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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
Latarjet procedure
Procedure/SurgeryOpen anterior glenoid bone graft from coracoid process
Modified Eden-Hybinette
Procedure/SurgeryOpen anterior glenoid bone graft from iliac bone crest, with capsular suture and screw fixation
Treatment groups
Trial outcomes
Primary outcomes
Western Ontario Shoulder Instability Index (WOSI)
Instability score
Secondary outcomes
ROWE score
Visual analog scale (VAS) for shoulder pain
VAS for iliac pain
VAS for iliac pain
Sponsors and contacts
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University of Sao Paulo
Lead sponsor
Faculdade de Medicina de Jundiaí
Collaborator