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Latissimus Dorsi Tendon Transfer or Partial Arthroscopic Repair of Massive Rotator Cuff Tears
This study is currently recruiting participants.
Verified October 2016 by St. Michael's Hospital, Toronto
Sponsor:
St. Michael's Hospital, Toronto
Collaborators:
University Health Network, Toronto
Sunnybrook Health Sciences Centre
Information provided by (Responsible Party):
St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT01481480
First received: November 24, 2011
Last updated: October 24, 2016
Last verified: October 2016
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Purpose
A massive tear of the rotator cuff is a debilitating condition that causes pain, significant impairments in strength, and resultant loss of activity of the affected arm. To our knowledge, there is no Level 1 evidence comparing surgical procedures to treat massive rotator cuff tears. Adding the first randomized controlled trial to will be a substantial contribution to the current body of evidence available in the subject of massive rotator cuff tears. Most studies found in the literature following patients with massive rotator cuff tears are retrospective, have small numbers of patients, offer no control group and do not adequately compare treatment methods.Moreover, there is no consensus from experts regarding which treatment is superior.
Our multicentre orthopaedic study group proposes a multicentre randomized clinical trial prospectively comparing latissimus dorsi tendon transfer to arthroscopic management for the treatment of massive rotator cuff tears. This study will include the use of comprehensive functional, motor and radiographic outcome assessments.
| Condition | Intervention |
|---|---|
| Full Thickness Rotator Cuff Tear | Procedure: Latissimus dorsi tendon transfer Procedure: Arthroscopic repair |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Single (Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | A Multicenter, Randomized Controlled Trial Comparing Functional Outcomes After Latissimus Dorsi Tendon Transfer or Partial Arthroscopic Repair of Massive Rotator Cuff Tears |
Resource links provided by NLM:
Further study details as provided by St. Michael's Hospital, Toronto:
Primary Outcome Measures:
- Constant-Murley score [ Time Frame: 2 years ]Constant-Murley score at 2 years
Secondary Outcome Measures:
- Quick Dash [ Time Frame: 2 years ]Quick Dash - limb specific patient outcome measurement
| Estimated Enrollment: | 108 |
| Study Start Date: | August 2012 |
| Estimated Study Completion Date: | December 2017 |
| Estimated Primary Completion Date: | December 2017 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Latissimus dorsi tendon transfer
A Latissimus dorsi tendon transfer is performed
|
Procedure: Latissimus dorsi tendon transfer
Latissimus dorsi tendon transfer
|
|
Active Comparator: Arthroscopic repair
An arthroscopic repair is performed
|
Procedure: Arthroscopic repair
Arthroscopic repair
|
Eligibility| Ages Eligible for Study: | 40 Years to 65 Years (Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Men or women aged 40 to 65 years of age
- Massive rotator cuff tear, identified by MRI as being greater than 4cm in greatest diameter.
- Provision of informed consent
Exclusion Criteria:
- Absence of functioning latissimus dorsi muscle (assessed by "cough test"
- Absence of subscapularis muscle insertion (assessed by MRI)
- Glenohumeral arthritis of Grade 2 or higher, including evidence of acromio-humeral arthritis
- Acute tears (identifiable injury which precluded symptoms in past 6 months)
- Neurologic injury causing paralysis of affected shoulder girdle/arm
- Limited life expectancy due to significant medical co-morbidity or medical contraindication to surgery (ASA Grade IV or higher)
- Anticipated problems, in the judgement of the investigators, with maintaining follow-up (i.e. patients with no fixed address, patients not mentally competent to give consent, etc.)
Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study.
To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01481480
Please refer to this study by its ClinicalTrials.gov identifier: NCT01481480
Contacts
| Contact: Michael McKee, MD, FRCS(C) | 416-864-5880 | mckeem@smh.ca | |
| Contact: Patrick Henry, MD, FRCS(C) | 416-820-5880 | drpdghenry@gmail.com |
Locations
| Canada, Ontario | |
| Toronto Western Hospital, St. Michael's Hospital, Holland Centre | Recruiting |
| Toronto, Ontario, Canada | |
| Contact: Michael McKee, MD, FRCS(C) 416-864-5880 mckeem@smh.ca | |
| Contact: Milena Vicente, RN 416-864-6060 ext 2608 vicentem@smh.ca | |
| Principal Investigator: Michael McKee, MD, FRCS(C) | |
| Principal Investigator: Patrick Henry, MD, FRCS(C) | |
Sponsors and Collaborators
St. Michael's Hospital, Toronto
University Health Network, Toronto
Sunnybrook Health Sciences Centre
Investigators
| Principal Investigator: | Michael McKee, MD, FRSC(C) | St. Michael's Hospital, Toronto |
More Information
| Responsible Party: | St. Michael's Hospital, Toronto |
| ClinicalTrials.gov Identifier: | NCT01481480 History of Changes |
| Other Study ID Numbers: |
16nov2011 |
| Study First Received: | November 24, 2011 |
| Last Updated: | October 24, 2016 |
Keywords provided by St. Michael's Hospital, Toronto:
|
shoulder rotator cuff tendon transfer arthroscopic repair |
ClinicalTrials.gov processed this record on September 20, 2017