An Exploratory Randomized Controlled Study of Arthroscopic Inlay Bristow Procedure for Recurrent Anterior Shoulder Dislocation

NCT ID: NCT04949217

Last Updated: 2021-07-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-01-17

Study Completion Date

2021-05-31

Brief Summary

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To evaluate the clinical and radiographic outcomes of arthroscopic inlay bristow procedure in treating recurrent anterior shoulder instability.

Detailed Description

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Aim: To compare the clinical and radiographic outcomes following the arthroscopic Chinese Unique Inlay Bristow (Cuistow) procedure and the arthroscopic Bristow procedure.

Background: The Cuistow procedure is a modified Bristow surgery in which a Mortise and Tenon structure was added to the contact surface between the coracoid tip and the glenoid. In previous retrospective study, patients received Cuistow procedure have satisfying clinical performance and excellent postoperative bone healing rate (96.1%). However, no prospective randomized controlled trial was performed.

Methods: 70 patients with recurrent anterior shoulder instability were included and randomized to either an arthroscopic Cuistow procedure or arthroscopic Bristow procedure. Radiological evaluations with 3D CT scan were performed preoperatively, immediately after the operation, and postoperatively at three months and during the final follow-up (more than 2 years). Clinical assessment for a minimum of 24 months including the 10-point visual analog scale for pain and subjective instability, University of California at Los Angeles scoring system (UCLA score), American Shoulder and Elbow Surgeons score (ASES score), ROWE score, Subjective Shoulder Value (SSV) and active range of motion were completed by independent observers and analyzed.

Conditions

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Shoulder Dislocation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Inlay Bristow Group

Inlay Bristow procedure

Group Type EXPERIMENTAL

Inlay Bristow

Intervention Type PROCEDURE

A modified Bristow procedure

Onlay Bristow Group

Onlay Bristow procedure

Group Type ACTIVE_COMPARATOR

Bristow

Intervention Type PROCEDURE

Traditional Bristow procedure

Interventions

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Inlay Bristow

A modified Bristow procedure

Intervention Type PROCEDURE

Bristow

Traditional Bristow procedure

Intervention Type PROCEDURE

Other Intervention Names

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Cuistow

Eligibility Criteria

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Inclusion Criteria

* Recurrent anterior shoulder instability based on medical history, physical examination, and radiological results.
* A glenoid defect ≥10% but \<25%
* Participation in high-demand (collision and overhead) sports combined with the presence of a glenoid defect \<25% of the glenoid or without defect
* Failure after Bankart repair

Exclusion Criteria

* Multi-directional shoulder instability
* Uncontrolled epilepsy
* History of receiving Bristow-Latarjet procedure.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Peking University Third Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Guoqing Cui

Role: STUDY_CHAIR

Peking University Third Hospital

Other Identifiers

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M2021039

Identifier Type: -

Identifier Source: org_study_id

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