ArticleJSES reviews, reports, and techniques2026
Clinical and radiographic outcomes following open Latarjet with single button technique.
Article in JSES reviews, reports, and techniques, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Anterior shoulder instability with significant glenoid bone loss remains a therapeutic challenge. The Latarjet procedure is effective, but screw fixation is associated with complications. Single-button fixation may provide comparable clinical and radiological outcomes with fewer complications, particularly in open approaches. Methods: A retrospective study was conducted at a level IV university hospital. Patients older than 18 years with anterior instability undergoing their first open Latarjet with single-button fixation between June 2023 and June 2024 were included. Demographic, clinical, imaging, and functional variables were assessed. Bone healing was evaluated with 3D computed tomography at 1 year, and functional outcomes were measured using the Disabilities of the Arm, Shoulder and Hand, Western Ontario Shoulder Instability Index, and visual analog scale for pain. Results: Eight patients (87.5% male; mean age 32 ± 4.7 years; follow-up 13.8 ± 1.6 months) were included. No recurrences or post-operative complications were reported. Complete bone healing occurred in 37.5%, partial in 37.5%, and absent in 25%. Final visual analog scale was 1.0 ± 0.64, Disabilities of the Arm, Shoulder and Hand 9.7 ± 6.6, and Western Ontario Shoulder Instability Index 42.4 ± 11.2. The apprehension sign resolved in all cases. Conclusion: Open Latarjet using single-button fixation with conjoint tendon augmentation demonstrated favorable clinical and functional outcomes, with no implant-related complications or clinical recurrences at a minimum 1-year follow-up. Although the rate of complete bone healing was lower compared to arthroscopic techniques with double-button fixation and double screws, this simplified approach appears to be safe and reproducible, reducing technical complexity, costs, and potential neurovascular risks.
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