Open Inlay Bristow(CUIstow) Procedure with Button Fixation Preserving Capsule

The Bristow-Latarjet procedure is a well-established and reliable technique for managing recurrent anterior shoulder instability. Although the Bristow technique is associated with lower graft healing rates than the Latarjet, it shows better postoperative range of motion and a higher rate of return to sports. However, the arthroscopic Bristow-Latarjet procedure has a relatively steep learning curve. Building upon the classic Bristow technique, this technical note describes an open inlay Bristow procedure with button fixation that preserves the capsule. This approach is particularly suitable for beginners, offering a simple yet effective alternative.