Is sling immobilization necessary after open Latarjet surgery for anterior shoulder instability? A randomized control trial.

Details

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_CAD8B2BEEE6E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Is sling immobilization necessary after open Latarjet surgery for anterior shoulder instability? A randomized control trial.
Journal
Trials
Author(s)
Goetti P., Martinho T., Seurot A., Bothorel H., Lädermann A.
ISSN
1745-6215 (Electronic)
ISSN-L
1745-6215
Publication state
Published
Issued date
27/02/2023
Peer-reviewed
Oui
Volume
24
Number
1
Pages
148
Language
english
Notes
Publication types: Randomized Controlled Trial ; Journal Article
Publication Status: epublish
Abstract
There is a current lack of knowledge regarding optimal rehabilitation and duration of sling immobilization after an open Latarjet procedure. A shift towards immediate self-rehabilitation protocols in shoulder surgery is observed to avoid postoperative stiffness and fasten return to sport. Avoiding sling immobilization could further simplify rehabilitation and provide an even faster return to activities of daily living and enhance patient satisfaction.
This study is a single-center, randomized control trial. Sixty-eight patients will be instructed with the same standardized immediate postoperative self-rehabilitation protocol. Patients will be allocated 1:1 between a sling immobilization group for the first three postoperative weeks and no sling group without postoperative immobilization. The primary endpoint will be functional outcome at 6 months postoperative evaluated by the disease-specific Rowe score. Secondary endpoints will include baseline, 1.5-, 6-, and 12-month single assessment numeric evaluation (SANE) of instability score and visual analog pain scale (VAS). At the 6-month time point, graft bony union and position will be assessed by computed tomography. Motion capture technology will evaluate the baseline and 6-month postoperative range of motion. Finally, time to return to work and sport during the first postoperative year, along with patient satisfaction at one postoperative year, will also be recorded.
This study will allow further insights into the optimal rehabilitation protocol after open Latarjet surgery and enhance patient care by helping identify rehabilitation and coracoid graft-related factors influencing functional outcomes, bony union, range of motion, and patient satisfaction.
The protocol was approved by the ethical committee board (CCER 2019-02,469) in April 2020 and by ClinicalTrials.gov (Identifier: NCT04479397 ) in July 2020.
Keywords
Humans, Activities of Daily Living, Joint Instability/surgery, Shoulder, Shoulder Joint/diagnostic imaging, Shoulder Joint/surgery, Arthroplasty, Bony fusion, Complications, Glenohumeral, Graft, PROMs, Physiotherapy, Range of motion, Recovery, Rehabilitation, Results
Pubmed
Web of science
Open Access
Yes
Create date
03/03/2023 13:48
Last modification date
30/03/2023 6:53
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