Dataset Information

Four-Layer Structural Reconstruction for Recurrent Anterior Shoulder Dislocation.

ABSTRACT: Recurrent anterior shoulder dislocation is always combined with glenoid and capsule-labrum deficiency. To address all these deficiency in a single operation, we developed a 4-layer structural reconstruction technique at the anterior side of the shoulder, which includes capsule-labrum repair, glenoid bone grafting, and transfer of the long head of the biceps brachii (LHB). This procedure is indicated in patients who need both sling and bone fragment augmentation. The critical steps of this technique are LHB transfer and 2-layer glenoid bone grafting. We believe that this technique will enhance the field of anterior shoulder reconstruction for complicated anterior shoulder dislocation.

SUBMITTER: Zhao J

PROVIDER: S-EPMC7768201 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Four-Layer Structural Reconstruction for Recurrent Anterior Shoulder Dislocation.

Zhao Jinzhong J Tang Jin J

Arthroscopy techniques 20201221 12

Recurrent anterior shoulder dislocation is always combined with glenoid and capsule-labrum deficiency. To address all these deficiency in a single operation, we developed a 4-layer structural reconstruction technique at the anterior side of the shoulder, which includes capsule-labrum repair, glenoid bone grafting, and transfer of the long head of the biceps brachii (LHB). This procedure is indicated in patients who need both sling and bone fragment augmentation. The critical steps of this techni ...[more]

PMID: 33381415

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Project description:ObjectiveTo assess the effects of an additional programme of physiotherapy in adults with a first-time traumatic shoulder dislocation compared with single session of advice, supporting materials, and option to self-refer to physiotherapy.DesignPragmatic, multicentre, randomised controlled trial (ARTISAN).Setting and participantsTrauma research teams at 41 UK NHS Trust sites screened adults with a first time traumatic anterior shoulder dislocation confirmed radiologically, being managed non-operatively. People were excluded if they presented with both shoulders dislocated, had a neurovascular complication, or were considered for surgical management.InterventionsOne session of advice, supporting materials, and option to self-refer to physiotherapy (n=240) was assessed against the same advice and supporting materials and an additional programme of physiotherapy (n=242). Analyses were on an intention-to-treat basis with secondary per protocol analyses.Main outcome measuresThe primary outcome was the Oxford shoulder instability score (a single composite measure of shoulder function), measured six months after treatment allocation. Secondary outcomes included the QuickDASH, EQ-5D-5L, and complications.Results482 participants were recruited from 40 sites in the UK. 354 (73%) participants completed the primary outcome score (n=180 allocated to advice only, n=174 allocated to advice and physiotherapy). Participants were mostly male (66%), with a mean age of 45 years. No significant difference was noted between advice compared with advice and a programme of physiotherapy at six months for the primary intention-to-treat adjusted analysis (between group difference favouring physiotherapy 1.5 (95% confidence interval -0.3 to 3.5)) or at earlier three month and six week timepoints. Complication profiles were similar across the two groups (P>0.05).ConclusionsAn additional programme of current physiotherapy is not superior to advice, supporting materials, and the option to self-refer to physiotherapy.Trial registrationCurrent Controlled Trials ISRCTN63184243.

Dataset Information

Four-Layer Structural Reconstruction for Recurrent Anterior Shoulder Dislocation.

Publications

Four-Layer Structural Reconstruction for Recurrent Anterior Shoulder Dislocation.

Similar Datasets

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