Synopsis Metal screws are traditionally used to fix the coracoid process to the glenoid. Despite stable fixation, metal screws have been associated with hardware complications. Therefore, some studies have advocated for suture button fixation during the Latarjet procedure to reduce the complications associated with screw fixation. This week’s “MED FACT” discusses a clinical trial from Orthopaedic Journal of Sports Medicine, “Biomechanical Comparison of Screw Fixation Versus a Cortical Button and Self-tensioning Suture for the Latarjet Procedure”.
Authors: Matthew T. Provencher, et.al. Key Takeaways: The screw and suture button fixation techniques exhibited comparable biomechanical strength for coracoid bone block fixation of the Latarjet procedure. Objective: To biomechanically evaluate the ultimate failure load of a cortical button and self-tensioning suture versus metal screws for…
