Dynamic Anterior Stabilization vs Bankart Repair for recurrent shoulder instability

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This single-center prospective comparison enrolls 60 participants with chronic anterior shoulder instability and subcritical glenoid bone loss (10-20%). Participants undergo random or programmatic allocation to either arthroscopic Bankart repair or Dynamic Anterior Stabilization (DAS) using the long head of the biceps tendon. Outcomes are measured preoperatively and at 1, 3, 6, 12, and 24 months using the Constant Score, ASES score, pain via VAS, and Oxford instability score, along with recurrence and return-to-activity data. The study also collects MRI/CT evaluations to characterize soft-tissue injury and bone loss. All procedures are performed arthroscopically by a single surgeon, with intraoperative tissue sampling for histopathology.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients aged ≤50 years;
* History of anterior shoulder dislocation and/or subluxation;
* Persistent anterior glenohumeral instability;
* MRI-confirmed anterior labral injury and Hill-Sachs lesion;
* CT-confirmed glenoid bone loss of 10-20% of the total glenoid articular surface.

Exclusion Criteria:

* Patients aged \>50 years;
* Concomitant injuries or pathological conditions involving other structures of the shoulder joint;
* Multidirectional shoulder instability;
* Previous surgical procedures on the affected shoulder;
* Acute infection;
* Coagulation disorders;
* Systemic diseases, including diabetes mellitus (DM), rheumatoid arthritis (RA), gout, and autoimmune diseases (AIDs).

Where it's running

• ORTO Klīnika
  Riga, Latvia Recruiting

Study contacts

• Study coordinator: Andrejs Finogejevs, M.D.
• Email: andrejs.finogejevs@inbox.lv
• Phone: +37129951841

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.