Revision Latarjet surgery using malleolar screw fixation after failed all-suture cerclage provides non-inferior biomechanical primary stability compared to primary screw fixation. This technique appears to be a viable salvage option for addressing instability following failure of metal-free Latarjet constructs. Clinical studies need to be conducted in order to confirm the results of this biomechanical study.
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Tobias Bayer
Anna-Katharina Nolte
Benjamin Panzram
Journal of Shoulder and Elbow Surgery
Heidelberg University
University Hospital Heidelberg
University Hospital of Basel
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Bayer et al. (Sun,) studied this question.
synapsesocial.com/papers/69a528b3f1e85e5c73bf02dd — DOI: https://doi.org/10.1016/j.jse.2026.02.014