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Open-Guided Latarjet With Suture-Button Fixation: Early Experience.

Carlos Afanador1, Santiago Vanegas2, Juan David Lacouture3

  • 1Clínica del Campestre.

Techniques in Hand & Upper Extremity Surgery
|June 16, 2026
PubMed
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This study introduces a new guided open Latarjet technique using suture-buttons for shoulder instability. Early results show improved function and reduced pain without hardware complications.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Recurrent anterior shoulder instability with glenoid bone loss presents a surgical challenge.
  • The traditional open Latarjet procedure with screw fixation has limitations, including hardware complications.
  • Alternative fixation methods are needed to improve outcomes for shoulder instability surgery.

Purpose of the Study:

  • To describe a guided open Latarjet technique utilizing dual suture-button constructs for coracoid fixation.
  • To evaluate the early clinical and radiographic outcomes of this novel technique in patients with recurrent anterior shoulder instability and glenoid bone loss.

Main Methods:

  • A guided open Latarjet procedure with dual suture-button fixation was performed on five male patients with recurrent anterior shoulder instability and significant glenoid bone loss.
Keywords:
Latarjet-Bristow procedurebone transplantationjoint instabilityorthopedic fixation devicesshoulder dislocationtreatment outcome

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  • Patients were assessed postoperatively at 6, 12, and 24 months using the American Shoulder and Elbow Surgeons (ASES) score and visual analog scale (VAS) for pain.
  • Radiographic evaluation was conducted to assess graft consolidation and positioning.

    • Main Results:

    • Significant improvement in ASES scores from a mean of 46.5 preoperatively to 98 at 24 months.
    • Marked reduction in median pain levels from 7.5 to 0 at 24 months.
    • Radiographs indicated graft consolidation in 4 of 5 patients within 6 months, with no redislocations or hardware complications reported.

    Conclusions:

    • The guided open Latarjet technique with suture-button fixation appears technically feasible for treating shoulder instability with bone loss.
    • Early clinical and radiographic findings are encouraging, suggesting potential for improved functional outcomes and reduced complications.
    • Further research is warranted to confirm reproducibility and effectiveness in larger patient cohorts.