Subscapularis Repair During Reverse Total Shoulder Arthroplasty

Study Purpose

This multi-site study involving Northwestern Medicine, Beaumont Health, and Loyola Medicine seeks to answer the following question: do patients who undergo subscapularis (SSc) repair during reverse total shoulder arthroplasty (RSA) have better post-operative outcomes than patients who do not undergo SSc repair during RSA? The investigators hypothesize that patients who do not undergo SSc repair during RSA have better post-operative outcomes than patients who undergo SSc repair during RSA. This study will address the controversy surrounding SSc repair during RSA via a multi-institutional randomized controlled trial that will compare clinical outcomes of patients who receive SSc repair during RSA to those who do not.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 88 Years
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Primary RSA procedure with repairable (intact) SSc. 2. Operation will be performed by a participating surgeon using Zimmer Biomet Comprehensive Reverse Shoulder System implant. 3. Diagnosis with imaging of arthropathy with rotator cuff insufficiency. 4. Surgical approach: Deltopectoral. 5. Fluent English speakers/readers.

Exclusion Criteria:

1. Minor (<18 y/o)/vulnerable populations (pregnant women, prisoners, adults unable to consent) 2. Revision surgery. 3. Oncologic surgery. 4. non-ZB CRSS implants. 5. Unrepairable SSc

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT05341518
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

N/A
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Northwestern University
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

Guido Marra, MD
Principal Investigator Affiliation Northwestern University Feinberg School of Medicine
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Other
Overall Status Enrolling by invitation
Countries United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Shoulder Osteoarthritis, Arthropathy Shoulder
Arms & Interventions

Arms

Experimental: Subscapularis repair

Patients will undergo standard of care reverse total shoulder arthroplasty with subscapularis repair

No Intervention: No repair

Patients will undergo standard of care reverse total shoulder arthroplasty. The subscapularis will not be repaired.

Interventions

Procedure: - Subscapularis repair

To complete reverse total shoulder arthroplasty, the surgeon must cut through the subscapularis muscle. In this arm of the study, the muscle will be repaired, rather than left to heal itself.

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

Loyola Medicine, Maywood, Illinois

Status

Address

Loyola Medicine

Maywood, Illinois, 60153

Beaumont Health, Royal Oak, Michigan

Status

Address

Beaumont Health

Royal Oak, Michigan, 48073