Arthroscopic Latarjet: Suture-Button Fixation Is a Safe and Reliable Alternative to Screw Fixation

Boileau, Pascal; Saliken, David; Gendre, Patrick; Seeto, Brian L.; D’ollonne, Thomas; Gonzalez, Jean-François; Bronsard, Nicolas

doi:10.1016/j.arthro.2018.11.012

Cited by 117 publications

(148 citation statements)

References 46 publications

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“…But the most common failure mode of the endo-button was glenoid bone fracture while the screw was graft fracture. Boileau et al 23 showed mid-term results of suture-button arthroscopic Latarjet with a low instability recurrence rate and excellent return to preinjury activity level, and considered it as a safe and reliable alternative to screw fixation. Lu et al 13 modified Boileau's method 13 and found perfect graft healing as well as remodeling results in arthroscopic Latarjet procedure with suturebutton fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Boileau et al 13 proposed an innovative suture-button fixation. They evaluated the clinical outcomes with suture-button fixation and consider it as an alternative to screw fixation for Latarjet procedure 23 . Similar to suture-button fixation for distal tibiofibular syndesmosis, this suture-button fixation might be considered an elastic fixation allowing minimal motion of the bone healing area 24 .…”

Section: Introductionmentioning

confidence: 99%

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Early Follow‐Up of Arthroscopic Latarjet Procedure with Screw or Suture‐Button Fixation for Recurrent Anterior Shoulder Instability

Wang¹,

Zhou²,

Zhang³

et al. 2020

Orthopaedic Surgery

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Objective To evaluate the early clinical and radiographic results of arthroscopic Latarjet procedure using screw or suture‐button fixation in patients with recurrent anterior shoulder dislocation. Methods Twelve patients who underwent arthroscopic Latarjet procedure between January 2015 and December 2018 at our institution were retrospectively studied. Data of the patients' history, including age, gender, side of affected arm, body mass index (BMI), and the number of dislocations since fist dislocation were collected. Preoperative and postoperative clinical follow‐up data were evaluated using Walch–Duplay score, American Shoulder and Elbow Society (ASES) score, and modified Rowe score. Active external rotation and active internal rotation at 90° of abduction as well as active elevation were evaluated preoperatively and postoperatively. The position and healing condition of the transferred coracoid bony graft were also assessed using computed tomography (CT) and Mimics 19.0 software. Results Mean follow‐up was 24.9 months (range, 13 to 53 months) of all patients. At final follow‐up, the average ASES score (preoperative vs postoperative values) had improved from 68.9 ± 7.9 to 91.1 ± 6.1 in screw fixation group and 68.9 ± 8.9 to 87.5 ± 6.7 in suture‐button fixation group; the average Rowe score (preoperative vs postoperative values) had improved from 25.0 ± 8.4 to 92.5 ± 4.2 in screw fixation group and 21.7 ± 13.7 to 93.3 ± 4.1 in suture‐button fixation group; the average of Walch–Duplay score (preoperative vs postoperative values) had improved from 12.5 ± 15.1 to 91.7 ± 4.1 in screw fixation group and 18.3 ± 20.7 to 88.3 ± 7.5 in button fixation group. The forward flexion was 175.0° ± 8.4° preoperatively and 178.3° ± 4.1° postoperatively in screw fixation group while 174.8° ± 10.2° preoperatively and 175.0° ± 5.5° postoperatively in suture‐button fixation group. The active external rotation was 77.5° ± 5.2° preoperatively and 71.7° ± 4.1° postoperatively in screw fixation group while 72.5° ± 6.9° preoperatively and 68.3° ± 7.5° postoperatively in suture‐button fixation group. The average of active internal rotation was 66.7° ± 6.1° preoperatively and 67.5° ± 6.1° postoperatively in screw fixation group while 68.3° ± 11.3° preoperatively and 66.7° ± 7.5° postoperatively in suture‐button fixation group. In postoperative CT scan, 91.7% grafts midline center were located at or under the equator in the en face view; 75% of the bone blocks were flush to the glenoid face in the axial view, with only two grafts exhibiting slight medial placement in screw fixation group (33.3%) and one graft exhibiting slight lateral placement in suture‐button fixation group (16.7%). All grafts achieved bone union. Graft absorption mostly occurred outside of the “best‐fit” circle. The average bony absorption rates of the coracoid grafts were 25.2% and 10.18% in screw fixation group and suture‐button fixation group, respectively, at 6 months postoperative follow‐up. Conclusion Both suture‐button fixation and screw fixation techniques in arth...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Early Follow‐Up of Arthroscopic Latarjet Procedure with Screw or Suture‐Button Fixation for Recurrent Anterior Shoulder Instability

