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Comparison of Surgical Techniques for Anterior Shoulder Instability

RecruitingNAAges 18 Years - 50 YearsAllRiga Stradins University
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In plain words

What the trial is, and whether it could suit you

Study objectives Primary Objective To compare the clinical and functional outcomes of arthroscopic Bankart repair and Dynamic Anterior Stabilization (DAS) in patients with chronic anterior shoulder instability and subcritical glenoid bone loss (10-20%). Secondary Objectives To evaluate postoperative shoulder stability, recurrence of instability, functional outcomes, complications, and return to daily and sports activities following the two surgical techniques. To assess the relationship between the extent of glenoid bone loss and postoperative clinical and functional outcomes. To identify clinical and morphological factors associated with postoperative outcomes and recurrence of anterior shoulder instability. We evaluate every patient at 1 month, 3 months, 6 months, 12 months, and 24 months. For evaluation, the Constant Shoulder Score, ASES Score, Visual Analog pain scale, and Oxford

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Patients aged โ‰ค50 years; * History of anterior shoulder dislocation and/or subluxation; * Persistent anterior glenohumeral instability; * MRI-confirmed anterior labral injury and Hill-Sachs lesion; * CT-confirmed glenoid bone loss of 10-20% of the total glenoid articular surface. Exclusion Criteria: * Patients aged \>50 years; * Concomitant injuries or pathological conditions involving other structures of the shoulder joint; * Multidirectional shoulder instability; * Previous surgical procedures on the affected shoulder; * Acute infection; * Coagulation disorders; * Systemic diseases, including diabetes mellitus (DM), rheumatoid arthritis (RA), gout, and autoimmune diseases (AIDs).
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What it tests

  • Arthroscopic Dynamic Anterior Stabilization
  • Arthroscopic Bankart Repair
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Where

1 site
ORTO Klฤซnika
Riga, Latvia
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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