Rotator Cuff Tear Clinical Trial
Official title:
Efficacy of Continuous Subacromial Bupivacaine Infusion for Postoperative Analgesia After Arthroscopic Rotator Cuff Repair.
Subacromial pain catheters have been used with uncertain efficacy for many years after rotator cuff repair to aid in postoperative pain control. Our null hypothesis is that postoperative subacromial continuous infusion bupivacaine catheters will provide no pain control benefits over placebo infusions or no catheter use.
This will be a prospective, randomized, double-blinded placebo controlled study.
Randomization will be performed by a random numbers table. Envelopes will be sealed with the
accompanying randomization group.Patients will be eligible for inclusion in the study if
they have a full-thickness rotator cuff tear that has been deemed reparable by preoperative
MRI. They will be included in the study if they are medically stable to undergo the surgery
and consent to involvement in the study.
Patients consenting to the study will undergo arthroscopic rotator cuff repair by one of the
two senior authors. The surgery will be performed as an outpatient procedure under general
anesthesia. The procedure will be performed utilizing the standard techniques of the senior
authors. All concomitant pathology found at the time of arthroscopy will be treated in the
usual appropriate fashion. At the completion of the rotator cuff repair, patients will be
randomly allocated to one of three groups. This will be done by opening a sealed envelope
with the randomization allocation. The patients will either be placed into the study group,
the placebo group or the control group.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Supportive Care
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