Open Latarjet Procedure Using Double Suture-Button Fixation

The Latarjet procedure is the most commonly used technique for recurrent anterior instability with significant bone loss. However, the screws used to fix the coracoid are the major risk for postoperative complications including screw penetration and glenoid articular cartilage damage, prominence and impingement of the screw head onto the humeral head, and metalwork breakage. The use of suture-button and cerclage fixation can significantly decrease this risk but has been primarily designed for arthroscopic use. We describe an open Latarjet technique using a modification of suture-button fixation that does not require any additional specialized instrumentation. This allows surgeons who currently undertake an open Latarjet procedure to easily transition to suture-button fixation with a minimal change to their established technique.