Objectives To compare the success rates of arthroscopic Bankart and open Latarjet procedure in the treatment of traumatic shoulder instability in young males. Design Multicentre randomised controlled trial. Setting Orthopaedic departments in eight public hospitals in Finland. Participants 122 young males, mean age 21 years (range 16–25 years) with traumatic shoulder anteroinferior instability were randomised. Interventions Arthroscopic Bankart (group B) or open Latarjet (group L) procedure. Main outcome measures The 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. Results 91 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. Conclusions Arthroscopic 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][1]. Data are available on reasonable request. [1]: /lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT01998048&atom=%2Fbjsports%2F56%2F6%2F327.atom

中文翻译：

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关节镜 Bankart 与开放式 Latarjet 作为年轻男性外伤性前下不稳的主要手术治疗：一项 2 年随访的随机对照试验

目的比较关节镜Bankart和开放式Latarjet手术治疗年轻男性外伤性肩关节不稳的成功率。设计多中心随机对照试验。在芬兰的八家公立医院设置骨科。参与者 122 名年轻男性，平均年龄 21 岁（范围 16-25 岁），患有外伤性肩部前下方不稳定，被随机分组​​。干预 关节镜 Bankart（B 组）或开放式 Latarjet（L 组）程序。主要结果测量 主要结果测量是报告的不稳定性复发，即 2 年随访时的脱位。次要结果测量包括临床忧虑、体育活动水平、西安大略肩部不稳定性指数、疼痛视觉模拟量表、牛津肩部不稳定性评分、恒定评分和主观肩值评分以及平片和 MRI 中骨关节炎变化的进展。结果 91 名患者在 2 年的随访中可用于分析（退出率 25%）。B 组有 10 名（21%）患者发生再脱位，L 组有 1 名（2%）患者出现再脱位，p=0.006。B 组 1 名 (9%) 患者和 L 组 5 名 (56%) 患者在随访中恢复到之前的竞技运动最高水平 (p=0.004)。在任何其他次要结果测量中，组间差异均无统计学意义。结论 与开放式 Latarjet 手术相比，关节镜下 Bankart 手术在年轻男性外伤性前下方不稳的治疗中具有明显的术后短期再脱位风险。在决定手术治疗之前，应该对患者进行相应的咨询。试用注册号 [NCT01998048][1]。可根据合理要求提供数据。[1]：/lookup/external-ref?link_type=CLINTRIALGOV&access_num=NCT01998048&atom=%2Fbjsports%2F56%2F6%2F327.atom