Suture Button Fixation in Shoulder Instability Surgery to Achieve Bone Healing: A Critical Analysis Review

Pascal Boileau; Garrett V Christensen; Brendan M Patterson; James V Nepola; Carter M Lane; Maria F Bozoghlian; Xinning Li; Joseph W Galvin

doi:10.2106/JBJS.RVW.24.00165

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Suture Button Fixation in Shoulder Instability Surgery to Achieve Bone Healing: A Critical Analysis Review

Journal article

Peer reviewed

Suture Button Fixation in Shoulder Instability Surgery to Achieve Bone Healing: A Critical Analysis Review

Pascal Boileau, Garrett V Christensen, Brendan M Patterson, James V Nepola, Carter M Lane, Maria F Bozoghlian, Xinning Li and Joseph W Galvin

JBJS reviews, Vol.12(12), e24.00165

12/01/2024

DOI: 10.2106/JBJS.RVW.24.00165

PMID: 39642250

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Abstract

» Suture button fixation has emerged as an effective surgical construct in arthroscopic and open Latarjet and anterior glenoid reconstruction with free autograft bone with high rates of bone block healing.» Biomechanical data suggest that screw and suture button mechanical fixation constructs provide similar load to failure and stability for the Latarjet procedure.» Preliminary bone healing models have identified that flexible fixation may exhibit a higher degree of bone callus maturation, whereas rigid fixation results in excessive callus hyperplasia» Mechanical tensioner use provides consistent tensioning of suture button constructs and improves bone-to-bone healing rates when used for anterior glenoid reconstruction surgery.» Evidence is lacking regarding the reliability of bone-to-bone healing of allografts to native bone with use of suture button constructs.» Suture button fixation provides good short- and mid-term clinical outcomes for the arthroscopic Latarjet and anterior glenoid reconstruction with free autograft bone.

Arthroscopy - methods

Bone Transplantation - methods

Humans

Joint Instability - surgery

Shoulder Joint - physiopathology

Shoulder Joint - surgery

Suture Anchors

Suture Techniques

Details

Title: Subtitle: Suture Button Fixation in Shoulder Instability Surgery to Achieve Bone Healing: A Critical Analysis Review
Creators: Pascal Boileau
Garrett V Christensen - University of Iowa
Brendan M Patterson - University of Iowa
James V Nepola - University of Iowa
Carter M Lane - University of Iowa
Maria F Bozoghlian - University of Iowa
Xinning Li - Boston University
Joseph W Galvin - University of Iowa
Resource Type: Journal article
Publication Details: JBJS reviews, Vol.12(12), e24.00165
Publisher: Journal of Bone and Joint Surgery, Inc.; PHILADELPHIA
DOI: 10.2106/JBJS.RVW.24.00165
PMID: 39642250
ISSN: 2329-9185
eISSN: 2329-9185
Language: English
Date published: 12/01/2024
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984756238502771

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