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To determine if an acellular dermal graft (ADG) will incorporate into the rotator cuff and subsequently improve outcomes without an increase in risk to the patient
Rotator cuff healing poses a significant clinical problem with re-tear rates between 20-50%. The final functional outcome following surgery correlates with healing, with those that completely heal performing best. Failure of repair is mainly due to tendon failure both mechanically and biologically. If the healing and the structural properties of the tendon can be improved then significant functional gains may be achieved. This study will therefore utilise acellular dermal grafts to determine whether they could be used for to improve patient outcomes following surgery
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dermis group | Experimental | Group will receive standard of care treatment and interventions plus the use of the acellular dermal graft during surgery |
|
| control group | No Intervention | Group will receive standard of care treatment and interventions but the acellular dermal graft will not be used during surgery |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| acellular dermis | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| rotator cuff healing | Rotator cuff healing on MRI | 12 month post-surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Western Ontario Rotator cuff score | comparison of scores between groups | 12months |
| Constant Murley score | comparison of scores between groups |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Martyn Mr Snow, MD | The Royal Orthopaedic Hospital NHS Foundation Trust | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Royal Orthopaedic Hospital NHS Trust | Birmingham | United Kingdom |
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| ID | Term |
|---|---|
| D000070636 | Rotator Cuff Injuries |
| ID | Term |
|---|---|
| D012421 | Rupture |
| D014947 | Wounds and Injuries |
| D000070599 | Shoulder Injuries |
| D013708 | Tendon Injuries |
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It is a Level 1 study, a prospective double blind, randomized controlled trial.
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| 12 months |
| American shoulder and elbow surgeons standardized form | comparison of scores between groups | 12 months |