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To date, use of arthroscopic procedure to perform Latarjet procedure is still technically demanding. The benefits of arthroscopic procedure need to be evaluated compared to the mini-invasive approach. The aim of this study was to assess postoperative pain during the first week, and the positioning of coracoid bone block at the anterior aspect of the glenoid. At minimum 2 years follow-up, the recurrence of shoulder instability and functional evaluation of patients according to the Western Ontario Score Index (WOSI) were assessed.
This prospective comparative study was performed at two centers in 2012. Each center performed one procedure so this study was observational. All patients with a chronic anterior instability requiring bone grafting (Instability Severity Index Score>3) were included. The Latarjet procedure was performed by mini-open approach (set Arthrex, Naples, FL) in the first group, and by arthroscopic approach (set Depuy-Mitek, Raynham, MA) in the second group. The analgesic postoperative protocol was standardized (paracetamol, non-steroidal anti-inflammatory, tramadol).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arthroscopic Latarjet procedure | arthroscopic approach (set Depuy-Mitek, Raynham, MA) |
| |
| Mini-open Latarjet procedure | mini-open approach (set Arthrex, Naples, FL) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Arthroscopic Latarjet procedure | Procedure | arthroscopic approach (set Depuy-Mitek, Raynham, MA) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Average postoperative shoulder's pain on visual analogic scale from 0 (no pain) to 10 (maximum pain) | Average during the first week |
| Measure | Description | Time Frame |
|---|---|---|
| Mean daily pain on visual analogic scale from 0 (no pain) to 10 (maximum pain) | Daily from day1 to day7 | |
| analgesic consumption (Number of pills) | Daily from day1 to day7 | |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with a chronic anterior instability requiring bone grafting (Instability Severity Index Score>3)
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| Name | Affiliation | Role |
|---|---|---|
| Shahnaz Klouche, MD | Hospital Ambroise Paré Paris | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Ambroise Paré Paris | Boulogne-Billancourt | 92000 | France | |||
| Clinique des Maussins |
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| ID | Term |
|---|---|
| D007593 | Joint Instability |
| ID | Term |
|---|---|
| D007592 | Joint Diseases |
| D009140 | Musculoskeletal Diseases |
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| Mini-open Latarjet procedure | Procedure | mini-open approach (set Arthrex, Naples, FL) |
|
| presence of postoperative discomfort symptoms (yes/no) |
The presence (yes/no) of incision site pain, nausea, vomiting, vertigo, anxiety |
| Daily from day1 to day7 |
| coracoid bone block position to the anterior aspect of the glenoid on the anterior-posterior and the lateral X-ray and on CT-scan | Between 3 to 6 months follow-up |
| Recurrence rate of shoulder instability (number of recurrence/total number of patients) | 2-year minimal follow-up |
| Functional evaluation of patients | Western Ontario Score Index (WOSI) | 2-year minimal follow-up |
| Paris |
| France |