Open surgery versus arthroscopy for treating traumatic instability of the shoulder in adults

ISRCTN ISRCTN22171602
DOI https://doi.org/10.1186/ISRCTN22171602
Secondary identifying numbers N/A
Submission date
29/06/2010
Registration date
06/08/2010
Last edited
30/10/2012
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Nicola Archetti Netto
Scientific

Department of Orthopaedics and Traumatology
Universidade Federal de São Paulo
Rua Borges Lagoa
783 - 5th Floor
São Paulo
04038-032
Brazil

Phone +55 11 5571 6621
Email narchetti@uol.com.br

Study information

Study designRandomised active controlled parallel group clinical trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRepair of Bankart lesion in traumatic anterior shoulder instability: open surgery versus arthroscopic technique - a randomised controlled trial
Study objectivesThere is no difference between open versus arthroscopic interventions for treating traumatic anterior shoulder instability.
Ethics approval(s)The Ethics Committee of the Universidade Federal de São Paulo/Hospital São Paulo approved in August 2003 (ref: CEP 0901/03 UNIFESP)
Health condition(s) or problem(s) studiedTraumatic anterior shoulder instability
InterventionAfter arthroscopic examination, participants were randomised to:
1. Open surgery
2. Arthroscopic surgery

Total duration of treatment was approximately 1 hour for open surgery and 1 hour for arthroscopy. Total duration of follow-up was from 20 to 56 months for open surgery and from 18 to 56 months for arthroscopy.
Intervention typeOther
Primary outcome measure1. Disability of Arm Shoulder and Hand (DASH) Questionnaire
2. UCLA Shoulder Rating Scale
3. Rowe Score for Instability

Identical care program for rehabilitation was done in each of compared groups. Following enrolment in the study, all the participants were assessed every week during the first 2 weeks and at the 4th and 8th weeks; thereafter, monthly until the final examination. All primary and secondary outcomes were reported.
Secondary outcome measuresRange of movement: passive range of motion measurements, specifically forward flexion and internal and external rotation at 90° of abduction, were recorded and compared with the patients' nonoperative side.

Identical care program for rehabilitation was done in each of compared groups. Following enrolment in the study, all the participants were assessed every week during the first 2 weeks and at the 4th and 8th weeks; thereafter, monthly until the final examination. All primary and secondary outcomes were reported.
Overall study start date01/11/2003
Completion date01/12/2006

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit40 Years
SexBoth
Target number of participants50 participants
Key inclusion criteria1. Adults aged 18 - 40 years, either sex
2. Radiographic confirmation of a first-time anterior shoulder dislocation caused by an external force applied to the shoulder in a fall, or other forceful injury
3. No associated fracture visible on conventional radiographs at the time of presentation
4. Clinical history and symptoms of anterior shoulder instability
5. No medical contraindications to general anaesthesia
6. Detection of a Bankart lesion (anteroinferior capsulolabral detachment) on the arthroscopic examination of the shoulder
Key exclusion criteria1. Aged under 18 or over 40 years
2. Patients with generalised joint laxity, bilateral instability, multidirectional instability, and an additional soft-tissue injury that could affect joint stability
3. Patients with convulsive disorders, collagen diseases, previous surgery of the shoulder and any other condition that affects the shoulder mobility
4. Cerebrovascular disease or other severe medical illness
5. Inability to give informed consent or to complete questionnaires
Date of first enrolment01/11/2003
Date of final enrolment01/12/2006

Locations

Countries of recruitment

  • Brazil

Study participating centre

Department of Orthopaedics and Traumatology,
São Paulo
04038-032
Brazil

Sponsor information

Universidade Federal de Sao Paulo (UNIFESP) (Brazil)
University/education

c/o Nicola Archetti Netto
Department of Orthopaedics and Traumatology
Rua Borges Lagoa, 783 - 5th Floor
São Paulo
04038-032
Brazil

Phone +55 11 5571 6621
Email narchetti@uol.com.br
ROR logo "ROR" https://ror.org/00bkgf580

Funders

Funder type

University/education

Universidade Federal de Sao Paulo (UNIFESP) (Brazil)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/07/2012 Yes No