Remplissage vs Latarjet Procedure for Shoulder Dislocation

This trial tests two surgeries to fix shoulder dislocations in individuals with multiple dislocations and a small bone dent (Hill-Sachs defect). The treatments compared are the Bankart Repair plus Remplissage, performed with a camera and small tools, and the Latarjet procedure, which transfers a piece of bone to the shoulder. Both methods aim to improve shoulder stability. Candidates may qualify if they have experienced several shoulder dislocations and a doctor has confirmed a Hill-Sachs defect with less than 20% bone loss. As an unphased trial, this study explores innovative surgical options for enhancing shoulder stability.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

Research shows that both the Bankart Repair plus Remplissage and the Latarjet coracoid transfer are generally safe for treating shoulder instability.

For the Bankart Repair plus Remplissage, studies indicate good results with few cases of recurring dislocations. One study found that only 5.8% of shoulders experienced instability issues after this procedure. Patients often report satisfaction with pain levels, shoulder function, and range of motion post-surgery.

The Latarjet coracoid transfer is also considered safe and effective. Research shows it has a low rate of recurrent dislocations, and most patients can return to normal activities or sports. Reports indicate low infection rates and good overall outcomes.

Researchers are excited about these treatments for shoulder dislocation because they offer innovative surgical options that may improve outcomes for patients. The Bankart Repair plus Remplissage procedure is unique as it combines a standard arthroscopic labral repair with a technique that fills the Hill-Sachs defect, potentially reducing the risk of recurrent dislocations. On the other hand, the Latarjet Coracoid Transfer is distinctive because it involves transferring a piece of bone to the shoulder joint, which can stabilize the joint by acting as a physical block against dislocation. These approaches offer new ways to manage shoulder instability, potentially enhancing stability and reducing the chances of future dislocations compared to traditional methods.

This trial will compare two treatments for shoulder dislocation: Bankart Repair plus Remplissage and the Latarjet coracoid transfer. Research has shown that combining Bankart repair with remplissage effectively treats shoulder instability at the front of the shoulder. Patients experience fewer repeat dislocations and are more likely to return to sports or daily activities. This combination also helps position the upper arm bone more securely, adding stability to the joint.