ISRCTN ISRCTN85886529
DOI https://doi.org/10.1186/ISRCTN85886529
Secondary identifying numbers N/A
Submission date
09/02/2012
Registration date
05/03/2012
Last edited
15/02/2021
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

Background and study aims
Dislocations are joint injuries that force the ends of the bones out of position. There are two standardized and widely used operations to stabilize the shoulders of patients with multiple anterior shoulder dislocations. One technique is the Latarjet procedure and the other is the J-bone graft technique. The aim of this study is to investigate the clinical and radiological outcomes of patients after these two operations and in the long term to detect any differences in the occurrence of osteoarthritis.

Who can participate?
Patients aged 18-65 with post-traumatic recurrent anterior shoulder instability.

What does the study involve?
Participants complete questionnaires and undergo a physical examination, x-rays of both shoulders, and a CT scan before surgery. They are then randomly allocated to one of the two operations. After surgery another CT scan is performed. In addition all participants are asked to fill out questionnaires at 6, 12 and 24 months after surgery. At 12 and 24 months another CT scan is performed to investigate the affected shoulders. 5 and 10 years after surgery the participants are invited to fill out the questionnaires again and x-rays of both shoulders are taken in order to check for early onset osteoarthritis.

What are the possible benefits and risks of participating?
Not provided at time of registration.

Where is the study run from?
Department of Traumatology and Sports Injuries of the Paracelsus Medical University in Salzburg, Austria, and the Department for Shoulder and Elbow Surgery of the Atos Clinic in Munich, Germany.

When is the study starting and how long is it expected to run for?
March 2012 to March 2024.

Who is funding the study?
Department of Traumatology and Sports Injuries of the Paracelsus Medical University in Salzburg, Austria.

Who is the main contact?
Dr Philipp Moroder

Contact information

Dr Philipp Moroder
Scientific

Muellner Hauptstraße 48
Salzburg
5020
Austria

Study information

Study designMulticenter prospective randomized controlled trial with blinded outcome assessment
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 titleClinical outcomes and osseous remodeling in Latarjet and J-bone grafting for post-traumatic recurrent anterior shoulder instability: a prospective randomized controlled trial with blinded outcome assessment     
Study objectivesThe clinical outcome of patients treated with a J-bone graft for post-traumatic recurrent anterior shoulder instability prevails over the outcome in patients receiving a Latarjet procedure.
Ethics approval(s)Ethics Committee for the province of Salzburg (Ethikkommission für das Bundesland Salzburg), 08/02/2012, ref: 415-E/1439/5-2012
Health condition(s) or problem(s) studiedPost-traumatic recurrent anterior shoulder instability with significant glenoid defect
InterventionLatarjet procedure according to Young et al. (JSES 2011) using the Arthrex Latarjet set, immobilization in a shoulder sling, physiotherapy, follow up at 6 months, 12 months, 24 months, 5 years and 10 years

J-bone graft procedure according to Auffarth et al. (AJSM 2008), immobilization in a shoulder sling, physiotherapy, follow up at 6 months, 12 months, 24 months, 5 years and 10 years
Intervention typeProcedure/Surgery
Primary outcome measureThe clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Western Ontario Shoulder Instability Index of patients treated with a J-bone graft or Latarjet procedure for post-traumatic recurrent anterior shoulder instability with significant glenoid defect
Secondary outcome measures1. The resorption/remodeling of both graft types is compared using pre-operative, post-operative, 12-months and 24 months post-operative CT imaging
2. The clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Subjective Shoulder Value of patients treated with a J-bone graft or Latarjet procedure for recurrent anterior shoulder instability
3. The clinical outcome at 6 months, 12 months, 24 months, 5 years, and 10 years measured using the Rowe Score and range of motion of patients treated with a J-bone graft or Latarjet procedure for recurrent anterior shoulder instability
4. Radiological assessment of osteoarthritic changes in the operated joint compared to the contra-lateral joint by bi-plane radiography of both shoulders at 5 years and 10 years follow up compared to the base-line images of both shoulders
Overall study start date01/03/2012
Completion date01/03/2024

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants60
Total final enrolment60
Key inclusion criteria1. Female or male paient of age 18-65 diagnosed with post-traumatic recurrent anterior shoulder instability and significant bony glenoid defect (15-30% of the glenoid surface area)
2. Obtained written consent from the patient
Key exclusion criteria1. Patient prefers one surgical technique over the other or does not consent to a surgical treatment at all
2. Pre-existing ipsilateral shoulder pathology
3. Previous ipsilateral shoulder surgery except open or arthroscopic Bankart repair
4. Infection
5. Neuro-muscular disease
6. Lack of compliance
7. Problems with attending the regular follow-ups
8. Chronic alcohol or drug abuse
Date of first enrolment01/03/2012
Date of final enrolment01/03/2014

Locations

Countries of recruitment

  • Austria

Study participating centre

Muellner Hauptstraße 48
Salzburg
5020
Austria

Sponsor information

Paracelsus Medical University (Austria)
University/education

Department of Traumatology and Sports Injuries
Muellner Hauptstraße 48
Salzburg
5020
Austria

ROR logo "ROR" https://ror.org/03z3mg085

Funders

Funder type

University/education

Department of Traumatology and Sports Injuries, Paracelsus Medical University, Salzburg (Austria)

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 01/07/2019 15/02/2021 Yes No

Editorial Notes

15/02/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.