About this trial
Study Type: Prospective, three-arm parallel randomized controlled trial (RCT) Study Objective: To compare the 12-month/5 years/10years functional outcomes, morphological healing, cost-effectiveness, and complication rates of three treatment strategies for displaced greater tuberosity (GT) fractures with rotator cuff injury, and to optimize the individualized treatment strategy for GT fractures.
Study Setting: multicenter clinical trial, conducted in the Department of Orthopedics.
Study Period: April 2026 -April 2036.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
• Age 18-76 years, male or female;
Diagnosed with displaced GT fracture (displacement distance ≥1mm) combined with rotator cuff injury (partial tear or full-thickness tear) by computed tomography (CT) or magnetic resonance imaging (MRI);
Time from fracture to admission ≤72 hours (acute phase);
No severe heart, liver, kidney or other underlying diseases, and able to cooperate with 12-month complete follow-up;
Disqualifiers
• Pathological fracture or old fracture (>3 weeks);
Complicated with shoulder dislocation or other proximal humeral fractures;
Previous shoulder surgery history, rheumatoid arthritis, or severe osteoporosis;
Mental illness, cognitive impairment, unable to complete functional scoring;
Trial design
Parallel
Treatments tested in this trial
Arthroscopic surgery
Procedure/SurgeryConservative Treatment Group (CG): rehabilitation only ; Primary Surgery Group (PG): surgery early; Delayed Surgery Group (DG): surgery late
Treatment groups
Trial outcomes
Primary outcomes
SPADI (Shoulder Pain and Disability Index) score at 12 months, to compare the functional recovery differences among the three arms.
Locations
Sponsors and contacts
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Guo Jialiang
Lead sponsor
Hebei Medical University Third Hospital
Sponsor institution
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