Abstract Background The Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation with glenoid bone loss. However, the inevitable destruction of the coracoacromial arch may result in humeral head translation. The aim of the study is to introduce a modified Latarjet technique with coracoacromial arch preservation as well as its short term clinical outcomes. Methods We propose a novel individualized flexible arthroscopic suture button fixation Latarjet technique called `LUtarjet' with video. Precise measurements of the coracoid process, glenoid deficiency and osteotomy plane were made preoperatively. Only three arthroscopic portals were needed and limit unique coracoid osteotomy was performed with coracoacromial arch preservation. The mini window splitting of the subscapularis was performed from the posterior to the anterior direction and the split window was as small as 8–10 mm in length. Results A total of 27 patients (25.6 ± 5.4 years) were included in the study. The average surgical duration was 55.6 ± 6.3 min and the mean follow-up time was 8.1 ± 1.5 months. The functional score was significantly improved at the last follow-up. Radiologic evidence showed that the bone graft healing was placed in the desired position. No complications were found. Conclusions We present a fast, easy, accurate, safe arthroscopic ‘LUtarjet’ technique called FEAST that can simplify the arthroscopic Latarjet process and achieve a satisfactory bone graft position and satisfactory short-term clinical outcomes. Level of evidence IV, case series.

中文翻译：

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LUtarjet-limit 独特的喙突截骨术 Latarjet (附视频)

摘要背景 Latarjet 手术是治疗复发性肩关节前脱位伴关节盂骨丢失的有效技术。然而，喙肩弓不可避免的破坏可能导致肱骨头平移。该研究的目的是介绍一种改良的 Latarjet 技术，保留喙肩弓及其短期临床结果。方法 我们提出了一种新颖的个性化柔性关节镜缝合纽扣固定 Latarjet 技术，称为“LUtarjet”，带有视频。术前对喙突、关节盂缺损和截骨平面进行了精确测量。仅需要三个关节镜入口，并进行了限制性独特的喙突截骨术，保留了喙肩弓。肩胛下肌微开窗从后向前进行，开窗长度小至8-10mm。结果共有27名患者（25.6±5.4岁）被纳入研究。平均手术时间为 55.6 ± 6.3 分钟，平均随访时间为 8.1 ± 1.5 个月。末次随访时功能评分明显改善。放射学证据表明，骨移植愈合被放置在所需的位置。没有发现并发症。结论 我们提出了一种快速、简单、准确、安全的关节镜“LUtarjet”技术称为 FEAST，可以简化关节镜 Latarjet 过程并实现令人满意的骨移植位置和令人满意的短期临床结果。证据级别 IV，案例系列。