Status:
RECRUITING
InSpace Accelerated Rehabilitation Study
Lead Sponsor:
Stryker Endoscopy
Conditions:
Rotator Cuff Tears
Eligibility:
All Genders
65+ years
Phase:
NA
Brief Summary
This is a prospective, parallel group, open-label, multi- center, randomized study to assess two accelerated rehabilitation programs for use with the InSpace device in the treatment of full thickness ...
Detailed Description
Study Objectives: Primary: • To evaluate clinical outcomes of both a formalized or an at-home rehabilitation program when used in conjunction with the InSpace device as compared to the corresponding...
Eligibility Criteria
Inclusion
- Subjects MUST meet ALL the following criteria to be included in the study:
- The subject has signed the IRB approved Informed Consent Form (ICF) specific to this study prior to enrollment
- Is male or female ≥ sixty-five (65) years of age
- Positive diagnostic imaging by MRI within 9 months of enrollment of the index shoulder indicating a full thickness MRCT:
- Measuring ≥ 5 cm in diameter
- Involving ≥ two tendons
- Functional deltoid muscle and preserved passive range of motion on physical examination
- Documented VAS score \> 30 mm pain
- Failed non-operative treatment of at least 3 months from the initial treatment to include one or more of the following:
- Oral analgesics
- Anti-inflammatory medication (e.g., ibuprofen, naproxen)
- Corticosteroid injection(s)
- Physical therapy
- Activity modification
- Rest (sling used)
- Must be able to read and understand the approved Informed Consent Form (written and oral)
- Must be in general good health (as determined by the Investigator) based on screening assessments and medical history
- Must be independent, ambulatory, and can comply with all post-operative evaluations, visits, and electronic database collection
- Intra-operative Inclusion Criteria
- Subjects MUST meet the following criteria to be randomized in the study:
- Full thickness tear
- Tear size ≥ 5 cm in diameter
- Tear involving ≥ two tendons
Exclusion
- Subjects will be excluded from the study, if they meet ANY of the following individual exclusion criteria:
- Known allergy to the device material (copolymer of PLA (poly (lactic acid) and -ε-caprolactone)
- Evidence of the following conditions:
- Severe gleno-humeral or acromio-humeral arthritis
- Full thickness cartilage loss as seen on MRI
- History within the past 5 years of anterior or posterior shoulder subluxation or dislocation as determined by history, examination, or radiographic findings
- Pre-existing deltoid defect or deltoid palsy
- Major joint trauma, infection, or necrosis
- Partial thickness tears of the supraspinatus
- Fully reparable rotator cuff tear \[Tear of less than 5 cm in diameter (or \< 4 cm2) with retractable tendon that can be fully repaired\]
- Known neurovascular compromise
- Complete deltoid muscle palsy
- Traumatic muscle tears of the pectoralis or deltoid
- The subject requires concomitant:
- Subscapularis repair
- Labral repair of any type
- Biceps tenodesis
- Previous surgery of the index shoulder in the past 1 year, excluding diagnostic arthroscopy
- The subject's condition is bilateral and rotator cuff repair is scheduled or to be scheduled over the course of this study for the contra lateral shoulder
- Major medical condition that could affect quality of life and influence the results of the study (e.g., rheumatoid arthritis)
- The subject has documented evidence of a history (e.g., liver testing) of drug/alcohol abuse within 12 months of enrollment
- The subject's condition represents a worker's compensation case
- The subject is currently involved in a health-related litigation procedure
- Females of child-bearing potential who are pregnant or plan to become pregnant.
- Concurrent participation in an investigational clinical study one month prior to enrollment or during the entire study period
- The subject is physically or mentally compromised (e.g., currently being treated for a psychiatric disorder, senile dementia, Alzheimer's disease, etc.), to the extent that the Investigator judges the subject to be unable or unlikely to remain compliant to follow-up
- The subject is receiving prescription narcotic pain medication for conditions unrelated to the index shoulder condition
- The subject currently has an acute infection in the area surrounding the surgical site.
- Baseline WORC score less than 420
- Intra-operative
Key Trial Info
Start Date :
February 7 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 1 2026
Estimated Enrollment :
160 Patients enrolled
Trial Details
Trial ID
NCT05329584
Start Date
February 7 2022
End Date
December 1 2026
Last Update
May 29 2025
Active Locations (11)
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1
Musculoskeletal-Orthopedic Research and Education Foundation
Phoenix, Arizona, United States, 85023
2
University of Arkansas for Medical Sciences
Little Rock, Arkansas, United States, 72205
3
Steadman Hawkins Clinic Denver
Englewood, Colorado, United States, 80112
4
Holy Cross Hospital
Fort Lauderdale, Florida, United States, 33308