accepted
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Serious comorbidity
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Diabetes
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Metabolic Disorders
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Active infections
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Muscular Atrophy
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Biceps Tenodesis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Policlinico San Donato (istituto di ricovero e cura a carattere scientifico) | San Donato Milanese | Milano | Italy | 20097 |
Sponsors and Collaborators
- University of Milan
Investigators
- Principal Investigator: Pietro Randelli, MD, IRCCS Policlinico San Donato
Study Documents (Full-Text)
None provided.More Information
Publications
- Garofalo R, Castagna A, Borroni M, Krishnan SG. Arthroscopic transosseous (anchorless) rotator cuff repair. Knee Surg Sports Traumatol Arthrosc. 2012 Jun;20(6):1031-5. doi: 10.1007/s00167-011-1725-4. Epub 2011 Oct 20.
- Garrigues GE, Lazarus MD. Arthroscopic bone tunnel augmentation for rotator cuff repair. Orthopedics. 2012 May;35(5):392-7. doi: 10.3928/01477447-20120426-04.
- Longo UG, Franceschi F, Berton A, Maffulli N, Denaro V. Arthroscopic transosseous rotator cuff repair. Med Sport Sci. 2012;57:142-152. doi: 10.1159/000328900. Epub 2011 Oct 4. Review.
- Salata MJ, Sherman SL, Lin EC, Sershon RA, Gupta A, Shewman E, Wang VM, Cole BJ, Romeo AA, Verma NN. Biomechanical evaluation of transosseous rotator cuff repair: do anchors really matter? Am J Sports Med. 2013 Feb;41(2):283-90. doi: 10.1177/0363546512469092. Epub 2012 Dec 13.
- Voos JE, Barnthouse CD, Scott AR. Arthroscopic rotator cuff repair: techniques in 2012. Clin Sports Med. 2012 Oct;31(4):633-44. doi: 10.1016/j.csm.2012.07.002. Review.
- Shoulder01