Clinical Results of Arthroscopic-Assisted Lower Trapezius Tendon Transfer for Massive, Irreparable Rotator Cuff Tears

Not Applicable

Recruiting

• Conditions: Massive Irreparable Rotator Cuff Tears
• Interventions: Procedure: Arthroscopic-assisted lower trapezius tendon transfer surgery

• Registration Number: NCT06258278
• Lead Sponsor: Gazi University

Brief Summary

This study aimed to describe a modified technique for arthroscopic-assisted transfer of the lower trapezius tendon in a selected group of patients with irreparable rotator cuff tears and to evaluate its short-term results.

Detailed Description

Patients scheduled for surgery will undergo evaluation one day before the surgical procedure and again at the six-month postoperative mark. Pain intensity will be assessed using the Visual Analog Scale (VAS), while shoulder function will be evaluated using both the University of California, Los Angeles (UCLA) Shoulder Score and the Constant-Murley Shoulder Score.

Study Timeline

• Study Start: 2023-10-01
• Status Verified: 2024-02
• Study First Submitted: 2024-02-06
• Study First Submitted QC: 2024-02-06
• Last Update Submitted: 2024-02-06
• Study First Posted: 2024-02-14
• Last Update Posted: 2024-02-14
• Primary Completion: 2025-12-30
• Study Completion: 2026-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• patients with massive, chronic (>6 months), irreparable rotator cuff tears;
• patients with no concomitant irreparable subscapularis tears;
• patients who underwent a trial of at least 6-month period of conservative treatment with no benefit;
• patients with a stage 3 or greater degree of supraspinatus muscle fatty infiltration;

Exclusion Criteria

• patients with glenohumeral arthritis;
• patients with adhesive capsulitis or passive joint motion restriction
• patients with neurologic deficits

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Massive Irreparable Rotator Cuff Tears	Arthroscopic-assisted lower trapezius tendon transfer surgery	Patients scheduled for arthroscopically assisted lower trapezius transfer due to irreparable massive rotator cuff tears

Primary Outcome Measures

Name	Time	Method
Shoulder function	6 months after surgery	The University of California, Los Angeles (UCLA) Shoulder Rating Scale is utilized to evaluate shoulder function. This scoring system consists of a series of questions assessing pain level, function, active forward flexion, strength, and patient satisfaction. Each category is scored on a scale ranging from 0 to 10 or 0 to 5, with higher scores indicating better function and satisfaction
Pain intensity	6 months after surgery	Pain intensity is assessed using the Visual Analog Scale (VAS). Patients are presented with a 10-centimeter horizontal line labeled with 'No Pain' at one end (scored as 0) and 'Worst Pain Imaginable' at the other end (scored as 10). Patients are instructed to mark on the line the point that represents their current level of pain. The distance from the 'No Pain' end to the patient's mark is measured to determine the pain score, with higher scores indicating greater pain intensity.
Shoulder ability	6 months after surgery	The Constant-Murley score is used to evaluate shoulder function. This scoring system comprises four subscales: pain (scored out of 15 points), activities of daily living (scored out of 20 points), range of motion (scored out of 40 points), and strength (scored out of 25 points), totaling a maximum score of 100 points. Each subscale is assessed through a series of standardized maneuvers and patient-reported outcomes.

Trial Locations

Locations (1)

Gazi University Hospital; 🇹🇷 Ankara, Turkey