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Arthroscopic Rotator Cuff Repair With Platelet-Rich Plasma(PRP) in Large to Massive Tears

Not Applicable
Completed
Conditions
Rotator Cuff Tear
Interventions
Procedure: Arthroscopic rotator cuff repair with PRP
Procedure: Conventional arthroscopic rotator cuff repair
Registration Number
NCT01238302
Lead Sponsor
Seoul National University Hospital
Brief Summary

* The purpose of this study is to compare the clinical and anatomical outcomes of rotator cuff repair with Platelet-Rich Plasma(PRP) and conventional rotator cuff repair in treatment of large to massive rotator cuff tears.

* PRP application to arthroscopic rotator cuff repair would accelerate recovery after arthroscopic rotator cuff repair in terms of pain relief, functional outcomes, overall satisfaction, and enhance structural integrity of repaired tendon.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria

large to massive rotator cuff tear as a determined by clinical examination and MR prior to surgery.

Exclusion Criteria
  • previous history of shoulder surgery
  • acute trauma
  • chronic dislocation
  • pyogenic infection
  • rotator cuff arthropathy with glenohumeral osteoarthritis and superior migration of the humeral head
  • showed abnormal serological test results
  • thrombocytopenia (platelets less than 15000 per microliter)
  • had been received anti-platelet medication
  • psychiatric problems that precludes informed consent or inability to read or write
  • other serious problems that preclude participation of the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PRP groupArthroscopic rotator cuff repair with PRP-
Conventional groupConventional arthroscopic rotator cuff repair-
Primary Outcome Measures
NameTimeMethod
structural integrity of repaired rotator cuff tendonpostoperative 9months

To evaluate structural outcomes, magnetic resonance(MR)imaging or computed tomography arthrography were used at minimum postoperative 9months.

The structural integrity was evaluated using Sugaya's method;

* type I, sufficient thickness with homogenously low intensity

* type II, insufficient thickness partial high intensity

* type III, insufficient thickness without discontinuity (thinned cuff)

* type IV, presence of minor discontinuity

* type V, presence of a major discontinuity

Type I, II, and III were considered as healed, while type IV, and V were considered as retear.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Joint & Spine Center, SMG-SNU Boramae Medical Center, Department of Orthopedic Surgery, Seoul National University College of Medicine

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Seoul, Korea, Republic of

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