Arthroscopic Latarjet Procedure: A Technique Using Double Round ENDOBUTTONs and Specific Glenoid and Coracoid Guides

Abstract

The Latarjet procedure is a method used for the treatment of shoulder instability in the presence of bone loss. A decade after the first description of the fully arthroscopic Latarjet procedure, modifications to the technique were reported to decrease the risk of complications and improve the position of the bone block. A recent trend toward the use of buttons to fix the coracoid has been reported. The technique described here is an arthroscopic Latarjet procedure that uses 2 pairs of round buttons as an alternative to screw fixation or the use of a single button, and the technique aims to combine the original procedure with safe and stable fixation.

Anchorless Onlay Dynamic Anterior Stabilization of the Shoulder Using a Guided Posterior Double Endobutton Fixation

“…This can increase the risk of failure 34 due to excessive stiffness of the fixation and increased stress at the most inferior fixation point. 34 , 35 , 36 …”

Open versus Arthroscopic Latarjet Procedures for the Treatment of Shoulder Instability

“…Complications: In Tables 3, 4, nine studies (7)(8)(9)(10)(12)(13)(14)(15)(16) reported postoperative complications. On the whole, 34 (26.9%) complications on the open Latarjet procedure and were reported and 92 (73%) complications by arthroscopic surgery were reported in 12 included studies.…”

“…The overall estimate indicated that the pooled OR was 0.23 (95%CI=0.13-0.40, P=0.34), suggesting that the difference was not statistically significant between open and arthroscopic Latarjet procedures. (7) 2022 Retrospective Arthroscopic Open coracoid 95 69 Daniel et al, (8) 2021 Prospective Arthroscopic Open coracoid 28 216 P. Moroder et al (9) 2022 Prospective Arthroscopic Open coracoid 102 234 KS Min et al, (10) 2022 Retrospective Arthroscopic Open coracoid 28 95 Paul RW et al, (11) 2022 RCT Arthroscopic Open suture-button fixation 21 69 A. Christian et al, (12) 2022 Retrospective Arthroscopic Open Not mentioned 23 103 Castricini et al (13) 2020 Prospective Arthroscopic Open Not mentioned 23 46 P. Boileau et al (14) 2019 Retrospective Arthroscopic Open Not mentioned 20 33 Berte B, et al, (15) 2022 RCT Arthroscopic Open Not mentioned 50 28 M. Bodine et al (16) 2022 RCT Arthroscopic Open Not mentioned 102 23 J. Ali et al (17) 2020 Prospective Arthroscopic Open suture-button fixation 28 21 M. Alfaraidy et al, (18) 2023 Retrospective Arthroscopic Open Not mentioned 25 (9) * * * * * * * * Good KS Min et al (10) * * * * * * * * Good Paul RW et al (11) ---------A. Christian et al, (12) * * * * * * * * Good Castricini et al, (13) * * * * * * * * Good P. Boileau et al (14) * * * * * * * * Good Berte et al (15) ---------M. Bodine et al (16) ---------J. Ali et al (17) * * * * * * * * Good M. Alfaraidy et al (18) * * * * * * * * Good P. Teissier et al (8) Arthroscopic Open 1 1 0 0 0 0 1 0 0 0 2 0 P. Moroder et al, (9) Arthroscopic Open (10) Arthroscopic Open 0 0 0 0 0 0 1 0 0 0 0 0 A. Christian et al, (12) Arthroscopic Open 1 0 0 0 0 0 0 0 0 0 0 0 Castricini et al, (13) Arthroscopic Open 0 0 0 0 0 0 0 0 0 0 3 1 P. Boileau et al (14) Arthroscopic Open 2 0 1 0 0 0 0 0 0 0 0 0 Berte et al (15) Arthroscopic Open 3 1 0 0 0 0 0 0 0 0 0 0 M. Bodine et al (16) Arthroscopic Open…”

Arthroscopic Latarjet procedure: current concepts and surgical techniques

“…an anti-rotation suture anchor; they reported that 98% of 102 patients achieved bone union after an average follow-up of 40.3 months. Similarly, Castricini et al [13] devised a procedure using four cortical bone fixation buttons. Controversy surrounds the optimal fixation method for the graft.…”