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Non-rigid suture fixation may be safe for arthroscopic Latarjet procedure
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BOSTON — Use of non-rigid suture fixation with a cortical button fixation device may be a safe alternative to traditional screw fixation in arthroscopic Latarjet procedures, according to results presented at the American Orthopaedic Society for Sports Medicine Annual Meeting.
Michael T. Freehill , MD, and colleagues collected anonymous digital imaging and communications in medicine postoperative CT datasets among 107 patients who underwent non-rigid suture fixation with a cortical button fixation device during an arthroscopic Latarjet procedure.
“[Patients] needed to have a minimum of two [CT scans], one at 2 weeks and one at least 3 months out,” Freehill said in his presentation. “Forty-seven patients had these criteria available for evaluation.”
Freehill noted independent fellowship-trained musculoskeletal radiologists compared the CT scans side-by-side, reviewing initial graft position, percentage of osseous healing and presence and degree of graft migration. About three-quarters of the 47 patients reviewed had about 75% healing, according to Freehill.
“Certainly, that is enough to be rigid enough to withstand the rigors of the shoulder,” Freehill said.
He added that patients presented good results with regard to migration.
“One reviewer has one of these applications having some migration compared to where they started,” he said. – by Casey Tingle
Reference:
Kalia V, et al. Abstract 69. Presented at: American Orthopaedic Society for Sports Medicine Annual Meeting; July 11-14, 2019; Boston.
Disclosure: Freehill reports no relevant financial disclosures.