Latarjet Versus Modified Eden-Hybinette for Anterior Shoulder Dislocation

Status Recruiting

Clinical Trial Summary

Randomized clinical trial, parallel 1:1, comparing Latarjet to Modified Eden-Hybinette (iliac bone crest + capsular repair) for recurrent traumatic anterior glenohumeral dislocation.

Clinical Trial Description

The Latarjet technique has proven reliable for the treatment of dislocations, with lower recurrence rates (5%) even in the presence of bone lesions. This technique allows a stable fixation of the graft, with 2 screws, and the dynamic effect of the conjoint tendon, the sling effect. However, several complications are described, such as neurological injuries, nonunion and graft resorption. Hamel et al, showed that vascularization of the coracoid graft is impaired during the course of Latarjet procedure. Together with the small thickness of the coracoid, it may justify its high rate of resorption.

The Eden-Hybinette surgery does not have the potential advantages of the sling effect. However, it allows a better restoration of the area of the glenoid, without the risks related to the coracoid osteotomy. All clinical studies about the different bone grafting techniques have a low quality. Furthermore, there is no comparative study of the techniques of Latarjet and Eden-Hybinette. ;

Study Design

Related Conditions & MeSH terms

Shoulder Dislocation

Clinical Trial Details

NCT number	NCT02913352
Study type	Interventional
Source	University of Sao Paulo
Contact	Mauro EC Gracitelli, PhD
Phone	+55 11 2661-2486
Email	mgracitelli@gmail.com
Status	Recruiting
Phase	N/A
Start date	September 2016
Completion date	January 2022

View Details

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