Sayed Issa's Hybrid Limited Shoulder Surgical Management (HLSSM)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Less open surgery trauma
研究概览
简要总结
Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (HSSM) is a limited lateral approach to the shoulder arthroscopically guided. Which achieves less surgical trauma and smaller surgical incision than even in Mini Lateral Shoulder Approach (MLSA).
详细描述
After making a full clinical, X-rays and MRI examinations of the shoulder, and finding Shoulder Impingement Syndrome, Adhesive Capsulitis, Rotator Cuff Tear, or Hill-Sachs lesion, we decide to manage the problem surgically We can survey the shoulder from the inside and determine the shape, size and the exact position of the defect by shoulder arthroscopy.
The patient is operated on under general anesthesia; shoulder arthroscopy can be performed in the lateral decubitus or beach chair position which is the basic shoulder arthroscopy (Beach Chair Patient Positioning).
After identifying the full characteristics of the lesion, we go for Mini Lateral Shoulder Approach (MLSA), as known as Second Sayed Issa's Approach.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients presented with Shoulder Impingement Syndrome refractory to conservative treatment and local steroid injection
- •Patients presented with Adhesive Capsulitis and Frozen Shoulder Syndrome refractory to conservative treatment and local steroid injection
- •Patients without femur head immigration on X-ray
- •Patients with injury for one month to six months maximum
排除标准
- •Patients with femur head immigration on X-ray
- •Patients with injury for more than six months
- •Uncontrolled diabetes mellitus type 1 and 2
- •Patients with non controlled Vascular hypertension
- •Significant renal disease, defined as a history of chronic renal failure requiring dialysis or kidney transplant.
- •Myocardial infarction, other acute cardiac event requiring hospitalization, stroke, transient ischemic attack, or treatment for acute congestive heart failure within 4 months prior to randomization
研究组 & 干预措施
Issa3
Dr.A.Sayed Issa and his team
干预措施: Sayed Issa's Hybrid Shoulder Arthroscopic-Open Surgical Management (Procedure)
结局指标
主要结局
Less open surgery trauma
时间窗: 25 minutes to 45 minutes,
Directly going to the goal lesion with less expansion
次要结局
- Smaller surgical incision than MLSA(Less than 5 cm)