Pilot Study Comparing Arthroscopic Bankart Repair and Anatomic Glenoid Reconstruction for Recurrent Shoulder Dislocation in Patients Aged 16 to 40

What this Trial Is About

This research aims to compare two surgical treatments for recurrent anterior shoulder dislocation, focusing on the feasibility of conducting a larger definitive trial. The study addresses the challenge of shoulder instability, especially common in young people, which can lead to repeated dislocations, decreased function, osteoarthritis, and impacts on work and sports. The trial evaluates arthroscopic Bankart repair against arthroscopic anatomic glenoid reconstruction AAGR to gather information on recurrence rates and functional outcomes over two years. Participants will be randomly assigned to receive either arthroscopic Bankart repair or arthroscopic anatomic glenoid reconstruction. The Bankart repair involves reattaching the torn labrum using suture anchors, while the AAGR procedure adds a bone graft to reconstruct the glenoid. Both surgeries are performed arthroscopically with video recording and photographs taken during the operation. The study is double-blinded and conducted across multiple centers to assess recruitment feasibility and adherence to protocols. During the 24-month follow-up, participants will undergo assessments including shoulder function questionnaires, physical activity evaluations, strength and range of motion tests, and imaging such as CT scans and x-rays before and after surgery. Researchers will monitor recruitment success, participant adherence, and follow-up rates as primary outcomes, while also exploring clinical outcomes like recurrence of dislocations and quality of life. The total participation duration spans two years with multiple evaluation time points.

Surgical Treatment of Recurrent Shoulder Dislocations