Clinical and radiographic outcomes after Latarjet using suture-button fixation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Reconstruction

Background:

• The Latarjet procedure is a common surgical option for shoulder instability with bone loss.
• Traditionally, the coracoid bone graft is secured using screws.

Purpose of the Study:

• To evaluate the clinical and radiographic outcomes of the Latarjet procedure using suture-button fixation for shoulder instability.
• To compare patient-reported outcomes at 1 and 2 years post-surgery.

Main Methods:

• A cohort of patients undergoing Latarjet with suture-button fixation and a minimum 1-year follow-up were included.
• Preoperative and postoperative outcome scores (ASES, SANE, VAS) were recorded and compared.
• Radiographs were assessed for nonunion, and complications were documented.

Main Results:

• Twenty-one patients (76% male, average age 30.4 years) completed the study.
• Significant improvements in ASES, SANE, and VAS scores were observed at 1 year (P < 0.001) and 2 years (P = 0.001) post-surgery.
• No significant differences were found between 1-year and 2-year outcome scores for patients with 2-year follow-up. Three patients (14%) experienced complications.

Conclusions:

• Suture-button fixation in the Latarjet procedure yields positive clinical and radiographic outcomes.
• The method demonstrates sustained efficacy at 1 and 2 years, offering a viable alternative for shoulder instability treatment.