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RecruitingNot ApplicableNCT02913352

Latarjet Versus Modified Eden-Hybinette for Anterior Shoulder Dislocation

Randomized Trial for the Treatment of Recurrent Anterior Dislocation of the Shoulder: Latarjet Versus Modified Eden-Hybinette

Sponsor

University of Sao Paulo

Enrollment

60 participants

Start Date

Sep 1, 2016

Study Type

INTERVENTIONAL

Conditions

Shoulder dislocation

Summary

Randomized clinical trial, parallel 1:1, comparing Latarjet to Modified Eden-Hybinette (iliac bone crest + capsular repair) for recurrent traumatic anterior glenohumeral dislocation.

Eligibility

Min Age: 16 Years

Inclusion Criteria6

  • History of one or more previous episodes of traumatic glenohumeral dislocation;
  • Anterior glenoid bone loss superior to 20% of its diameter, regardless of the ISIS score;
  • Recurrence of glenohumeral dislocation in cases previously treated with arthroscopic Bankart repair, regardless of the ISIS score and severity of bone lesion of the glenoid;
  • Borderline bipolar bone lesions:
  • Instability Severity Index Score of (ISIS) greater than or equal to 4 points, with anterior glenoid bone loss (bone Bankart lesion) greater than 13.5% of their diameter, measured by the method described by Sugaya et al.;
  • Hill-Sachs lesion and glenoid considered "off-track".

Exclusion Criteria6

  • Hill-Sachs lesion greater than 40% of the humeral head diameter (measured by the preoperative CT);
  • Untreated seizures;
  • Previously diagnosed rotator cuff complete tear;
  • Fractures of the proximal humerus (except for Hill-Sachs lesions);
  • Multidirectional instability;
  • Advanced glenohumeral osteoarthritis (grade 3 Samilson and Pietro)

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Interventions

PROCEDURELatarjet procedure

Open anterior glenoid bone graft from coracoid process

PROCEDUREModified Eden-Hybinette

Open anterior glenoid bone graft from iliac bone crest, with capsular suture and screw fixation

Locations(1)

Instituto de Ortopedia e Traumatologia

São Paulo, São Paulo, Brazil

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