Arthroscopic Repair of Partial Thickness Articular-Side Rotator Cuff Tears: Transtendon Versus Conversion Repair Techniques

Cairo University54 enrolled

Overview

This prospective randomized clinical trial compared two arthroscopic techniques for repairing partial-thickness articular-side rotator cuff tears: transtendon repair and conversion repair. Eligible patients with symptomatic tears exceeding 50% of tendon thickness, confirmed by MRI and intraoperative assessment, were randomly assigned to either repair technique. Functional outcomes, range of motion, complications, and MRI healing were assessed up to 24 months postoperatively

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Partial Thickness Articular-Side Rotator Cuff Tears

Interventions

Arthroscopic Conversion RepairPROCEDURE

Patients undergo arthroscopic conversion repair, where the partial-thickness tear is converted to a full-thickness tear and repaired using standard arthroscopic techniques.

Arthroscopic Transtendon RepairPROCEDURE

Patients undergo arthroscopic transtendon repair, preserving the intact bursal surface of the tendon while repairing the articular-side defect using suture anchors.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients suffering symptomatic PT-RCTs exceeding 50% of the tendon thickness, documented by preoperative magnetic resonance imaging (MRI) and confirmed by arthroscopy intraoperative. * Failure of nonoperative management for at least 3 months. Exclusion Criteria: * Prior shoulder surgery. * Severe concomitant pathologies including glenohumeral arthritis, advanced subscapularis tear, and biceps tendon rupture. * Associated Bankart lesion. * Patients with uncontrolled Diabetes mellites.

Locations (1)

Kasr Alainy

Cairo, Egypt

Outcomes

Primary Outcomes

American Shoulder and Elbow Surgeons (ASES) Score

Time frame: Baseline and 24 months postoperatively

Constant-Murley Score (CMS)

Time frame: Baseline and 24 months postoperatively

Visual Analogue Scale (VAS) for Pain

Time frame: Baseline and 24 months postoperatively

Secondary Outcomes

Range of Motion (ROM)

Measure the range of: 1. Forward flexion 2. Abduction 3. External rotation 4. Internal rotation

Time frame: Preoperative and 24 months postoperatively.

Complication Rate

Number of cases with: Stiffness Persistent pain Infection

Time frame: Up to 24 months postoperatively

MRI Healing Status

Number of cases with complete healing in MRI

Time frame: 12 months postoperatively

Data from ClinicalTrials.gov

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