{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T13:08:59Z","timestamp":1765544939200,"version":"build-2065373602"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,11]],"date-time":"2024-02-11T00:00:00Z","timestamp":1707609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Adequate position of the bone block during arthroscopic Latarjet procedure is critical for an optimal functional outcome. However, this procedure is complex with a long learning curve. Our aim was to compare the bone block position between a dedicated glenoid posterior instrumentation and suture button fixation versus an anterior screw fixation, on a postoperative computed tomography (CT) scan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Seventy\u2010nine consecutive patients operated on for an anterior shoulder instability were included in this retrospective study. The same surgeon performed arthroscopically the Latarjet procedure either with an anterior drilling and screw fixation (Group A), or with a specific posterior glenoid guide pin, a posterior drilling, and a suture cortical button fixation (Group B). Evaluations were made by two independent observers. The position was evaluated by CT scan in the axial and sagittal planes. Learning curves with operative time, complications and clinical outcomes were assessed at a minimum of 2 years of follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010five patients were included in Group A and 44 in Group B. In Group A, 27 bone blocks were flush (87.1%) and 38 in Group B (92.7%) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). In Group A, 72% of the bone block height was below the equator and 76%, in Group B (ns). The mean operating time was 123\u2009\u00b1\u200932.5\u2009min in Group A and 95\u2009\u00b1\u200934.1\u2009min in Group B (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). At the final follow\u2010up, the mean aggregate Rowe score was respectively 94.6\u2009\u00b1\u200910.4 and 93.1\u2009\u00b1\u20099.8 points in Groups A and B. The mean aggregate Walch\u2013Duplay score was respectively 94.2\u2009\u00b1\u200911.6 and 93.4\u2009\u00b1\u200910.6 points in Groups A and B. There were 11 complications (31.4%) in Group A and five complications (11.3%) in Group B (ns).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The arthroscopic Latarjet procedure with a posterior drilling guided system and suture\u2010button fixation allows more precise positioning in the axial plane than with anterior drilling and screw fixation. This posterior\u2010guided procedure could reduce intraoperative and short\u2010term complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ksa.12063","type":"journal-article","created":{"date-parts":[[2024,2,11]],"date-time":"2024-02-11T03:59:45Z","timestamp":1707623985000},"page":"750-762","source":"Crossref","is-referenced-by-count":2,"title":["The arthroscopic Latarjet procedure with a posterior guided system and suture\u2010button fixation enables more precise bone block positioning in the axial plane versus anterior screws fixation"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7814-7470","authenticated-orcid":false,"given":"Nicolas","family":"Gaujac","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Traumatology Cochin Hospital Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre\u2010Alban","family":"Bouch\u00e9","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Traumatology Lariboisi\u00e8re Hospital Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maxime","family":"Belas","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Traumatology P\u00f4le Sant\u00e9 Sud Clinic Le Mans France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Bonnevialle","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Traumatology Pierre Paul Riquet Hospital Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Charousset","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery and Sports Traumatology Turin Clinic Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B11.18962"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.12.185"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519833920"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520962082"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200001000-00005"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197860010-00001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.09.009"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199806000-00008"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-1848-y"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.03.020"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.08.005"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2651-4"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.06.008"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2015.06.001"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3075-5"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.11.012"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2016.08.004"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515578250"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508330139"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200305000-00016"},{"key":"e_1_2_11_22_1","unstructured":"Medixant. 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