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

Area of Science:

• Orthopedic Surgery
• Sports Medicine

Background:

• Recurrent anterior shoulder instability is commonly managed with the Bristow-Latarjet procedure.
• While effective, the arthroscopic approach presents a steep learning curve for surgeons.
• The classic Bristow technique offers benefits in range of motion and return to sport but has lower graft healing rates compared to Latarjet.

Purpose of the Study:

• To describe a modified open inlay Bristow procedure.
• To present a technique suitable for surgeons with less experience in shoulder instability surgery.
• To offer an alternative that preserves the joint capsule.

Main Methods:

• Description of an open inlay Bristow procedure utilizing button fixation.
• Focus on preserving the native shoulder capsule during the repair.
• Technique tailored for ease of learning and execution.

Main Results:

• The described open inlay Bristow technique is presented as a viable alternative for managing recurrent anterior shoulder instability.
• This method is highlighted as being particularly suitable for surgeons new to the Bristow-Latarjet procedure.
• Capsular preservation is a key feature of this modified approach.

Conclusions:

• The open inlay Bristow procedure with button fixation provides a simplified and effective surgical option.
• This technique is advantageous for beginners due to its straightforward nature and capsular preservation.
• It represents a valuable alternative for addressing recurrent anterior shoulder instability.