FiberLocker® System Augmentation of Rotator Cuff Repairs
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 4
- 主要终点
- Healing Evaluation
研究概览
简要总结
The purpose of this study is to prospectively evaluate healing, functional clinical outcomes, and safety of arthroscopic rotator cuff repairs augmented with the FiberLocker® System (encompassing the SpeedPatch® PET and the FiberLocker® Instrument).
The primary outcome measure is healing evaluation based on Magnetic Resonance Imaging (MRI) at a minimum of 6 months post-operatively.
The secondary outcome measures are the Sugaya classification, Goutallier Stage and tendon quality based on MRI as well as objective scores and patient-reported outcome measures (PROMs) from validated outcome scoring systems.
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
- 年龄范围
- 30 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The Subject is between the ages of 30 and 70 years.
- •Subject is planning to undergo arthroscopic surgery for full-thickness rotator cuff tear (RCT)
- •Tear size ≥ 2 cm
- •Primary rotator cuff repair
- •Subject preoperative MRI obtained within 1 year prior to surgery
排除标准
- •The Subject is unable or unwilling to sign the Patient Informed Consent, approved by the Institutional Review Board.
- •The Subject objects to the use of the FiberLocker® System
- •History or known allergy or intolerance to polyester
- •Complete full-thickness subscapularis tears of > than the superior 1/3 of the tendon (Lafosse grade 3 and above)
- •Hamada grade III and above
- •Less than 2 mm joint space of the glenohumeral joint on either an anteroposterior or axillary radiograph
- •Recurrent shoulder instability
- •Corticosteroid injection in the operative shoulder within three months before surgery
- •Subjects with inflammatory or auto-immune based joint diseases (e.g., rheumatoid arthritis, systemic lupus erythematosus)
- •Subjects with current acute infection in the area surrounding the surgical site
- •Revision rotator cuff repair
- •Pregnant or planning to become pregnant during the study period
- •Subject is breastfeeding during the study period
- •Subject has conditions or circumstances that would interfere with study requirements
- •The subject's condition represents a worker's compensation case
- •Intraoperative Exclusion Criteria:
- •Partial rotator cuff repairs
- •Lafosse grade 3 or higher subscapularis tears
- •Limited space for implant delivery
- •FiberLocker® System cannot be used as indicated
研究组 & 干预措施
Augmentation of Rotator Cuff Repair using the FiberLocker® System
All enrolled participants will undergo repair of the rotator cuff tear, with augmentation utilizing the FiberLocker® System.
干预措施: FiberLocker® System (encompassing FiberLocker® Instrument & SpeedPatch® PET) (Device)
结局指标
主要结局
Healing Evaluation
时间窗: Pre-operatively & minimum 6 months post-operatively
The primary outcome measure is healing evaluation based on Magnetic Resonance Imaging (MRI) at a minimum of 6 months post-operatively. A standard shoulder MRI protocol utilizing a minimum of a 1.5 Tesla magnet will be utilized. The cuff integrity will be classified using the 5 categories described by Sugaya et al. Thereby, type IV and V are considered as retear and type I, II, and III as healed. The healing rate will be estimated and reported descriptively, and a 95% confidence interval will be reported assuming a binomial distribution (unless otherwise noted).
次要结局
- Sugaya Classification(Minimum 6 months post-operatively)
- Tendon Quality(Pre-operatively & minimum 6 months post-operatively)
- Veterans RAND 12-Item Health Survey (VR-12)(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months)
- Range of Motion (ROM) Assessment(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months)
- Constant-Murley Score(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months (all optional))
- (Serious) Adverse Events, (Serious) Adverse Device Effects and Device Deficiencies(From the surgical intervention to 24 months postoperatively)
- Goutallier Stage(Pre-operatively & minimum 6 months post-operatively)
- American Shoulder and Elbow Surgeons (ASES) Score(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months)
- Visual Analog Scale for pain (VAS Score)(Pre-operatively, Post-operatively: 2 weeks, 6 months, 12 months, 24 months)
- Strength Assessment(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months)
- Single Assessment Numeric Evaluation (SANE) Score(Pre-operatively, Post-operatively: 6 months, 12 months, 24 months)
