Remplissage Versus Latarjet Coracoid Transfer for Recurrent Shoulder Instability

Launched by WESTERN UNIVERSITY, CANADA · Feb 27, 2018

Keywords

ClinConnect Summary

This clinical trial is comparing two different surgical methods for treating patients with recurrent shoulder dislocation, also known as shoulder instability. The study aims to find out whether a technique called Remplissage, combined with a standard repair method, is as effective as another method called Latarjet, which involves transferring a piece of bone to stabilize the shoulder. This research is specifically looking at patients who have experienced more than one dislocation and have certain bone conditions in their shoulder, but without significant bone loss.

To be eligible for the trial, participants need to be over 14 years old, have had multiple shoulder dislocations, and show specific signs of bone damage on imaging tests. However, those with too much bone loss or other serious shoulder or medical issues cannot participate. If chosen for the trial, participants will undergo one of the two surgical procedures and will be followed for two years to monitor their recovery and shoulder stability. This study is currently recruiting participants of all genders, and it’s essential that they can communicate in either French or English.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • anterior shoulder instability (\>1 dislocation)
• • age \>14 years
• • evidence of a Hill-Sachs defect on MRI or CT,
• • \< 20% anteroposterior glenoid bone loss
• Exclusion Criteria:
• • \>20% anteroposterior glenoid bone loss
• • significant shoulder comorbidities (i.e., osteoarthritis, previous surgery other than previous instability), active joint or systemic infection, significant muscle paralysis, rotator cuff or Charcot's arthropathy,
• • significant medical comorbidity that may alter effectiveness of surgical intervention
• • major medical illness,
• • unable to speak French or English,
• • psychiatric illness that precludes informed consent,
• • unwilling to be followed for 2 years