This pilot study aims to explore the feasibility and relevance of comparing the open Latarjet procedure performed with and without capsular repair (via coracoacromial ligament transfer) in patients with recurrent anterior shoulder instability. It will also generate preliminary data on potential differences between the two techniques regarding stability, complications, range of motion, and functional outcomes-from an exploratory standpoint, without aiming to formally demonstrate efficacy.
The study results could generate hypotheses to better define the role of capsular repair in the Latarjet procedure and guide the design of a future, adequately powered randomized controlled trial, taking into account not only mechanical outcomes but also functional and psychological dimensions.
Recurrent anterior shoulder instability with critical glenoid bone loss and a potential concomitant Hill-Sachs lesion requiring surgical management.
Patients must be able to provide written informed consent and be willing to adhere to the postoperative rehabilitation protocol and the scheduled follow-up.
History of bone stabilization procedures on the affected shoulder
Multidirectional shoulder instability
Full-thickness rotator cuff tear
Neuromuscular disorder affecting shoulder function and range of motion
Parallel
Capsuloplasty
Procedure/SurgeryCapsuloplasty consists of an augmentation via transfer of the acromiocoracoid ligament attached to the native capsule following coracoid fixation
No capsuloplasty
Procedure/SurgeryCapsular closure will be performed without any additional procedure
Evaluate the feasibility of the protocol by estimating participant recruitment and retention rates
The feasibility of the study will be assessed via participant recruitment and retention rates
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