Evidence map›Paper›PMID 34551902›Full record

Trial reportBritish journal of sports medicine2022

Arthroscopic Bankart versus open Latarjet as a primary operative treatment for traumatic anteroinferior instability in young males: a randomised controlled trial with 2-year follow-up.

Juha Kukkonen, Sami Elamo, Tapio Flinkkilä, Juha Paloneva, Miia Mäntysaari, Antti Joukainen, Janne Lehtinen, Vesa Lepola, Milja Holstila, Tommi Kauko and 2 more

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01998048 (Operative Treatment of Traumatic Anteroinferior Shoulder Instability in Young Male Patients. The Outcome of Arthroscopic Bankart vs. Open Latarjet Stabilization Surgery, a Randomized Controlled Trial.), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01998048 naunknown statusnot on this map

Operative Treatment of Traumatic Anteroinferior Shoulder Instability in Young Male Patients. The Outcome of Arthroscopic Bankart vs. Open Latarjet Stabilization Surgery, a Randomized Controlled Trial.

TypeinterventionalSponsorTurku University HospitalRan2013Enrolled120ConditionsShoulder InstabilityArmsLatarjet, Bankart
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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  6. Article
  7. Article
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  9. Article
  10. [Research progress of Chinese unique Inlay Bristow (Cuistow surgery) using suture button fixation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024
    Review
  11. Surgical considerations for glenoid bone loss in anterior glenohumeral instability: a narrative review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  12. Article
  13. Review
  14. Article
  15. Pediatric and Adolescent Shoulder Instability.Current reviews in musculoskeletal medicine · 2023
    Review
  16. Latarjet procedure without capsular repair produces favorable clinical results and avoids limitation in external rotation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  17. Review
  18. Article
  19. [Chronic posttraumatic shoulder instability].Unfallchirurgie (Heidelberg, Germany) · 2023
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 1 country.

Juha KukkonenOrthopaedics and Traumatology, Turku University Hospital, Turku, Finland jupeku@utu.fi.ORCID http://orcid.org/0000-0002-7691-5835
Sami ElamoSurgery, Division of Orthopaedic and Trauma Surgery, Satakunta Central Hospital, Pori, Finland.
Tapio FlinkkiläSurgery, Division of Orthopaedic and Trauma Surgery, Oulu University Hospital, Oulu, Finland.
Juha PalonevaOrthopaedics and Traumatology, Central Finland Central Hospital, Jyvaskyla, Finland.
Miia MäntysaariOrthopaedics and Traumatology, Helsinki University Hospital, Helsinki, Finland.
Antti JoukainenOrthopaedics and Traumatology, Kuopio University Hospital, Kuopio, Finland.
Janne LehtinenOrthopaedic Unit, Tays Hatanpää Hospital, Tampere University Hospital, Tampere, Finland.
Vesa LepolaPohjola Hospital Tampere, Tampere, Finland.
Milja HolstilaDepartment of Radiology, Turku University Hospital, Turku, Finland.
Tommi KaukoAuria Clinical Informatics, Turku University Hospital, Turku, Finland.
Ville AarimaaOrthopaedics and Traumatology, Turku University Hospital, Turku, Finland.
FINNISH (Finnish Instability Shoulder Study) Investigators
Tampere University Hospital · FITurku University Hospital · FIUniversity of Turku · FICentral Finland Health Care District · FIHelsinki University Hospital · FIKuopio University Hospital · FIOulu University Hospital · FISatakunta Central Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare the success rates of arthroscopic Bankart and open Latarjet procedure in the treatment of traumatic shoulder instability in young males.

designMulticentre randomised controlled trial.

settingOrthopaedic departments in eight public hospitals in Finland.

participants122 young males, mean age 21 years (range 16-25 years) with traumatic shoulder anteroinferior instability were randomised.

interventionsArthroscopic Bankart (group B) or open Latarjet (group L) procedure.

main outcome measuresThe primary outcome measure was the reported recurrence of instability, that is, dislocation at 2-year follow-up. The secondary outcome measures included clinical apprehension, sports activity level, the Western Ontario Shoulder Instability Index, the pain Visual Analogue Scale, the Oxford Shoulder Instability Score, the Constant Score and the Subjective Shoulder Value scores and the progression of osteoarthritic changes in plain films and MRI.

results91 patients were available for analyses at 2-year follow-up (drop-out rate 25%). There were 10 (21%) patients with redislocations in group B and 1 (2%) in group L, p=0.006. One (9%) patient in group B and five (56%) patients in group L returned to their previous top level of competitive sports (p=0.004) at follow-up. There was no statistically significant between group differences in any of the other secondary outcome measures.

conclusionsArthroscopic Bankart operation carries a significant risk for short-term postoperative redislocations compared with open Latarjet operation, in the treatment of traumatic anteroinferior instability in young males. Patients should be counselled accordingly before deciding the surgical treatment. TRIAL REGISTRATION NUMBER: NCT01998048.

Indexed as

Joint InstabilityShoulder DislocationShoulder JointAdolescentAdultArthroscopyFollow-Up StudiesHumansMaleRecurrenceRetrospective StudiesYoung Adultorthopedicsshouldersports medicinetraumaupper extremity

Identifiers

PMID34551902
PMCPMC8899479
OpenAlexW3200165356

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.