Traumatic anterior instability of the shoulder Musculoskeletal Diseases Other instability of joint
Conditions
Interventions
The two interventions are arthroscopic bankart repair and open latarjet. Patients will be divided into two randomized groups of 60 people each.
Randomisation and allocation
Sponsors
Universidade Federal de São Paulo/Casa da Mmão
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 40 years old 2. One or more episodes of shoulder dislocation
Exclusion criteria
Exclusion criteria: 1. Previous anterior surgeries on the affected shoulder 2. Glenoid bone loss of more than 20% 3. Complete tear of rotator cuff 4. Voluntary dislocation of the shoulder 5. History of seizures 6. High risk of anaesthesiology-associated problems 7. On-track shoulder lesion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Western Ontario Shoulder Instability Index (WOSI) will be measured using questionnaire at the hospital admission on the day of the surgery, then on the sixth, twelfth, twenty-fourth weeks and one year after the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| At the hospital admission on the day of the surgery, then on the first, second, sixth, twelfth, twenty-fourth weeks and one year after the procedure: 1. Pain measured using the Visual Analog Scale (VAS) 2. Constant Score will be measured using questionnaire 3. ROM (The measurement will be made using a universal goniometer. Elevation will be measured in the scapular plane and active lateral rotation in the chest plane by means of pre and postoperative descriptive variables, comparing them with each other. Active medial rotation was assessed before and after surgery, using as a model part of the CONSTANT functional assessment scale, which divided the assessment of medial rotation on a scale from zero to ten, where zero is characterized as lateral side of the thigh and ten the interscapular region corresponding to the seventh thoracic vertebra) 4. Radiographic outcomes (implant loosening; Resorption of bone graft; articular congruence etc.) will be measured reviewing patient notes 5. Complications will be measured reviewing patient notes 6. Instability recurrence will be measured reviewing patient notes 7. Failure (which will be defined as a new joint incongruence without any traumatic or any other event not defined at the randomization) | — |
Countries
Brazil
Outcome results
None listed