[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100482627":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":32,"centralContacts":36,"locations":43,"responsibleParty":79,"collaborators":82,"id":112,"slug":113,"hasResults":114,"nctId":115,"briefTitle":116,"officialTitle":117,"acronym":41,"eligibilityCriteria":118,"healthyVolunteers":119,"sex":120,"minAge":121,"maxAge":122,"enrollmentInfo":123,"targetDuration":41,"studyType":126,"phases":127,"briefSummary":129,"conditions":130,"keywords":132,"overallStatus":46,"whyStopped":41,"lastUpdateSubmitDate":135,"lastUpdatePostDateStruct":136,"startDateStruct":139,"completionDateStruct":141,"leadSponsor":143,"locationsCount":144},{"fullName":5,"class":6},"Nova Scotia Health Authority","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Bankart Repair","ACTIVE_COMPARATOR","Arthroscopic Bankart repair procedures will be performed according to each individual surgeon's usual technique. Procedures will be performed with the patient in the lateral or beach-chair position. Repairs for associated or conjoined superior labral anterior-to-posterior (SLAP) tears will be documented and performed at the surgeon's discretion. Labral detachments will be repaired with the use of suture-anchor fixation and arthroscopic tying techniques. Either two or three suture anchors will be used. Capsular redundancy will be addressed with arthroscopic suture plication at the surgeon's discretion. Surgeons will mobilize the capsulolabral tissue as deemed necessary. Surgical time and video of the operation will be recorded, and photographs will be taken documenting any bone loss.",[13],"Procedure: Bankart Repair",{"label":15,"type":16,"description":17,"interventionNames":18},"Anatomic Glenoid Reconstruction","EXPERIMENTAL","The surgical technique was the lateral decubitus all-arthroscopic anatomic glenoid reconstruction procedure for treatment of anterior shoulder instability as described by Wong et al. (2015). The procedure is done in a semi-lateral decubitus position that assists with optimal graft placement on the native glenoid. The investigators utilize the cannulated Bristow-Latarjet Instability Shoulder System (Depuy-Mitek, MA, USA). The surgical technique is identical to that of arthroscopic Bankart repair with one additional step. Prior to insertion of anchors, one additional medal portal is created for insertion of the bone graft. The distal tibia allograft is prepared; the cannulated guide is attached and advanced through the rotator interval and secured with two cannulated screws. Finally, the Bankart repair is performed above the graft. Surgical time and video of the operation will be recorded, and photographs will be taken documenting any bone loss.",[19],"Procedure: Anatomic Glenoid Reconstruction",[21,27],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"PROCEDURE","Patients Randomized to Bankart Repair Group",[9],[26],"Arthroscopic bankart repair",{"type":22,"name":15,"description":28,"armGroupLabels":29,"otherNames":30},"Patients Randomized to Anatomic Glenoid Reconstruction Group",[15],[31],"Arthroscopic distal tibia bone graft",[33],{"name":34,"affiliation":5,"role":35},"Ivan H Wong, MD","PRINCIPAL_INVESTIGATOR",[37],{"name":38,"role":39,"phone":40,"phoneExt":41,"email":42},"Matt Miller, PhD","CONTACT","9024737626",null,"research@drivanwong.com",[44,64],{"facility":45,"status":46,"city":47,"state":47,"zip":48,"country":49,"countryCode":50,"cosmosGeoPoint":51,"geoPoint":56,"contacts":57},"NYU Langone Health","RECRUITING","New York","10016","United States","US",{"type":52,"coordinates":53},"Point",[54,55],-74.00597,40.71427,{"lat":55,"lon":54},[58,62],{"name":59,"role":39,"phone":60,"phoneExt":41,"email":61},"Jade