Latarjet Versus Modified Eden-Hybinette for Anterior Shoulder Dislocation

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16+
SponsorUniversity of Sao Paulo

About this trial

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

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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;

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.;

Disqualifiers

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);

Trial design

Design model

Parallel

Treatments tested in this trial

  • Latarjet procedure

    Procedure/Surgery

    Open anterior glenoid bone graft from coracoid process

  • Modified Eden-Hybinette

    Procedure/Surgery

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

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Latarjet procedureActive comparator 1 intervention
Group B: Modified Eden-Hybinette ProcedureExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Western Ontario Shoulder Instability Index (WOSI)

Instability score

Time frame
2 years

Secondary outcomes

1

ROWE score

Time frame
2 years
2

Visual analog scale (VAS) for shoulder pain

Time frame
2 years
3

VAS for iliac pain

Time frame
6 weeks
4

VAS for iliac pain

Time frame
3 months

Other outcomes

Sponsors and contacts

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University of Sao Paulo

Lead sponsor

Faculdade de Medicina de Jundiaí

Collaborator