Discussion
fractures, non-union, abduction
RECURRENCE, MUSCLE ATROPHY, COMPLICATION, SECONDARY, COMPLICATIONS
This randomized control study is designed to evaluate the impact of sling immobilization on early rehabilitation after open Latarjet surgery and its impact on patient functional outcomes. Rehabilitation after open Latarjet surgery currently remains a matter of surgeon preference rather than driven by a scientific rationale. Rehabilitation is therefore subject to high variability between centers [Along with functional scores and recurrence rates, return to sport is an essential factor in evaluating the success rate of anterior shoulder stabilization [Finally, one of the most feared complications after open Latarjet surgery is the failure of screw fixation and non-union of the graft. Previous systematic reviews reported early graft complications, including fractures and non-union rates around 1.9–3.2% as the most common complication [Another interesting outcome will result from using a motion capture system that allows a precise and reliable measurement of patient range of motion [Lastly, a potential benefit of avoiding a sling postoperatively is the prevention of muscle atrophy. Recent studies suggested a negative impact on internal rotation at 90° of abduction after the Latarjet procedure secondary to subscapularis rerouting compared to iliac bone grafts (As aforementioned, the strength of this randomized control trial is the use of computed tomography to confirm bony union after open Latarjet procedure, along with the help of motion capture technology to assess patients’ range of motion. Randomization will ensure certain homogeneity between both groups, which will be operated by the same senior surgeon using the same operative technique.The main limitation concerns the inherent variability of the patient’s implication towards the self-rehabilitation protocol as well as coping with postoperative sling immobilization after the randomization process. Indeed, patient implication can differ, while randomization and systematic patient education at all follow-up visits should limit their impact on our results.We are confident that our study will allow precious insights into rehabilitation after open Latarjet surgery.