Rotator Cuff TearNCT03362320
Arthroscopic Rotator Cuff Tear Repair: Single Versus Double Layer Fixation
A study testing double layer fixation and single layer fixation in people with Rotator Cuff Tear, run by Austrian Research Group for Regenerative and Orthopedic Medicine at 1 site in Austria.
Trial summary
Retear rates after arthroscopic rotator cuff repairs remain unsatisfactorily high. Recently, attention has been paid to restore the rotator cuff's native anatomy by reconstructing the superior joint capsule. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Rotator Cuff Tear
- What is being tested?
- double layer fixation and single layer fixation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- 1 siteAustria
- Study dates
- 18 Jun 2015to Dec 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- patients with repairable supra- and infraspinatus tears scheduled for arthroscopic rotator cuff fixation
- tear size of at least 2.5 cm and up to 4.0 cm
- signed informed consent
Who cannot join
- axillary nerve palsy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Randomized Clinical Trial Comparing Arthroscopic Double- Versus Single-layer Reconstruction of the Rotator Cuff: Clinical and Radiological Outcome
Retear rates after arthroscopic rotator cuff repairs remain unsatisfactorily high. Recently, attention has been paid to restore the rotator cuff's native anatomy by reconstructing the superior joint capsule. However, the debate whether to reconstruct only the superficial tendinous part or also the deeper capsulo-ligamentous part of the rotator cuff is ongoing. Thus, the intention of the present study is to compare double-layer versus single-layer arthroscopic rotator cuff repair regarding retear rate and clinical outcome.
- Conditions
- Rotator Cuff Tear
- Being tested
- double layer fixation, single layer fixation
- Medical subject headings
- Rotator Cuff Injuries
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
double layer fixationProcedure or surgery
single layer fixationProcedure or surgery
| Study group | Role | What they receive |
|---|---|---|
| double layer fixation | Experimental | Patients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with double layer fixation Receives: Procedure: double layer fixation |
| single layer fixation | Experimental | Patients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with single layer fixation Receives: Procedure: single layer fixation |
What is being measured
The primary outcome is the main question the study is designed to answer.
Retear rate
Comparison of re-ruptures rate evaluated with magnetic resonance imaging between groups
Measured: 12 months postoperatively
Secondary outcomes (11)
Constant-Murley score
Comparison of the total Constant-Murley score (min 0 to max 100; higher values represent a better outcome) between groups
Measured: baseline, 24 and 60 months postoperatively
Range of motion (ROM)
Comparison of ROMs between groups
Measured: baseline, 24 and 60 months postoperatively
Satisfaction with the procedure
Comparison of satisfaction with the procedure between groups. Satisfaction is evaluated by asking patients one question to rate their satisfaction with the procedure based on a likert scale (4 = 'very satisfied', 3 = 'quite satisfied', 2 = 'moderately satisfied', 1 = 'less satisfied', 0 = 'not at all satisfied').
Measured: 24 and 60 months postoperatively
VAS
Comparison of the Visual Analogue Scale (VAS) between groups
Measured: baseline, 24 and 60 months postoperatively
SST
Comparison of the Simple Shoulder Test (SST) between groups
Measured: baseline and 24 months postoperatively
ASES
Comparison of the American Shoulder and Elbow Surgeons score (ASES) between groups. The ASES is a patient-rated questionnaire with a total between 0 and 100 points with higher scores indicating better outcome.
Measured: baseline, 24 and 60 months postoperatively
qDASH
Comparison of the quick Disability of the Arm, Shoulder and Hand (qDASH) between groups
Measured: baseline, 24 and 60 months postoperatively
WORC
Comparison of the Western Ontario Rotator Cuff Index (WORC) between groups
Measured: baseline and 24 months postoperatively
SSV
Comparison of the Simple Soulder Value (SSV) between groups
Measured: baseline, 24 and 60 months postoperatively
SF-36
Comparison of the quality-of-life score short form 36 (SF-36) between groups
Measured: baseline, 24 and 60 months postoperatively
Tendon integrity
Comparison of tendon integrity (re-tear / no re-tear) evaluated with magnetic resonance imaging between groups
Measured: baseline and 60 months postoperatively
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Dec 2017
- Study start18 Jun 2015
- Primary completion28 Feb 2017
- Study completionDec 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Rotator Cuff TearStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 70 participants (actual)
Sponsor and investigators
- Lead sponsor
- Austrian Research Group for Regenerative and Orthopedic Medicine
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Philipp Heuberer, Austrian Research Group for Regenerative and Orthopedic Medicine
- Investigators
- Werner Anderl, MD, Study director, Austrian Research Group for Regenerative and Orthopedic MedicinePhilipp R Heuberer, MD, Principal investigator, Austrian Research Group for Regenerative and Orthopedic Medicine
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03362320
- Sponsor's protocol ID
- SLvsDL
- Status last verified
- Jul 2020
- First submitted
- 16 Nov 2017
- Last updated
- 14 Jul 2020
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Heuberer PR, Pauzenberger L, Gruber MS, Ostermann RC, Hexel M, Laky B, Anderl W. Delaminated Rotator Cuff Tears Showed Lower Short-term Retear Rates After Arthroscopic Double-Layer Repair Versus Bursal Layer-Only Repair: A Randomized Controlled Trial. Am J Sports Med. 2020 Mar;48(3):689-696. doi: 10.1177/0363546519897033. Epub 2020 Jan 9.
