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The search terms used were\n                      <jats:italic>shoulder screw suture button<\/jats:italic>\n                      . Patients were evaluated based on reoperation rate, complication rate, recurrent instability, radiologic outcomes, and patient\u2010reported outcomes. Graft and screw position were assessed via computed tomography.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Seven studies (1 Level II, 6 Level III) met inclusion criteria, with 845 patients undergoing the Latarjet procedure with screw fixation (screw group) and 279 patients with suture\u2010button fixation (suture\u2010button group). Mean patient age ranged from 21.2 to 29.6 years. Mean follow\u2010up time ranged from 6.0 to 40.8 months. The recurrent instability rate ranged from 0% to 2.5% in the screw group and 0% to 8.3% in the suture\u2010button group. The reoperation rate ranged from 0% to 7.7% in the screw group compared to 0% to 1.9% in the suture\u2010button group. One study reported significantly lower visual analog scale pain scores in the suture\u2010button group compared with the screw group (1.5 vs 1.2,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .003). No other studies reported significant differences in any patient\u2010reported outcomes. There was no significant difference in horizontal or vertical graft position, graft union rate, or complication rate between groups in any study.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Latarjet procedure with screw fixation may result in a lower risk of recurrent instability compared to suture\u2010button fixation, although screw fixation may also have a higher reoperation rate due to hardware\u2010related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, systematic review of Level II to III studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2023.11.020","type":"journal-article","created":{"date-parts":[[2023,11,29]],"date-time":"2023-11-29T07:55:16Z","timestamp":1701244516000},"page":"1882","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"title":["Screw Fixation for the Latarjet Procedure May Reduce Risk of Recurrent Instability but Increases Reoperation Rate Compared to Suture\u2010Button Fixation: A Systematic Review"],"prefix":"10.1002","volume":"40","author":[{"given":"James A.","family":"Maguire","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery St. Joseph\u2019s University Medical Center Paterson New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaydeep","family":"Dhillon","sequence":"additional","affiliation":[{"name":"Rocky Vista University College of Osteopathic Medicine Greenwood Village Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Sarna","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery St. Joseph\u2019s University Medical Center Paterson New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carson","family":"Keeter","sequence":"additional","affiliation":[{"name":"Department of Orthopedics University of Colorado Anschutz Medical Campus Aurora Colorado U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony J.","family":"Scillia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery St. Joseph\u2019s University Medical Center Paterson New Jersey U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick C.","family":"McCulloch","sequence":"additional","affiliation":[{"name":"Department of Orthopedics &amp; 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