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Latarjet-Bristow Procedure Performed With Bioabsorbable Screws: Computed Tomography Evidence of Healing

Young, Allan Andrew MD, MBBS, MSpMed, PhD, FRACS (Orth)*; Maia, Roberto MD; Moraga, Claudio MD; Latif, Vaqar MD; Liotard, Jean-Pierre MD; Walch, Gilles MD

Techniques in Shoulder & Elbow Surgery: September 2010 - Volume 11 - Issue 3 - pp 85-89
doi: 10.1097/BTE.0b013e3181edf171
Techniques

The Latarjet-Bristow procedure has been shown to be a safe and reliable method of treating recurrent anterior instability. We proposed using bioabsorbable screws for fixation of the coracoid graft to avoid the potential complications associated with metallic hardware. The aim of this study was to assess the early radiologic healing of the graft using bioabsorbable screws and comment on our initial experience using this method of fixation for the Latarjet-Bristow procedure. Twelve Latarjet-Bristow procedures were performed for recurrent anterior instability using two 4.5-mm bioabsorbable compression screws composed of L-lactic/co-glycolic acid copolymer (PLGA 85L/15G). All patients had follow-up imaging including plain radiographs and a computed tomography scan performed at 3 months postoperatively to assess bone healing and graft position. In all cases, there was radiologic evidence of bony graft healing in a satisfactory position. There were no intraoperative or postoperative complications observed. This study confirms that satisfactory bone healing in the Latarjet-Bristow procedure can be obtained with the use of bioabsorbable screws. Although the early radiographic results were encouraging, at this stage, we cannot recommend the use of bioabsorbable screws for use with the Latarjet-Bristow procedure until the long-term clinical and radiologic outcomes are assessed.

Level of Evidence: Case series (IV).

*Department of Orthopaedic and Traumatic Surgery, Royal North Shore Hospital, Sydney Shoulder Specialists, Sydney, New South Wales, Australia

Centre Orthopédique Santy, Lyon, France

The authors received no support in the form of a grant, equipment, or other items for this study.

Disclaimer/s: None.

Reprints: Allan Andrew Young, MD, MBBS, MSpMed, PhD, FRACS (Orth), Department of Orthopaedic and Traumatic Surgery, Royal North Shore Hospital, Sydney Shoulder Specialists, Level 2, 156 Pacific Highway, St Leonards 2065, Sydney, New South Wales, Australia (e-mail: drallanyoung@hotmail.com).

The Institutional Review Board of the ethical committee of the Hopital Privé Jean Mermoz and the Centre Orthopédique Santy approved this study (Ref. Study 11).

© 2010 Lippincott Williams & Wilkins, Inc.