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J-bone graft versus Latarjet

Clinical outcomes and osseous remodeling in Latarjet and J-bone grafting for post-traumatic recurrent anterior shoulder instability: a prospective randomized controlled trial with blinded outcome assessment

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN85886529
Enrollment
60
Registered
2012-03-05
Start date
2012-03-01
Completion date
Unknown
Last updated
2021-03-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Post-traumatic recurrent anterior shoulder instability with significant glenoid defect Injury, Occupational Diseases, Poisoning Dislocation, sprain and strain of joints and ligaments of shoulder girdle

Interventions

Latarjet procedure according to Young et al. (JSES 2011) using the Arthrex Latarjet set, immobilization in a shoulder sling, physiotherapy, follow up at 6 months, 12 months, 24 months, 5 years and 10

Sponsors

Paracelsus Medical University (Austria)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Female or male paient of age 18-65 diagnosed with post-traumatic recurrent anterior shoulder instability and significant bony glenoid defect (15-30% of the glenoid surface area) 2. Obtained written consent from the patient

Exclusion criteria

Exclusion criteria: 1. Patient prefers one surgical technique over the other or does not consent to a surgical treatment at all 2. Pre-existing ipsilateral shoulder pathology 3. Previous ipsilateral shoulder surgery except open or arthroscopic Bankart repair 4. Infection 5. Neuro-muscular disease 6. Lack of compliance 7. Problems with attending the regular follow-ups 8. Chronic alcohol or drug abuse

Design outcomes

Primary

MeasureTime frame
The clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Western Ontario Shoulder Instability Index of patients treated with a J-bone graft or Latarjet procedure for post-traumatic recurrent anterior shoulder instability with significant glenoid defect

Secondary

MeasureTime frame
1. The resorption/remodeling of both graft types is compared using pre-operative, post-operative, 12-months and 24 months post-operative CT imaging 2. The clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Subjective Shoulder Value of patients treated with a J-bone graft or Latarjet procedure for recurrent anterior shoulder instability 3. The clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Rowe Score and range of motion of patients treated with a J-bone graft or Latarjet procedure for recurrent anterior shoulder instability 4. Radiological assessment of osteoarthritic changes in the operated joint compared to the contra-lateral joint by bi-plane radiography of both shoulders at 5 years and 10 years follow up compared to the base-line images of both shoulders

Countries

Austria

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026