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
试验速览
- 阶段
- 不适用
- 入组人数
- 48
- 主要终点
- tendon integrity
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medium-sized full-thickness rotator cuff tear confirmed during shoulder arthroscopy
- •Between 20-65 years old
排除标准
- •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
结局指标
主要结局
tendon integrity
时间窗: 1 year postoperatively
MRI was used to assess the integrity of the repaired rotator cuff tendon
Visual Analogue Scale(VAS)
时间窗: 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
时间窗: 2 years postoperatively
A patient-reported outcome uesed to assess the shoulder function,range 0-100, higher scores mean a better outcome
次要结局
未报告次要终点
研究者
Chunyan Jiang
Director of Sports Medicine Service of Beijing Jishuitan hospital
Beijing Jishuitan Hospital