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Patients were matched at a 1:1 ratio on the basis of sex, type of surgery, and time since surgery. All patients who were included had a minimum clinical follow\u2010up of 2 years. Study outcomes compared Western Ontario Shoulder Instability (WOSI) Index scores, recurrence of instability, incidence of revision surgeries, and computed tomography readings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 44 patients were included with 22 patients in each group. The preoperative glenoid bone loss was 22.57 \u00b1 8.06% in the screw group and 22.92 \u00b1 8.84% in the button group (\n                      <jats:italic>P<\/jats:italic>\n                      = .898). Both groups demonstrated a significant improvement in WOSI from preoperative to latest follow\u2010up; however, patients in the screw group demonstrated significantly better WOSI scores at both 2\u2010year (\n                      <jats:italic>P<\/jats:italic>\n                      = .003) and latest follow\u2010up (\n                      <jats:italic>P<\/jats:italic>\n                      = .019) compared with the button group. Recurrent dislocation was observed in 9 patients (40.9%), all of whom underwent button fixation (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001). Two patients in the screw group experienced hardware complications (\n                      <jats:italic>P<\/jats:italic>\n                      = .488). Individuals who underwent button fixation were significantly more likely to undergo a revision surgery for recurrent instability (\n                      <jats:italic>P<\/jats:italic>\n                      = .011). Individuals in the button group demonstrated a significantly smaller mean graft anteroposterior diameter postoperatively (\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>AAGR with both screw fixation results in significantly improved WOSI scores at minimum 2\u2010year follow\u2010up. Button fixation has a significantly greater incidence of redislocation. Radiographic findings suggest that on average, button fixation results in greater\u2010grade bone resorption and subsequently smaller postoperative glenoid anteroposterior width than screw fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.02.034","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T23:32:59Z","timestamp":1741303979000},"page":"3462-3472","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Screw Fixation Has Better Outcomes, Lower Incidence of Redislocation, and Lower Bone Resorption Than Button Fixation for Arthroscopic Anatomic Glenoid Reconstruction With Distal Tibia Allograft: A Matched Cohort Analysis"],"prefix":"10.1002","volume":"41","author":[{"given":"Devan","family":"Pancura","sequence":"first","affiliation":[{"name":"Division of Orthopaedic Surgery Nova Scotia Health Halifax Nova Scotia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felicia","family":"Licht","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Nova Scotia Health Halifax Nova Scotia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Wong","sequence":"additional","affiliation":[{"name":"Division of Orthopaedic Surgery Nova Scotia Health Halifax Nova Scotia"},{"name":"Department of Orthopaedic Surgery Dalhousie University Halifax Nova Scotia Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,6]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513490646"},{"key":"e_1_2_4_3_1","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_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2008.10.017"},{"key":"e_1_2_4_5_1","first-page":"353","article-title":"The Bristow\u2010Latarjet method in the treatment of shoulder instability that cannot be resolved by arthroscopy. 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Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America.","name":"copyright","label":"Copyright"}]}}