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Dr Schrøder and colleagues1 are to be congratulated on performing a high-quality study to address this controversial topic. Randomised surgical trials are difficult to perform, particularly with such a convincing ‘control’ group.
As they point out, the enthusiasm for SLAP repairs has waned over recent years, but it remains a commonly performed operation, which makes this study very relevant.
From a design and performance perspective, the study has many strengths. It was a double-blinded, randomised design with an adequate sample size to detect a clinically relevant difference. The CONSORT flow chart appropriately tracks the screening process and only 14 out of 445 screened patients declined to participate. This rules out significant selection bias. All patients …
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