Comparing Rotator Cuff Repair and Reverse Shoulder Replacement for Treating Large Rotator Cuff Tears in Adults Aged 60 to 80

What this Trial Is About

Researchers are comparing two surgical treatments for people aged 60 to 80 with massive, degenerative rotator cuff tears that have not improved with conservative care. The study aims to determine if there is a difference in shoulder function after treatment with either rotator cuff repair RCR or reverse shoulder arthroplasty RSA. This prospective multicenter randomized study addresses the challenges of healing in massive tears, which often have poor tissue and bone quality and may lead to arthritis progression. Participants will receive one of two treatments arthroscopic rotator cuff repair involves reattaching the torn tendon to the bone using anchors and sutures, while reverse shoulder arthroplasty replaces the shoulder joint with a reverse design prosthesis. Both approaches are performed surgically, and the study will compare their effects on shoulder function over time. During the study, participants will be monitored for up to 24 months after surgery with evaluations including the American Shoulder and Elbow Surgeon ASES score, pain levels, shoulder motion, and patient satisfaction. Researchers will also assess complications, tendon healing, prosthesis stability, and other shoulder-related outcomes. These assessments will help determine the functional benefits and risks associated with each treatment option.

RSA Vs RCR for Massive RCTs