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Thursday, August 17, 2017

Author response--sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial

We appreciate the comments on our study from Hong C-K and Su W-R, van Deurzen DFP and van den Bekrom MPJ, and Edwards D and Funk L.

Letter 1

While planning the study, about 10 years ago, we had lengthy discussions about the ethics of what was proposed. We all had reservations about this issue, in particular the shoulder surgeon, but our experience having completed the clinical trial is in agreement with previously published sham surgical studies.1 2 Patients in sham surgical groups have fewer complications than those who undergo repair or any other procedure.3 4 Hong and Su suggest that it was unethical to assign patients to sham surgery because the current literature does not suggest that shaving arthroscopy or arthroscopic irrigation is helpful for these patients.5 We do not understand the reference to 'shaving arthroscopy procedure' since this was not...



from # All Medicine by Alexandros G. Sfakianakis via alkiviadis.1961 on Inoreader http://ift.tt/2i8wQB2

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