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
Conditions
Interventions
Sponsors
Eligibility
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
| Measure | Time 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
| Measure | Time 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