Latarjet vs Anatomic Glenoid Reconstruction

Launched by NOVA SCOTIA HEALTH AUTHORITY · Dec 12, 2022

Keywords

ClinConnect Summary

This clinical trial is studying two different surgical methods for treating shoulder dislocations caused by bone loss: the Latarjet procedure and Anatomic Glenoid Reconstruction (AGR). Both surgeries aim to help people who have experienced shoulder dislocations regain function, reduce pain, and lower the chances of the dislocation happening again. The Latarjet method is known for its effectiveness but has some risks of complications, while the AGR is a newer option that also shows promise with fewer complications. The goal of this trial is to compare the results of these two surgeries to see which one works better for patients.

To participate in this trial, individuals should have experienced at least one shoulder dislocation and have a CT scan showing significant bone loss (more than 20%). Unfortunately, those with other specific shoulder problems or who have a history of substance abuse cannot join. Participants will receive one of the two surgical treatments and will be monitored before and after the surgery to evaluate their recovery and overall outcomes. This study is currently looking for volunteers and aims to provide clearer insights into the best surgical options for shoulder dislocation patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients with one or more instances of anterior shoulder dislocation; pre-operative CT scan illustrating \>20% bone loss.
• Exclusion Criteria:
• • posterior shoulder instability; multidirectional shoulder instability; massive rotator cuff teats (MRI proven); history of substance abuse, patients unable to provide informed consent, patients refusing randomization.

Trial Officials