Clinical and Radiographic Outcomes in Arthroscopic "Inlay"Bristow Surgery With Screw Fixation vs Suture-button Fixation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shoulder; Dislocation, Chronic
- Sponsor
- Peking University Third Hospital
- Enrollment
- 117
- Locations
- 1
- Primary Endpoint
- VAS for pain score
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Retrospective comparative case-cohort study to investigate the efficacy of the modified arthroscopic Bristow-Latarjet surgery and to compare the clinical and radiographic outcomes using screw fixation vs suture-button fixation.
Detailed Description
Background：Some studies have advocated the use of suture-button fixation during Bristow-latarjet surgery to reduce complications associated with screw fixation. However, these studies are not comparative studies, and their data are relatively incomplete. Purpose: To compare the clinical and radiographic outcomes using screw fixation vs suture-button fixation. Study Design: Retrospective comparative case-cohort study Methods: Patients who underwent the modified arthroscopic Bristow-Latarjet surgery between June 2015 and February 2018 were selected. Shoulders were separated into two groups based on surgical fixation method. Radiological results on 3D CT scan and clinical results were assessed preoperatively, immediately after operation, and postoperatively at 3 months, 6 months, 1 year and during the final follow-up.
Investigators
Eligibility Criteria
Inclusion Criteria
- •a glenoid defect ≥10%
- •contact sport athletes with a glenoid defect \< 10%
- •failure after Bankart repair.
Exclusion Criteria
- •multidirectional shoulder instability
- •concomitant other lesions including rotator cuff tear, symptomatic acromioclavicular joint pathology or pathological involvement of the long head of the biceps
- •Follow-up was less than 2 years or incomplete follow-up data.
Outcomes
Primary Outcomes
VAS for pain score
Time Frame: 2 years after surgery
The visual analog scale (VAS) for pain score is the most commonly used to describe pain levels in patients, ranging from 0 to 10, with a higher score indicating more intense pain.
ASES score
Time Frame: 2 years after surgery
The American Shoulder and Elbow Surgeons (ASES) score is the most commonly used score to describe the function of patients' shoulder joints, ranging from 0 to 100. The higher the score, the better the function of patients' shoulder joints.
Secondary Outcomes
- Active shoulder ranges of motion(2 years after surgery)
- Bone union(3 months after surgery, 6 months after surgery, 1 year after surgery and 2 years after surgery)
- Bone block position(immediately after surgery.)