Clinical and Radiographic Outcomes in Arthroscopic "Inlay"Bristow Surgery With Screw Fixation vs Suture-button Fixation

Peking University

Status

Completed

Conditions

Shoulder; Dislocation, Chronic

Treatments

Procedure: Bristow surgery fixed by the screw

Procedure: Bristow surgery fixed by the suture button

Study type

Observational

Funder types

Other

Identifiers

NCT04460118

cui1

Details and patient eligibility

About

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.

Full 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.

Enrollment

117 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

a glenoid defect ≥10%
contact sport athletes with a glenoid defect < 10%
failure after Bankart repair.

Exclusion criteria

epilepsy
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.