Wang¹,

Zhou²,

Zhang³

et al. 2020

Orthopaedic Surgery

View full text Add to dashboard Cite

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“…Arthroscopic anterior labrum repair is actually considered the gold standard treatment in patients with labral lesions, but this procedure has shown a high recurrence rate in patients with additional significant bony lesions [7]. In these patients, usually a different type of surgery is performed, like the open Latarjet [11] or other bone block procedure [5,13].…”

Section: Introductionmentioning

confidence: 99%

Dynamic contact area ratio in shoulder instability: an innovative diagnostic technique measuring interplay of bony lesions

Weel

Krekel²,

Willigenburg

et al. 2019

Knee Surg Sports Traumatol Arthrosc

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Purpose The hypothesis of this study is that Dynamic Contact Area Ratio of the humerus and glenoid, measured with CT scans, is significantly reduced in patients with anterior shoulder instability compared to the Dynamic Contact Area Ratio in a control group of people without shoulder instability. Methods Preoperative CT scans of patients who underwent surgery for anterior shoulder instability were collected. Additionally, the radiologic database was searched for control subjects. Using a validated software tool (Articulis) the CT scans were converted into 3-dimensional models and the amount the joint contact surface during simulated motion was calculated. Results CT scans of 18 patients and 21 controls were available. The mean Dynamic Contact Area Ratio of patients was 25.2 ± 6.7 compared to 30.1 ± 5.1 in healthy subjects (p = 0.014). Conclusion Dynamic Contact Area Ratio was significantly lower in patients with anterior shoulder instability compared to controls, confirming the hypothesis of the study. The findings of this study indicate that calculating the Dynamic Contact Area Ratio based on CT scan images may help surgeons in diagnosing anterior shoulder instability. Level of evidence III.

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“…Arthroscopic fixation of large anterior glenoid fractures (Ideberg type 1) 16 using interfragmentary compression systems, originally designed for treating shoulder instability with bone deficit to add and fix bone grafts, has already been described by several authors. [17][18][19][20][21]…”

mentioning

confidence: 99%

Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons

Pastor

2020

Arthroscopy Techniques

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An arthroscopic technique for the reduction and stable fixation of an articular glenoid fracture with a 2-button compression system, originally designed for the treatment of shoulder instability with bone deficiency in the anterior glenoid, is presented. This technique allows direct visualization of the joint, reduction of the fracture, precise placement of the buttons according to the fracture line, and stable fixation. It is a safe and reproducible technique, using the standard shoulder arthroscopy portals.

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Arthroscopic Latarjet: Suture-Button Fixation Is a Safe and Reliable Alternative to Screw Fixation

Cited by 117 publications

References 46 publications

Early Follow‐Up of Arthroscopic Latarjet Procedure with Screw or Suture‐Button Fixation for Recurrent Anterior Shoulder Instability

Early Follow‐Up of Arthroscopic Latarjet Procedure with Screw or Suture‐Button Fixation for Recurrent Anterior Shoulder Instability

Dynamic contact area ratio in shoulder instability: an innovative diagnostic technique measuring interplay of bony lesions

Arthroscopic Reduction and Stable Fixation of an Anterior Glenoid Fracture With 4 Buttons

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