PubMed 31917608
Study at a glance
From the registry record, last updated by the sponsor on 14 Jul 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Clinical Trial Comparing Arthroscopic Double- Versus Single-layer Reconstruction of the Rotator Cuff: Clinical and Radiological Outcome
- ClinicalTrials.gov ID
- NCT03362320
- Acronym / sponsor ID
- SLvsDL
- Conditions
- Rotator Cuff Tear
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 70 participants (actual)
- Lead sponsor
- Austrian Research Group for Regenerative and Orthopedic MedicineUniversity, hospital or other
- Study start
- 18 Jun 2015 (actual)
- Primary completion
- 28 Feb 2017 (actual)
- Study completion
- Dec 2022 (estimated)
- First posted
- 5 Dec 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Retear rates after arthroscopic rotator cuff repairs remain unsatisfactorily high. Recently, attention has been paid to restore the rotator cuff's native anatomy by reconstructing the superior joint capsule. However, the debate whether to reconstruct only the superficial tendinous part or also the deeper capsulo-ligamentous part of the rotator cuff is ongoing. Thus, the intention of the present study is to compare double-layer versus single-layer arthroscopic rotator cuff repair regarding retear rate and clinical outcome.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| double layer fixation | Experimental | Procedure: double layer fixationPatients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with double layer fixation |
| single layer fixation | Experimental | Procedure: single layer fixationPatients with torn infraspinatus and supraspinatus tendon undergoing arthroscopy rotator cuff repair with single layer fixation |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- patients with repairable supra- and infraspinatus tears scheduled for arthroscopic rotator cuff fixation
- tear size of at least 2.5 cm and up to 4.0 cm
- signed informed consent
Key exclusion criteria (1 listed)
- axillary nerve palsy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| double layer fixation | Procedure or surgery | double layer fixation |
| single layer fixation | Procedure or surgery | single layer fixation |
Primary outcome
Retear rate
Time frame: 12 months postoperatively
Comparison of re-ruptures rate evaluated with magnetic resonance imaging between groups
11 secondary outcomes
Constant-Murley score
Time frame: baseline, 24 and 60 months postoperatively
Range of motion (ROM)
Time frame: baseline, 24 and 60 months postoperatively
Satisfaction with the procedure
Time frame: 24 and 60 months postoperatively
VAS
Time frame: baseline, 24 and 60 months postoperatively
SST
Time frame: baseline and 24 months postoperatively
ASES
Time frame: baseline, 24 and 60 months postoperatively
qDASH
Time frame: baseline, 24 and 60 months postoperatively
WORC
Time frame: baseline and 24 months postoperatively
SSV
Time frame: baseline, 24 and 60 months postoperatively
SF-36
Time frame: baseline, 24 and 60 months postoperatively
Tendon integrity
Time frame: baseline and 60 months postoperatively
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Jul 2020.
- Derived from this study: PubMed 31917608Heuberer PR, Pauzenberger L, Gruber MS, Ostermann RC, Hexel M, Laky B, Anderl W. Delaminated Rotator Cuff Tears Showed Lower Short-term Retear Rates After Arthroscopic Double-Layer Repair Versus Bursal Layer-Only Repair: A Randomized Controlled Trial. Am J Sports Med. 2020 Mar;48(3):689-696. doi: 10.1177/0363546519897033. Epub 2020 Jan 9.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Werner Anderl, MD study director
Austrian Research Group for Regenerative and Orthopedic Medicine
Philipp R Heuberer, MD principal investigator
Austrian Research Group for Regenerative and Orthopedic Medicine
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing double layer fixation and single layer fixation in people with Rotator Cuff Tear, run by Austrian Research Group for Regenerative and Orthopedic Medicine at 1 site in Austria.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 14 Jul 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Retear rate (time frame: 12 months postoperatively). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03362320, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2020.