Open surgery versus arthroscopy for treating traumatic instability of the shoulder in adults
ISRCTN | ISRCTN22171602 |
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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
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 |
---|---|
narchetti@uol.com.br |
Study information
Study design | Randomised active controlled parallel group clinical trial |
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Primary study design | Interventional |
Secondary study design | Randomised controlled trial |
Study setting(s) | Hospital |
Study type | Treatment |
Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
Scientific title | Repair of Bankart lesion in traumatic anterior shoulder instability: open surgery versus arthroscopic technique - a randomised controlled trial |
Study objectives | There 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) studied | Traumatic anterior shoulder instability |
Intervention | After 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 type | Other |
Primary outcome measure | 1. 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 measures | Range 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 date | 01/11/2003 |
Completion date | 01/12/2006 |
Eligibility
Participant type(s) | Patient |
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Age group | Adult |
Lower age limit | 18 Years |
Upper age limit | 40 Years |
Sex | Both |
Target number of participants | 50 participants |
Key inclusion criteria | 1. 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 criteria | 1. 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 enrolment | 01/11/2003 |
Date of final enrolment | 01/12/2006 |
Locations
Countries of recruitment
- Brazil
Study participating centre
Department of Orthopaedics and Traumatology,
São Paulo
04038-032
Brazil
04038-032
Brazil
Sponsor information
Universidade Federal de Sao Paulo (UNIFESP) (Brazil)
University/education
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 |
---|---|
narchetti@uol.com.br | |
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 | |
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Individual participant data (IPD) Intention to share | No |
IPD sharing plan summary | Not provided at time of registration |
Publication and dissemination plan | Not provided at time of registration |
IPD sharing plan |
Study outputs
Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
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Results article | results | 01/07/2012 | Yes | No |