Shoulder Latarjet Procedure Using All-Suture Anchor and Button Fixation

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Biomedical Engineering

Background:

• The Latarjet procedure effectively treats anterior shoulder instability.
• Hardware complications, such as screw prominence and pain, are risks associated with the traditional Latarjet technique.
• Current alternative fixation methods may require technically demanding arthroscopic posterior glenoid access.

Purpose of the Study:

• To present an alternative fixation method for the open Latarjet technique.
• To eliminate screw-related complications in the Latarjet procedure.
• To avoid the need for posterior glenoid access during Latarjet fixation.

Main Methods:

• Utilized an open Latarjet technique.
• Employed all-suture anchors and suture buttons for graft fixation.
• Eliminated the use of traditional screws.

Main Results:

• Successfully achieved fixation without screws.
• Avoided the necessity of posterior glenoid access.
• Demonstrated a viable alternative to screw fixation, potentially reducing hardware complications.

Conclusions:

• All-suture anchors and suture buttons offer a promising screwless fixation for the open Latarjet procedure.
• This technique simplifies the Latarjet procedure by removing the need for posterior access.
• Further investigation into the long-term outcomes and biomechanical properties compared to screw fixation is warranted.