[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100489835":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":31,"centralContacts":36,"locations":43,"responsibleParty":60,"collaborators":26,"id":62,"slug":63,"hasResults":64,"nctId":65,"briefTitle":66,"officialTitle":67,"acronym":26,"eligibilityCriteria":68,"healthyVolunteers":69,"sex":70,"minAge":71,"maxAge":72,"enrollmentInfo":73,"targetDuration":26,"studyType":76,"phases":77,"briefSummary":79,"conditions":80,"keywords":26,"overallStatus":46,"whyStopped":26,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"Nova Scotia Health Authority","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Latarjet","ACTIVE_COMPARATOR","The Latarjet involves the use of a auto-graft to be fixated to the anterior portion of the glenoid to recreate the size of the glenoid.",[13],"Procedure: Coracoid Transfer",{"label":15,"type":16,"description":17,"interventionNames":18},"Anatomic Glenoid Reconstruction","EXPERIMENTAL","An allograft will be used for the patients in this group, inserted through a new portal and fixed to the anterior rim of the glenoid to recreate the size of the glenoid.",[19],"Procedure: Distal Tibia Allograft with Bankart repair",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","Coracoid Transfer","For patients randomized to the active comparator group, the coracoid process and conjoined tendon will be cut and transferred to the anterior rim of the glenoid through an incision in the subscapularis muscle.",[9],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Distal Tibia Allograft with Bankart repair","For the experimental group, a distal tibia allograft will be prepped, cut (20mm x 10mm x 15mm), and inserted into the anterior aspect of the shoulder through a far medial portal. The distal tibia allograft will be attached to the anterior glenoid using cannulated screws. A soft tissue repair, Bankart repair, is performed above the graft.",[15],[32],{"name":33,"affiliation":34,"role":35},"Ivan Wong, MD","Nova Scotia Health Authority, Orthopaedic Surgeon","PRINCIPAL_INVESTIGATOR",[37,41],{"name":33,"role":38,"phone":39,"phoneExt":26,"email":40},"CONTACT","9024737626","research@drivanwong.com",{"name":42,"role":38,"phone":39,"phoneExt":26,"email":40},"Sarah Remedios, MSc",[44],{"facility":45,"status":46,"city":47,"state":48,"zip":49,"country":50,"countryCode":51,"cosmosGeoPoint":52,"geoPoint":57,"contacts":58},"Nova Scotia Health QEII Halifax Infirmary","RECRUITING","Halifax","Nova Scotia","B3H 2E1","Canada","CA",{"type":53,"coordinates":54},"Point",[55,56],-63.57688,44.64269,{"lat":56,"lon":55},[59],{"name":42,"role":38,"phone":26,"phoneExt":26,"email":26},{"type":35,"investigatorFullName":33,"investigatorTitle":61,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"Principal Investigator","100489835","latarjet-vs-anatomic-glenoid-reconstruction-100489835",false,"NCT05658289","Latarjet vs Anatomic Glenoid Reconstruction","Latarjet vs Anatomic Glenoid Reconstruction for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss: a Prospective Multi-centre Randomized Trial","Inclusion Criteria:\n\n* Patients with one or more instances of anterior shoulder dislocation; pre-operative CT scan illustrating \\>20% bone loss.\n\nExclusion Criteria:\n\n* posterior shoulder instability; multidirectional shoulder instability; massive rotator cuff teats (MRI proven); history of substance abuse, patients unable to provide informed consent, patients refusing randomization.",true,"ALL","16 Years","40 Years",{"count":74,"type":75},68,"ESTIMATED","INTERVENTIONAL",[78],"NA","Anterior shoulder dislocations occur when the humeral head translates anterior to the glenoid cause pain, stiffness, and glenoid bone loss. If left untreated, the risk of recurrence can be up to or greater than 90%. The only surgically modifiable factor to reduce the risk of recurrence is the glenoid bone loss (GBL), where surgeons have the ability to recreate the shape of the glenoid and reduce the risk of recurrent shoulder dislocations.\n\nEstablished boney procedures for shoulder instability include the Latarjet and free bone block procedures, such as the Anatomic Glenoid Reconstruction (AGR). The Latarjet is well known for its lower rate of recurrent instability, but raises concerns due to under-appreciated complications rates. The AGR is a newer surgical approach that has garnered attention for its low rate of recurrent instability and complication profile. Both treatments can reduce pain, increase function following surgery and reduce the risk of recurrent instability. However, these two established approaches have yet to be directly compared and studied on a larger scale.\n\nThe purpose of this randomized control trial is to compare clinical and radiographic outcomes pre- and post-operatively between the Latarjet to the AGR.",[81,82,83],"Shoulder Dislocation","Bone Loss","Arthroscopy","2024-08-20",{"date":86,"type":87},"2024-08-22","ACTUAL",{"date":89,"type":87},"2023-04-24",{"date":91,"type":75},"2026-12",{"name":5,"class":6},1]