Joint Instability
Conditions
Keywords
Shoulder instability
Brief summary
To date, use of arthroscopic procedure to perform Latarjet procedure is still technically demanding. The benefits of arthroscopic procedure need to be evaluated compared to the mini-invasive approach. The aim of this study was to assess postoperative pain during the first week, and the positioning of coracoid bone block at the anterior aspect of the glenoid. At minimum 2 years follow-up, the recurrence of shoulder instability and functional evaluation of patients according to the Western Ontario Score Index (WOSI) were assessed.
Detailed description
This prospective comparative study was performed at two centers in 2012. Each center performed one procedure so this study was observational. All patients with a chronic anterior instability requiring bone grafting (Instability Severity Index Score\>3) were included. The Latarjet procedure was performed by mini-open approach (set Arthrex, Naples, FL) in the first group, and by arthroscopic approach (set Depuy-Mitek, Raynham, MA) in the second group. The analgesic postoperative protocol was standardized (paracetamol, non-steroidal anti-inflammatory, tramadol).
Interventions
PROCEDUREArthroscopic Latarjet procedure
arthroscopic approach (set Depuy-Mitek, Raynham, MA)
PROCEDUREMini-open Latarjet procedure
mini-open approach (set Arthrex, Naples, FL)
Sponsors
Hospital Ambroise Paré Paris
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* chronic anterior instability requiring bone grafting (Instability Severity Index Score\>3)
Exclusion criteria
* Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Average postoperative shoulder's pain on visual analogic scale from 0 (no pain) to 10 (maximum pain) | Average during the first week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| analgesic consumption (Number of pills) | Daily from day1 to day7 | — |
| presence of postoperative discomfort symptoms (yes/no) | Daily from day1 to day7 | The presence (yes/no) of incision site pain, nausea, vomiting, vertigo, anxiety |
| Mean daily pain on visual analogic scale from 0 (no pain) to 10 (maximum pain) | Daily from day1 to day7 | — |
| Recurrence rate of shoulder instability (number of recurrence/total number of patients) | 2-year minimal follow-up | — |
| Functional evaluation of patients | 2-year minimal follow-up | Western Ontario Score Index (WOSI) |
| coracoid bone block position to the anterior aspect of the glenoid on the anterior-posterior and the lateral X-ray and on CT-scan | Between 3 to 6 months follow-up | — |
Countries
France
Outcome results
None listed