The overall objective of this clinical investigation is to assess the safety and efficacy of full-thickness arthroscopic rotator cuff repairs augmented with the FiberLocker System for the subjects. The primary outcome of the investigation is to assess the safety after full-thickness arthroscopic rotator cuff repairs augmented with the FiberLocker System in terms of postoperative adverse events through the 12-month follow-up. Main secondary outcomes include measures of efficacy and clinical performance evaluated at 6-week, 4.5-month, and 12-month follow-ups including retear rate assessed using MRI and different functional performance scores.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
50
The FiberLocker® System is a mechanical augmentation system that includes an implant (SpeedPatch® PET) and an instrument (FiberLocker® Instrument SN) for its attachment. The implant is composed of non-woven PET fibers, and the instrument features a reciprocating needle at its tip, which pushes the individual patch fibers into the underlying tendon tissue
Balgrist University Hospital
Zurich, Canton of Zurich, Switzerland
RECRUITINGTotal Number of Adverse Events (AEs)
All operative and postoperative AEs will be recorded. Safety outcomes will be determined by evaluating the type, frequency, seriousness, and relationship to device or procedure of AEs for all subjects.
Time frame: Surgery to 12-month follow-up
Total Number of Serious Adverse Events (SAEs)
All operative and postoperative SAEs will be recorded. Safety outcomes will be determined by evaluating the type, frequency, and relationship to device or procedure of SAEs for all subjects.
Time frame: Surgery to 12-month follow-up
Number of AE related to Device
The operative and postoperative AEs that are related to the device will be reported. Safety outcomes will be determined by evaluating the type and frequency for all subjects.
Time frame: Surgery to 12-month follow-up
Number of SAE related to Device
The operative and postoperative SAEs that are related to the device will be reported. Safety outcomes will be determined by evaluating the type and frequency for all subjects.
Time frame: Surgery to 12-month follow-up
Number of AE related to Procedure
The operative and postoperative AEs that are related to the procedure will be reported. Safety outcomes will be determined by evaluating the type and frequency for all subjects.
Time frame: Surgery to 12-month follow-up
Number of SAE related to Procedure
The operative and postoperative SAEs that are related to the procedure will be reported. Safety outcomes will be determined by evaluating the type and frequency for all subjects.
Time frame: Surgery to 12-month follow-up
Retear Rate
Retears are defined as repairs showing structural defect of the tendon bone-interface on MRI according to type IV or V of the Sugaya classification. Cuff integrity according to the Sugaya classification is defined as follows: type I (repaired cuff of sufficientthickness, homogeneously low signal intensity), type II (sufficient thickness, partial high-signal intensity area), type III (insufficient thickness without discontinuity), type IV (minor discontinuity in 1 section, suggestive of a small tear), type V (major discontinuity in each image, suggestive of a medium-to-large tear).
Time frame: 6-week, 4.5-month and 12-month follow-up
Constant-Murley Score
The Constant score will be calculated in a 100-point scale and compared with baseline. It will be measured with a patient-reported questionnaire \& medical professional assessment at baseline and 12-month follow-up visit. A higher score indicates better function.
Time frame: Baseline and 12-month follow-up
Visual Analog Scale for Pain (VAS)
The VAS score will be calculated in a 0 to 10 scale and compared with baseline. Thereby, a higher score indicates greater pain intensity. VAS for average pain score over the last 24 hours will be assessed with a questionnaire.
Time frame: Baseline, 2-week, 4.5-month and 12-month follow-up
Subjective Shoulder Value (SSV) Score
The SSV score is a patient-reported outcome measure used to assess a patient's perception of their shoulder function. It consists of a single question and each subject has to rate their shoulder function on a scale from 0% to 100%. Thereby, higher percentages indicates better shoulder function.
Time frame: Baseline, 4.5-month and 12-month follow-up
EQ-5D-5L survey
The EQ-5D-5L survey is a patient-reported outcome and consists of 2 parts: the EQ-5D descriptive system and the EQ visual analogue scale (EQ VAS). The EQ-5D descriptive system covers five dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The EQ VAS is the patient's self-rated health on a vertical visual analogue scale (0-100), whereas a higher score represents better health.
Time frame: Baseline, 4.5-month and 12-month follow-up
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American Shoulder and Elbow Society (ASES) score
The ASES score is a patient-reported outcome measure survey which is completed by all subjects. It is used to assess shoulder function and pain. Based on the answers, a final score between 0 and 100 can be achieved. Thereby, higher scores indicate better shoulder function and less pain.
Time frame: Baseline, 4.5-month and 12-month follow-up
Sugaya Classification
The Sugaya Classification based on MRI images is used to evaluate the integrity of a repaired rotator cuff and to assess healing outcomes after a repair. The classification uses a categorial scoring system with grades from Type I to Type V. * Type I: repaired cuff of sufficient thickness, homogeneously low signal intensity * Type II: sufficient thickness, partial high-signal intensity area * Type III: insufficient thickness without discontinuity * Type IV: minor discontinuity in 1 section, suggestive of a small tear * Type V: major discontinuity in each image, suggestive of a medium-to-large tear
Time frame: 6-week, 4.5-month and 12-month follow-up
Goutallier Classification
The Goutallier Classification is evaluated using MRI images to assess fatty infiltration and muscle degeneration in the rotator cuff. It has a categorial grading system from stage 0 to 4. Based on MRI images, the rotator cuff of each subject will be classified. Thereby, a higher classification means more fatty infiltration.
Time frame: Baseline, 6-week, 4.5-month and 12-month follow-up
Tendon Thickness
Tendon thickness of the affected rotator cuff tendon will be measured in a MRI images (in mm).
Time frame: Baseline, 6-week, 4.5-month and 12-month follow-up
Fat Fraction of Muscle
Fat fraction of muscle quantified in Dixon sequence will be evaluated on the MRI images. Accordingly, the range can be from 0% to 100%. A higher percentage indicates more fatty infiltration.
Time frame: Baseline, 6-week, 4.5-month and 12-month follow-up