Cortical suture button fixation vs. bicortical screw fixation in the Latarjet procedure: a biomechanical comparison

Williams, Robert C.; Morris, Randal P.; Beaino, Marc El; Maassen, Nicholas H.

doi:10.1016/j.jse.2019.11.025

Cited by 36 publications

(34 citation statements)

References 29 publications

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“…The authors demonstrated that both devices exhibited comparable strength for coracoid fixation. Williams et al 36 simulated the worst-case scenario, in which the bone block is loaded by the humeral head during a dislocation. In their cadaveric model, screws outperformed buttons in terms of load to failure.…”

Section: Discussionmentioning

confidence: 99%

“…4,20 This emerging flexible fixation of the bone block was explored biomechanically and clinically with promising results. 5,8,9,17,26,36,37 The reported rate of nonunion on computed tomography (CT) scan was less than 5% at the 1-year follow-up. 4,5 When this pathology concerns young, and especially competitive, athletes, minimal time away from sports activities becomes the goal of successful surgical treatment.…”

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confidence: 99%

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Short-Term Bone Fusion With Arthroscopic Double-Button Latarjet Versus Open-Screw Latarjet

Bonnevialle

Girard

Martinel³

et al. 2021

Am J Sports Med

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Background: Recently, arthroscopic double-button Latarjet (AL) has provided an alternative to conventional open Latarjet (OL) in the treatment of anterior shoulder instability with glenoid bone loss. Therefore, theoretically, the faster fusion is obtained, the sooner return to sports under safe conditions can occur. The emerging flexible fixation of the bone block has clearly offered a new approach to achieve bone fusion. However, the period required to achieve this goal remains controversial. Purpose/Hypothesis: The purpose was to compare computed tomography (CT) scan results of AL and OL in the early postoperative period. It was hypothesized that the bone block fusion with AL would require a longer time than that with OL. Study Design: Cohort study; Level of evidence, 3. Methods: In a retrospective 1-year study, the authors compared 17 primary double-button AL to 22 primary 2-screw OL procedures indicated for anterior shoulder instability in patients with an Index Severity Instability Score >3 points. These patients were reviewed with a CT scan at 1 day, 3 months, and 6 months postoperatively. The characteristics for the 2 groups were comparable. CT scans aimed to analyze graft position, bone contact area with the scapula, and fusion at 3 and 6 months. Clinical assessment was based on the Walch-Duplay and Rowe scores. Results: The mean preoperative Index Severity Instability Score was 5.3 ± 1.9 points, with a mean anterior glenoid bone loss of 9.1% ± 4.6%. At 3 months, the rates of fusion were 41% and 100% for the AL and OL groups, respectively ( P < .001). This rate increased to 70% in the AL group at 6 months ( P = .006). In the axial and sagittal planes, there was no difference in graft position between the AL group and the OL group. The bone block was longer and there was a more extensive bone contact area in the OL group (AL, 131 mm2 vs OL, 223 mm2; P < .001). At 6 months of follow-up, no significant difference in clinical scores was noted between the groups: Walch-Duplay score, 93.0 ± 10.9 points versus 91.8 ± 12.5 points ( P = .867); and Rowe score, 99.0 ± 2.2 points versus 95.0 ± 8.4 points ( P = .307) for the AL and OL groups, respectively. Conclusion: AL required more time to achieve bone block fusion than OL. This finding should be taken into account when considering this procedure for patients in a hurry to return to sports involving the shoulder.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Short-Term Bone Fusion With Arthroscopic Double-Button Latarjet Versus Open-Screw Latarjet

Bonnevialle

Girard

Martinel³

et al. 2021

Am J Sports Med

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“…21 The main concern about suture button fixation is its inferior biomechanical strength. 17,22,23 Reeves et al 17 conducted a cadaveric biomechanics study on the two different fixation methods. The results showed that the screws were significantly more stable than the buttons at 20 N of conjoint tendon loading.…”

Section: Discussionmentioning

confidence: 99%

“…The results showed that the screws were significantly more stable than the buttons at 20 N of conjoint tendon loading. Williams et al 23 reported in their cadaveric study that cortical button fixation did not resist direct loads to the graft as much as traditional screw fixation. Several techniques have been introduced to improve the fixation strength of suture button fixation, such as using a tensioner for knotting during fixation, 11,12 adding an extra antirotation thread for the reinforcement or using double-suture buttons for the fixation.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic “Double-Inlay” Eden-Hybinette Procedure with Modified Suture Button Fixation for the Revision of Failed Bristow-Latarjet

Shao

Luo

et al. 2021

Arthroscopy Techniques

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“…[20] A more recent analysis suggested that the cortical button fixation did not resist direct loads to the graft as much as traditional screw fixation; however, bony damage to the surrounding anatomy was more extensive in screw fixation. [21] In a clinical study, button fixation for Latarjet showed higher rates of recurrent dislocation compared to screw fixation. [22] Newer techniques include arthroscopic iliac crest grafting, implant-free J-bone grafting, and arthroscopic congruentarc Latarjet procedure.…”

Section: Arthroscopic Bone Grafting Proceduresmentioning

confidence: 98%

Recent advances and future trends in shoulder arthroscopy

DeNiese¹,

Bhatia²

2020

JASSM

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Shoulder arthroscopy has evolved significantly over the past decade. Treatment algorithms have evolved in sync with results from cadaveric, biomechanical, and clinical studies, and newer minimally invasive and biomechanically proven surgical techniques have replaced suboptimal procedures. Advances in arthroscopy have influenced three key aspects of shoulder problems: Anterior instability, rotator cuff tears, and osteoarthritis. A new frontier of “endoscopic” extra-articular procedures has evolved and these procedures have convincingly replaced traditional open surgeries. The current evidence suggests a growing trend for arthroscopic procedures in joint preservation and restoration.

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Cortical suture button fixation vs. bicortical screw fixation in the Latarjet procedure: a biomechanical comparison

Cited by 36 publications

References 29 publications

Short-Term Bone Fusion With Arthroscopic Double-Button Latarjet Versus Open-Screw Latarjet

Short-Term Bone Fusion With Arthroscopic Double-Button Latarjet Versus Open-Screw Latarjet

Arthroscopic “Double-Inlay” Eden-Hybinette Procedure with Modified Suture Button Fixation for the Revision of Failed Bristow-Latarjet

Recent advances and future trends in shoulder arthroscopy

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