Sling vs. Dynamic Shoulder Stabilizer After Soft Tissue Shoulder Instability Surgery (SLIDY) (SLIDY)
Sling vs. Dynamic Shoulder Stabilizer After Soft Tissue Shoulder Instability Surgery ("SLIDY"): A Pilot Randomized Controlled Trial Assessing Feasibility, Early Functional Recovery, and Structural Healing
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Abdul-ilah Hachem, MD
- Phone Number: +34609406030
- Email: abelhachem@gmail.com
Study Contact Backup
- Name: Hady Ezzeddine, MD
- Email: hadyezz@gmail.com
Study Locations
-
-
Catalonia
-
L'Hospitalet de Llobregat, Catalonia, Spain, 08907
- Recruiting
- Bellvitge University Hospital
-
Contact:
- Hady Ezzeddine, MD
- Email: hadyezz@gmail.com
-
Contact:
- Abdul-ilah Hachem, MD
- Phone Number: +4609406030
- Email: abelhachem@gmail.com
-
Principal Investigator:
- Abdul-ilah Hachem, MD
-
Sub-Investigator:
- Hady Ezzeddine, MD
-
Sub-Investigator:
- Xavi Rius, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Adults aged ≥18 years undergoing arthroscopic soft-tissue stabilization for anterior shoulder instability (Bankart repair ± Hill-Sachs remplissage).
- Ability and willingness to comply with the study protocol and scheduled follow-ups.
- Provision of written informed consent.
Exclusion Criteria:
- Significant glenoid bone loss requiring bony augmentation procedures (e.g., bone block procedures, Latarjet).
- Concomitant rotator cuff repair or fracture fixation.
- Contraindication to MRI (e.g., pacemaker, claustrophobia, incompatible implants).
- Cognitive impairment, language barriers, or logistical inability to attend follow-up visits.
- Previous ipsilateral shoulder surgery.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Dynamic Immobilizer
Continuous wear of the dynamic shoulder orthosis for 3 weeks post-surgery, followed by a standardized physiotherapy protocol.
|
An adjustable strap system applied immediately post-surgery that permits movement of the shoulder joint while simultaneously limiting potentially harmful ranges of motion and translations.
It is worn continuously for 3 weeks.
Other Names:
|
|
Active Comparator: Standard Arm Sling
Continuous wear of a conventional fabric arm sling for 3 weeks post-surgery, followed by a standardized physiotherapy protocol.
|
Static immobilization using a conventional fabric arm sling applied immediately post-surgery and worn continuously for 3 weeks.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Feasibility composite (Recruitment, Retention, and Adherence)
Time Frame: Up to 12 months post-surgery.
|
Evaluation of the feasibility of conducting a definitive randomized controlled trial by measuring the recruitment rate (percentage of eligible enrolled), retention/follow-up completion rates, and protocol adherence (self-reported and therapist-verified).
Safety and device-related adverse events will also be recorded.
|
Up to 12 months post-surgery.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Western Ontario Shoulder Instability Index (WOSI)
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Patient-reported functional outcome assessing quality of life related to shoulder instability.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
Rowe Score
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Clinical assessment of shoulder stability, mobility, and function.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
Constant-Murley Score
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Clinical assessment of general shoulder function, including pain, activities of daily living, range of motion, and strength.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
Subjective Shoulder Value (SSV)
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Patient-reported subjective function of the shoulder expressed as a percentage of a normal shoulder.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
Range of Motion (ROM)
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Active and passive flexion, abduction, and rotation measured via standardized goniometry by two blinded assessors.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) Score
Time Frame: Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
Patient-reported outcome measure assessing physical function, symptoms, and related quality of life of the upper extremity.
|
Baseline, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months.
|
|
MRI Evaluation of Structural Healing
Time Frame: Between 6 and 12 months post-surgery.
|
Assessment of capsulolabral integrity and bone defect remodeling, scored as intact, partial, or re-tear by two blinded physicians.
|
Between 6 and 12 months post-surgery.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Abdul-ilah Hachem, MD, Head of the Shoulder Unit, Department of Orthopaedics, Bellvitge Univeristy Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- ICPS037/25 (Other Identifier: Bellvitge Hospital Institutional Review Board (CEIm))
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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