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Study indicates bone union achieved with suture button fixation for arthroscopic Latarjet surgery
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Results from this prospective clinical and CT-scan study demonstrated use of a suture button fixation device during arthroscopic Latarjet surgery can achieve bone union of the coracoid with the glenoid neck.
Researchers evaluated 76 patients with a mean age of 27 years who underwent an arthroscopic Latarjet surgery with either a guided surgical approach or suture button fixation. Investigators used postoperative CT scans to evaluate positioning accuracy and bone graft union. Clinical examinations were performed at 2 weeks, 3 months, 6 months, 12 months and yearly thereafter. Rowe and Walch-Duplay scores were used to access functional outcomes. Fisher variance and multivariate analysis were used to evaluate risk factors of nonunion.
Results showed that of the 76 patients, 75 patients had stable shoulders at a mean of 14 months. All patients had normal neurologic examination results. None of the patients required additional surgery. The coracoid graft healed in 69 patients, but failed to heal in seven patients. Of all the grafts, 96% were positioned congruent with the glenoid articular surface and 93% of the grafts were positioned under the equator, according to researchers.‒ by Monica Jaramillo
Disclosures: Boileau reports support from Smith & Nephew for the development of specific instruments and implants used to perform the guided arthroscopic Latarjet surgery.
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