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Идёт набор NCT04975581

Rotator Cuff Tears Repair With or Without Dermal Patch Augmentation

Фаза IV С лечением Rotator Cuff Tears

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Allograft Patch.
Кому может быть актуально
Состояния в реестре: Rotator Cuff Tears. Базовые параметры: 50 лет — 75 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Великобритания
Следующий шаг
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Обзор

The Investigators are planning to conduct a Pilot study of 40 patients of Pragmatic randomised controlled trial comparing rotator cuff tendons repair (small tendons around the shoulder ) with or without augmentative patch. It includes patients between age groups 50 to 75 years with large (≥ 3cm and \< 5 cm ) rotator cuff tear that can be fully repaired using open or mini open repair with or without an augmentation with a human dermal matrix allograft (processed skin graft from a human donor ). The main aim is to examine whether the addition of the patch helps to reduce the rate of re-tear of the rotator cuff tendons at one year following surgery. Patients are randomized to receive either a repair with addition of an augmentative patch or a repair without a patch and have an identical follow-up after surgery. Patients are followed up in outpatient at 6 weeks , 3 months and 12 months after randomization and receive an Magnetic Resonant Imaging (MRI) scan 12 months after surgery. The primary outcome measure is to assess the Re-tear rate of rotator cuff at 12 months after surgery. The secondary outcome measure is to assess functional scores of the shoulder at 12 months . The tertiary outcome measures are to check the cost effectiveness of each procedure.

Подробное описание

The Investigators are planning to conduct a Pilot study of 40 patients of Pragmatic randomised controlled trial comparing rotator cuff tendons repair (small tendons around the shoulder ) with or without augmentative patch. It includes patients between age groups 50 to 75 years with large (≥ 3cm and \< 5 cm ) rotator cuff tear that can be fully repaired using open or mini open repair with or without an augmentation with a human dermal matrix allograft (processed skin graft from a human donor ). The main aim is to examine whether the addition of the patch helps to reduce the rate of re-tear of the rotator cuff tendons at one year following surgery. Patients are randomized to receive either a repair with addition of an augmentative patch or a repair without a patch and have an identical follow-up after surgery. Patients are followed up in outpatient at 6 weeks , 3 months and 12 months after randomization and receive an Magnetic Resonant Imaging (MRI) scan 12 months after surgery. The primary outcome measure is to assess the Re-tear rate of rotator cuff at 12 months after surgery. The secondary outcome measure is to assess functional scores of the shoulder at 12 months . The tertiary outcome measures are to check the cost effectiveness of each procedure.

Вмешательства

  • Биопрепарат Allograft Patch
    Rotator Cuff repair with Allograft Patch (Graftjacket Now)

Первичные конечные точки

  • Retear on MRI scan [Срок оценки: 12-18 months]

Критерии участия

Критерии включения

  • Patient aged at least 50 years to 75 years.
  • Degenerative cuff tear.
  • Large Full thickness rotator cuff tear (≥ 3cm and < 5 cm ) that is fully repairable.
  • Tears diagnosed using MRI scan.
  • Ability to consent.
  • Agreement to use of human dermal matrix allograft as augmentative patch

Критерии исключения

  • Previous surgery on the affected shoulder.
  • Osteoarthritic changes.
  • Unable to have MRI Scans.
  • Significant neck pathology.
  • Cognitive problems or language issue.
  • Systemic arthritis
  • Significant dual pathology in the involved shoulder
  • Acute Traumatic tears (< 6 months since injury).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Двойное слепое
Основная цель
Лечение

Центры проведения

Великобритания · 1 центр
  • University Hopsitals of Leicester NHS Trust — Leicester

Идентификаторы

NCT: NCT04975581 · EDGE ID 139197

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