Double-row fixation of the transferred coracoid process: a rescue technique for intraoperative coracoid fracture during the Latarjet procedure

Abstract

Background: The Latarjet procedure is the preferred method to treat recurrent anterior shoulder instability with glenoid deficiency. An iatrogenic fracture of the transferred coracoid process is one possible intraoperative complication. Methods: We propose a rescue technique using double-row suture bridge fixation. Double-loaded 4.5-mm suture anchors were placed medially in the scapular neck. These sutures were then brought over the top of the coracoid fragment, placed around the bony fragment, and fixated to the glenoid face with knotless suture anchors. Results: Radiologic evidence of bone graft healing was observed in the desired position. Conclusions: We present a salvage procedure that will assist surgeons if an intraoperative fracture of the coracoid bone graft occurs during fixation when performing the Latarjet procedure. © 2019 Journal of Shoulder and Elbow Surgery Board of Trustees