Refuerzo","646-929-7800","Jade.Refuerzo@nyulangone.org",{"name":63,"role":35,"phone":41,"phoneExt":41,"email":41},"Daniel Kaplan, MD",{"facility":5,"status":46,"city":65,"state":66,"zip":67,"country":68,"countryCode":69,"cosmosGeoPoint":70,"geoPoint":74,"contacts":75},"Halifax","Nova Scotia","B3H 2E1","Canada","CA",{"type":52,"coordinates":71},[72,73],-63.57688,44.64269,{"lat":73,"lon":72},[76,78],{"name":77,"role":39,"phone":40,"phoneExt":41,"email":42},"Sara Sparavalo, MASc",{"name":34,"role":35,"phone":41,"phoneExt":41,"email":41},{"type":35,"investigatorFullName":80,"investigatorTitle":81,"investigatorAffiliation":5,"oldNameTitle":41,"oldOrganization":41},"Ivan Wong, MD","Principal Investigator",[83,86,87,89,91,93,95,97,99,102,104,106,108,110],{"name":84,"class":85},"Canadian Institutes of Health Research (CIHR)","OTHER_GOV",{"name":45,"class":6},{"name":88,"class":6},"Panam Clinic",{"name":90,"class":85},"Vancouver Coastal Health",{"name":92,"class":6},"University of British Columbia",{"name":94,"class":6},"Ottawa Hospital Research Institute",{"name":96,"class":6},"Children's Hospital of Eastern Ontario Research Institute",{"name":98,"class":6},"Horizon Health Network",{"name":100,"class":101},"Research St. Joseph's - Hamilton","UNKNOWN",{"name":103,"class":6},"London Health Sciences Centre Research Institute",{"name":105,"class":6},"University of Utah",{"name":107,"class":6},"Orlando Health, Inc.",{"name":109,"class":101},"TSAOG Orthopaedics and Spine",{"name":111,"class":6},"The Hawkins Foundation","100482627","surgical-treatment-of-recurrent-shoulder-dislocations-100482627",false,"NCT05564494","Surgical Treatment of Recurrent Shoulder Dislocations","The Arthroscopic Treatment of Anterior Shoulder Instability (ATRASI): A Pilot Multicentre Randomized Controlled Trial","Inclusion Criteria:\n\n* Recurrent anterior glenohumeral dislocation (two or more incidents)\n* Presence of glenoid and\u002For humerus bone loss on imaging (x Ray, CT or MRI)\n\nExclusion Criteria:\n\n* Uncontrolled diabetes (Hgb A1C \\>7%)\n* Prior surgery of affected shoulder\n* Pregnancy\n* Multidirectional instability\n* Posterior instability\n* Paralysis of the shoulder\n* Cancer\n* Severe systemic illness\n* Presence of massive rotator cuff tear\n* Patients that present with \\\u003C 10% or \\> 25% bone loss under preoperative imaging.\n* Generalized laxity (\\>5\u002F9 Beighton Score)",true,"ALL","16 Years","40 Years",{"count":124,"type":125},200,"ESTIMATED","INTERVENTIONAL",[128],"NA","This is a pilot multi-centre, double blinded randomized controlled trial. The primary outcome of this pilot trial will be feasibility. Prior to conducting a large definitive trial, the investigators will conduct this pilot trial comparing arthroscopic Bankart repair with arthroscopic anatomic glenoid reconstruction (AAGR), evaluating recurrent dislocation rates and functional outcomes over a 24-month period. The feasibility objectives are: (1) to evaluate the investigators ability to recruit patients across multiple sites and (2) to assess study protocol adherence and ability to follow patients to 24 months. Clinical objectives for the pilot trial are exploratory only. The investigators wish to gather means and standard deviations for clinical outcomes to power their future definitive trial. The objectives of the definitive trial will include a comparison of patient-reported outcomes at the two-year post-operative time point, differences in recurrence rates, complication rates, functional shoulder assessments, and return to work\u002Fsport.",[131],"Shoulder Instability",[133,131,134],"Arthroscopy","Multiple Dislocations","2026-04-28",{"date":137,"type":138},"2026-05-04","ACTUAL",{"date":140,"type":138},"2023-04-25",{"date":142,"type":125},"2028-12-31",{"name":5,"class":6},2]