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Data of the patients' history, including age, gender, side of affected arm, body mass index (BMI), and the number of dislocations since fist dislocation were collected. Preoperative and postoperative clinical follow\u2010up data were evaluated using Walch\u2013Duplay score, American Shoulder and Elbow Society (ASES) score, and modified Rowe score. Active external rotation and active internal rotation at 90\u00b0 of abduction as well as active elevation were evaluated preoperatively and postoperatively. The position and healing condition of the transferred coracoid bony graft were also assessed using computed tomography (CT) and Mimics 19.0 software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow\u2010up was 24.9\u2009months (range, 13 to 53\u2009months) of all patients. At final follow\u2010up, the average ASES score (preoperative <jats:italic>vs<\/jats:italic> postoperative values) had improved from 68.9\u2009\u00b1\u20097.9 to 91.1\u2009\u00b1\u20096.1 in screw fixation group and 68.9\u2009\u00b1\u20098.9 to 87.5\u2009\u00b1\u20096.7 in suture\u2010button fixation group; the average Rowe score (preoperative <jats:italic>vs<\/jats:italic> postoperative values) had improved from 25.0\u2009\u00b1\u20098.4 to 92.5\u2009\u00b1\u20094.2 in screw fixation group and 21.7\u2009\u00b1\u200913.7 to 93.3\u2009\u00b1\u20094.1 in suture\u2010button fixation group; the average of Walch\u2013Duplay score (preoperative <jats:italic>vs<\/jats:italic> postoperative values) had improved from 12.5\u2009\u00b1\u200915.1 to 91.7\u2009\u00b1\u20094.1 in screw fixation group and 18.3\u2009\u00b1\u200920.7 to 88.3\u2009\u00b1\u20097.5 in button fixation group. The forward flexion was 175.0\u00b0\u2009\u00b1\u20098.4\u00b0 preoperatively and 178.3\u00b0\u2009\u00b1\u20094.1\u00b0 postoperatively in screw fixation group while 174.8\u00b0\u2009\u00b1\u200910.2\u00b0 preoperatively and 175.0\u00b0\u2009\u00b1\u20095.5\u00b0 postoperatively in suture\u2010button fixation group. The active external rotation was 77.5\u00b0\u2009\u00b1\u20095.2\u00b0 preoperatively and 71.7\u00b0\u2009\u00b1\u20094.1\u00b0 postoperatively in screw fixation group while 72.5\u00b0\u2009\u00b1\u20096.9\u00b0 preoperatively and 68.3\u00b0\u2009\u00b1\u20097.5\u00b0 postoperatively in suture\u2010button fixation group. The average of active internal rotation was 66.7\u00b0\u2009\u00b1\u20096.1\u00b0 preoperatively and 67.5\u00b0\u2009\u00b1\u20096.1\u00b0 postoperatively in screw fixation group while 68.3\u00b0\u2009\u00b1\u200911.3\u00b0 preoperatively and 66.7\u00b0\u2009\u00b1\u20097.5\u00b0 postoperatively in suture\u2010button fixation group. In postoperative CT scan, 91.7% grafts midline center were located at or under the equator in the en face view; 75% of the bone blocks were flush to the glenoid face in the axial view, with only two grafts exhibiting slight medial placement in screw fixation group (33.3%) and one graft exhibiting slight lateral placement in suture\u2010button fixation group (16.7%). All grafts achieved bone union. Graft absorption mostly occurred outside of the \u201cbest\u2010fit\u201d circle. The average bony absorption rates of the coracoid grafts were 25.2% and 10.18% in screw fixation group and suture\u2010button fixation group, respectively, at 6\u2009months postoperative follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both suture\u2010button fixation and screw fixation techniques in arthroscopic Latarjet procedure revealed excellent clinical outcomes with low complication rates in the early follow\u2010up. The suture\u2010button fixation exhibited a flexible fixation pattern that allowed for self\u2010correction to some extent, even slight lateralization could finally remodel over time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12781","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T07:10:30Z","timestamp":1605597030000},"page":"1350-1361","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Early Follow\u2010Up of Arthroscopic Latarjet Procedure with Screw or Suture\u2010Button Fixation for Recurrent Anterior Shoulder Instability"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3489-5183","authenticated-orcid":false,"given":"Yi","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery Third Affiliated Hospital of Navy Medical University  Shanghai 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