- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04022629
ASSET 2 Study: Long-Term Follow-up of a Randomised Control Trial (ASSET 2)
Acute Shoulder Stabilisation Using Endoscopic Techniques (ASSET) 2 Study: Long-Term Follow-up of a Randomised Control Trial
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Approximately half of patients who experience a dislocation of their shoulder will go on to experience further problems with their shoulder. Some people will suffer persisting instability, and notice an uncomfortable feeling of their shoulder wanting to give way. This can occur commonly during active movements such as playing sports or lifting heavy objects. Some patients experience recurrent dislocations, and find that their shoulder is so weak that it slips out of joint with little provocation.
Previous research suggested that this high rate of subsequent shoulder problems can be greatly reduced (although not abolished completely) by surgery performed soon after the first dislocation. Ten years ago, there were two different methods which had been popularised:
- Arthroscopic Wash-Out: The first is to wash out the shoulder joint with a sterile solution through an arthroscope (keyhole surgery) under a general anaesthetic.
- Arthroscopic Repair: The second is to repair the torn tissues in the shoulder, again using key-hole surgery techniques under general anaesthetic.
A previous clinical trial was undertaken in our unit (2001-2005) which randomised young patients aged under 35 years to one of the two possible treatments (described above). These procedures were not new or experimental. The same Arthroscopic Repair technique continues to be routinely used in NHS Lothian to treat patients who have late problems following a dislocated shoulder. We do not routinely perform wash-outs of the shoulder joint because this is only effective in treating problems that occur at an early stage.This new study intends to build on these findings by asking each of the patient groups to complete a short questionnaire which uses validated outcomes to measure their shoulder function. The aim of the study is to identify if there is a long-term clinical and functional benefit of early arthroscopic shoulder stabilisation in high-risk patients.
Study Type
Enrollment (Actual)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Locations
-
-
Scotland
-
Edinburgh, Scotland, United Kingdom, EH16 4SA
- Royal Infirmary of Edinburgh
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- All patients who had previously enrolled in the previous study shall be considered eligible for inclusion.
- Aged between 25 and 55 years.
Exclusion Criteria:
- Patients will be excluded from this long-term follow-up if no contact details are available or if they no longer retained the capacity to provide consent to participate in the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Treatment Group 1
Patients aged between 18-35 years who have sustained a first-time traumatic anterior dislocation of the shoulder.
|
To wash out the shoulder joint with a sterile solution through an arthroscope (keyhole surgery) under a general anaesthetic.
|
Active Comparator: Treatment Group 2
Patients aged between 18-35 years who have sustained a first-time traumatic anterior dislocation of the shoulder.
|
To repair the torn glenoid labrum in the shoulder, using key-hole (arthroscopic) surgery techniques under general anaesthetic.
The Bankart technique is well described and will be performed using suture anchors.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Recurrent Dislocation
Time Frame: Up to 20 years post-surgery
|
Radiographic evidence of recurrent dislocation
|
Up to 20 years post-surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Disabilities of Shoulder, elbow and Hand (DASH) scores
Time Frame: Up to 20 years post-surgery
|
Objective validated measure of general upper limb function.
Comparison between pre-operative, 2 year post-operative and long-term (10-20 year) post-operative total score of each cohort.
Score calculated to give a total out of 100.
The lower the score, the better the function.
|
Up to 20 years post-surgery
|
Western Ontario Shoulder Instability (WOSI) Index.
Time Frame: Up to 20 years post-surgery
|
Objective validated measure of instability-specific shoulder function.
Comparison between pre-operative, 2 year post-operative and long-term (10-20 year) post-operative total score of each cohort.
Total score is out of 2100.
|
Up to 20 years post-surgery
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Liam Z Yapp, MRCSEd, NHS Lothian
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- AC19020
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Shoulder Dislocation
-
Keller Army Community HospitalRecruitingSurgery | Anterior Shoulder Dislocation | Shoulder Subluxation | Recurrent Shoulder DislocationUnited States
-
University of PittsburghWalter Reed National Military Medical CenterRecruitingShoulder Dislocation | Anterior Shoulder Dislocation | Glenohumeral DislocationUnited States
-
Istituto Ortopedico RizzoliRecruitingShoulder Instability | Anterior Shoulder Dislocation | Bone DefectsItaly
-
Carolyn M HettrichUniversity of Colorado, Denver; Washington University School of Medicine; University... and other collaboratorsRecruitingOther Instability, Shoulder | Dislocations | Subluxations | Recurrent Dislocation of Shoulder RegionUnited States
-
Peking University Third HospitalCompletedShoulder; Dislocation, ChronicChina
-
Copenhagen University Hospital, HvidovreCompletedAnterior Shoulder Dislocation
-
Tel-Aviv Sourasky Medical CenterUnknownAnterior Shoulder Dislocation
-
National Taiwan University HospitalUnknownShoulder Anterior DislocationTaiwan
-
Centre Hospitalier Universitaire de NiceRecruitingAnterior Shoulder DislocationFrance
-
Fowler Kennedy Sport Medicine ClinicThe Physicians' Services Incorporated Foundation; American Shoulder and Elbow...CompletedAnterior Shoulder DislocationCanada
Clinical Trials on Arthroscopic Washout Only
-
University of Colorado, DenverStanford UniversityRecruiting
-
Samsung Medical CenterUnknownSubscapularis Tendon Tear | Arthroscopic Repair | Arthroscopic DebridementKorea, Republic of
-
CM Chungmu HospitalCompletedRotator Cuff SyndromeKorea, Republic of
-
University Hospital, AkershusOslo University Hospital; Diakonhjemmet Hospital; Haukeland University Hospital; Alesund Hospital and other collaboratorsCompleted
-
The Affiliated Hospital of Qingdao UniversityCompletedRotator Cuff TearsChina
-
McMaster UniversityCanadian Institutes of Health Research (CIHR); Canadian Orthopaedic Foundation and other collaboratorsCompletedFemoroacetabular ImpingementCanada, Denmark, Finland
-
Ain Shams UniversityNot yet recruitingHip Injuries | Femoro Acetabular Impingement | Acetabular Labral TearEgypt
-
Odense University HospitalCompleted
-
Pei-Yuan Lee, MDAeon Biotechnology CorporationUnknown
-
Wissenschaftliches Institut Bethanien e.VBoehringer Ingelheim; ndd Medizintechnik AGRecruitingAsthma | Pulmonary Fibrosis | COPDGermany