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Arthroscopic Bankart versus open Latarjet as a primary operative treatment for traumatic anteroinferior instability in young males: a randomised controlled trial with 2-year follow-up

Lepola Vesa; Äärimaa Ville; FINNISH (Finnish Instability Shoulder Study) Investigators; Joukainen Antti; Lehtinen Janne; Flinkkilä Tapio; Kukkonen Juha; Mäntysaari Miia; Elamo Sami; Kauko Tommi; Paloneva Juha; Holstila Milja

dc.contributor.authorLepola Vesa
dc.contributor.authorÄärimaa Ville; FINNISH (Finnish Instability Shoulder Study) Investigators
dc.contributor.authorJoukainen Antti
dc.contributor.authorLehtinen Janne
dc.contributor.authorFlinkkilä Tapio
dc.contributor.authorKukkonen Juha
dc.contributor.authorMäntysaari Miia
dc.contributor.authorElamo Sami
dc.contributor.authorKauko Tommi
dc.contributor.authorPaloneva Juha
dc.contributor.authorHolstila Milja
dc.date.accessioned2022-10-27T12:24:52Z
dc.date.available2022-10-27T12:24:52Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/158441
dc.description.abstract<p><strong>Objectives: </strong>To compare the success rates of arthroscopic Bankart and open Latarjet procedure in the treatment of traumatic shoulder instability in young males.</p><p><strong>Design: </strong>Multicentre randomised controlled trial.</p><p><strong>Setting: </strong>Orthopaedic departments in eight public hospitals in Finland.</p><p><strong>Participants: </strong>122 young males, mean age 21 years (range 16-25 years) with traumatic shoulder anteroinferior instability were randomised.</p><p><strong>Interventions: </strong>Arthroscopic Bankart (group B) or open Latarjet (group L) procedure.</p><p><strong>Main outcome measures: </strong>The primary outcome measure was the reported recurrence of instability, that is, dislocation at 2-year follow-up. The secondary outcome measures included clinical apprehension, sports activity level, the Western Ontario Shoulder Instability Index, the pain Visual Analogue Scale, the Oxford Shoulder Instability Score, the Constant Score and the Subjective Shoulder Value scores and the progression of osteoarthritic changes in plain films and MRI.</p><p><strong>Results: </strong>91 patients were available for analyses at 2-year follow-up (drop-out rate 25%). There were 10 (21%) patients with redislocations in group B and 1 (2%) in group L, p=0.006. One (9%) patient in group B and five (56%) patients in group L returned to their previous top level of competitive sports (p=0.004) at follow-up. There was no statistically significant between group differences in any of the other secondary outcome measures.</p><p><strong>Conclusions: </strong>Arthroscopic Bankart operation carries a significant risk for short-term postoperative redislocations compared with open Latarjet operation, in the treatment of traumatic anteroinferior instability in young males. Patients should be counselled accordingly before deciding the surgical treatment.</p><p>e counselled accordingly before deciding the surgical treatment.\nNCT01998048.</p>
dc.language.isoen
dc.titleArthroscopic Bankart versus open Latarjet as a primary operative treatment for traumatic anteroinferior instability in young males: a randomised controlled trial with 2-year follow-up
dc.identifier.urlhttps://research.utu.fi/converis/portal/detail/Publication/68229493
dc.identifier.urnURN:NBN:fi-fe2022012710649
dc.contributor.organizationfi=lääket. tdk yhteiset|en=Lääket. tdk yhteiset|
dc.contributor.organizationfi=kirurgia|en=Surgery|
dc.contributor.organizationfi=diagnostinen radiologia|en=Diagnostic Radiology|
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organizationfi=biostatistiikka|en=Biostatistics|
dc.contributor.organizationfi=kliinisen laitoksen yhteiset|en=Department of Clinical Medicine|
dc.contributor.organization-code2607300
dc.contributor.organization-code2607000
dc.contributor.organization-code2607303
dc.contributor.organization-code2607302
dc.contributor.organization-code2607309
dc.converis.publication-id68229493
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/68229493
dc.identifier.eissn1473-0480
dc.identifier.jour-issn0306-3674
dc.okm.affiliatedauthorÄärimaa, Ville
dc.okm.affiliatedauthorKukkonen, Juha
dc.okm.affiliatedauthorKauko, Tommi
dc.okm.affiliatedauthorHolstila, Milja
dc.okm.affiliatedauthorElamo, Sami
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.discipline3126 Surgery, anesthesiology, intensive care, radiologyen_GB
dc.okm.discipline3126 Kirurgia, anestesiologia, tehohoito, radiologiafi_FI
dc.okm.internationalcopublicationnot an international co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.doi10.1136/bjsports-2021-104028
dc.relation.ispartofjournalBritish Journal of Sports Medicine
dc.year.issued2021


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