Microfracture Combined With Suture Bridge Technique Versus Greenhouse Technique in the Treatment of Medium-sized Full-thickness Rotator Cuff Injuries: A Prospective Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Rotator Cuff Tears
- Sponsor
- Beijing Jishuitan Hospital
- Enrollment
- 48
- Primary Endpoint
- tendon integrity
- Last Updated
- 5 years ago
Overview
Brief Summary
Several biological augmentation procedures have recently been suggested to enhance tendon healing after Arthroscopic rotator cuff repair, such as marrow-stimulating technique with microfractures of the greater tuberosity. The purpose of this study was to introduce a new technique, "greenhouse technique", and to compare the clinical outcomes with microfracture combined with suture bridge technique.
Detailed Description
Arthroscopic rotator cuff repair has a high rate of successful subjective and functional results. Although the rate of tendon healing is reported to be around 80% for small tears, it can decrease to about 30% for large and massive tears. Poor tissue quality of bone, tendons, and muscles can affect healing and functional recovery of the rotator cuff and has been advocated as a major cause of tendon nonhealing and/or retear. Several biological augmentation procedures have recently been suggested to enhance tendon healing after Arthroscopic rotator cuff repair, such as marrow-stimulating technique with microfractures of the greater tuberosity. The purpose of this study was to introduce a new technique, "greenhouse technique", and to compare the clinical outcomes with microfracture combined with suture bridge technique.
Investigators
Chunyan Jiang
Director of Sports Medicine Service of Beijing Jishuitan hospital
Beijing Jishuitan Hospital
Eligibility Criteria
Inclusion Criteria
- •Medium-sized full-thickness rotator cuff tear confirmed during shoulder arthroscopy
- •Between 20-65 years old
Exclusion Criteria
- •Bilateral rotator cuff tear
- •Underwent ipsilateral surgery
- •Large-to-massive rotator cuff tear
- •Combined with Bankart, SLAP or AC lesion
- •Combined with diabetes, smoking, immune disease, osteoporosis, and large nodular cystic degeneration
Outcomes
Primary Outcomes
tendon integrity
Time Frame: 1 year postoperatively
MRI was used to assess the integrity of the repaired rotator cuff tendon
Visual Analogue Scale(VAS)
Time Frame: 2 year postoperatively
A patient-reported outcome uesed to assess pain severityrange 0-10, higher scores mean a worse outcome
American Shoulder and Elbow Surgeons Shoulder (ASES) score
Time Frame: 2 years postoperatively
A patient-reported outcome uesed to assess the shoulder function,range 0-100, higher scores mean a better outcome