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Conjoint Tendon Resection During Reverse Total Shoulder Arthroplasty

Patient Satisfaction Clinical Trial

Official title:
The Impact of Conjoint Tendon Resection on Functional Internal Rotation of the Shoulder Following Reverse Shoulder Arthroplasty: A Prospective, Randomized Clinical Trial

Clinical Trial Summary

Reverse total shoulder arthroplasty (RTSA) can reliably restore active forward elevation, abduction, and external rotation, which are often lost in patients with massive rotator cuff tears. However, functional internal rotation (i.e., functional movements of the hand behind the body) is often unsatisfactorily restored and/or lost after RTSA. This study aims to compare the standard surgical approach for RTSA to RTSA with conjoint tendon resection with the targeted metric being postoperative functional internal rotation.

Clinical Trial Description

This study will be a prospective, randomized-controlled clinical trial comparing standard of care RTSA to RTSA with conjoint tendon resection in 64 patients undergoing RTSA by a single surgeon. Participants and assessors will not be blinded to intervention. The primary outcome is postoperative functional internal rotation. Secondary outcome measures include VAS, ASES, SANE, PROMIS, and VR-12 scores, as well as forward elevation and external rotation at the side, and complications at any time point. Our null hypothesis is that patients who undergo conjoint tendon resection during RTSA will have significantly increased functional internal rotation and clinically significant improved above-mentioned scores compared to non-resected tendon patients. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05753904
Study type Interventional
Source University of Missouri-Columbia
Contact Charles Gusho, MD
Phone 2622417944
Email umhsorthoenroll@umsystem.edu
Status Recruiting
Phase N/A
Start date April 5, 2023
Completion date January 1, 2026
View Details
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