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The groups included DePuy Synthes Mitek 3.5\u2010mm partially threaded screws with top hats, Arthrex 3.75\u2010mm fully threaded screws with a 2\u2010hole plate, Arthrex 3.75\u2010mm fully threaded screws, and Smith &amp; Nephew 4.0\u2010mm partially threaded screws. Screws were inserted using a digital torque\u2010measuring screwdriver to determine maximum insertional torque. Pressure\u2010sensitive film was used to measure the maximum contact pressure and the effective pressure distribution (EPD) between the coracoid and glenoid; the EPD represents the percentage of the film\u2019s surface area that experienced pressure greater than 10 MPa. One\u2010way analysis of variance and post hoc tests were used for statistical analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Significant differences were found between the 4 fixation groups for each variable measured. The 2 cortically augmented systems produced significantly higher maximum insertional torque than the non\u2013cortically augmented systems (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001 for both). The 3.75\u2010mm screws with a 2\u2010hole plate yielded significantly higher contact pressures than the 4.0\u2010mm screws (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .028). This group also had a high EPD, with a mean value more than double the values of the non\u2013cortically augmented systems (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .037 and\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cortically augmented fixation methods showed higher maximum insertional torque, maximum contact pressure, and EPD between the surfaces of the coracoid and glenoid in this Sawbones model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Various implants are available for the Latarjet procedure, but their biomechanical characteristics have not yet been fully elucidated. Graft fracture and nonunion represent 2 modes of failure that may be related to insertional torque and coracoid\u2010glenoid compression. This study compared screw insertional torque and compression achieved using 4 fixation techniques with different screw design parameters and cortical augmentation in a Sawbones model.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2019.10.011","type":"journal-article","created":{"date-parts":[[2019,12,31]],"date-time":"2019-12-31T11:40:15Z","timestamp":1577792415000},"page":"689-695","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Effect of Screw Design and Cortical Augmentation on Insertional Torque and Compression in Coracoid\u2010Glenoid Fixation in a Sawbones Model"],"prefix":"10.1002","volume":"36","author":[{"given":"Justin","family":"Rabinowitz","sequence":"first","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackie J.","family":"Lin","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyssa","family":"Greenhouse","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghana V.","family":"Rao","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Provencher","sequence":"additional","affiliation":[{"name":"Steadman Philippon Research Institute Vail Colorado"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Parada","sequence":"additional","affiliation":[{"name":"Augusta University Augusta Georgia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef K.","family":"Eichinger","sequence":"additional","affiliation":[{"name":"Medical University of South Carolina Charleston South Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,12,31]]},"reference":[{"key":"e_1_2_2_2_2","first-page":"994","article-title":"Treatment of recurrent dislocation of the shoulder","volume":"49","author":"Latarjet M.","year":"1954","journal-title":"Lyon Chir"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.40B2.198"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173070-00003"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-015-9258-y"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546512446681"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505281798"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.017"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967116643533"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2011.02.012"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118777842"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2017.03.030"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.03.074"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573217704817"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-014-3038-x"},{"key":"e_1_2_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.05.036"},{"key":"e_1_2_2_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.01.011"},{"key":"e_1_2_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/usx077"},{"key":"e_1_2_2_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517697963"},{"key":"e_1_2_2_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546516658037"},{"key":"e_1_2_2_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01398"},{"key":"e_1_2_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.08.009"},{"key":"e_1_2_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.02.013"},{"key":"e_1_2_2_24_2","first-page":"16","article-title":"Recurrent anterior dislocations of the shoulder joint treated by the Bristow\u2010Latarjet procedure. 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