2020
DOI: 10.1016/j.jse.2019.11.025
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Cortical suture button fixation vs. bicortical screw fixation in the Latarjet procedure: a biomechanical comparison

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Cited by 32 publications
(33 citation statements)
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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%
See 1 more Smart Citation
“…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.…”
mentioning
confidence: 99%
“…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%
“…[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%