Abstract:Abstract: Objective The suture button Latarjet technique has been proved for excellent efficacy, however, the mid-term results are lacking. This study is to investigate the efficacy of suture button Latarjet procedure with mid-term follow-up. Methods A total of 152 patients who underwent suture button Latarjet operation were enrolled in this study. Range of motion, VAS score, Rowe score, Walch-Duplay and ASES score were followed postoperatively. Meanwhile, the graft position, healing condition of coracoid grafts and the arthropathy of glenoid and humeral head were also assessed according to the X-ray and three-dimensional computed tomograph scans. Results The mean follow-up time duration is (35.3 ± 5.8) months. All the patients recovered well, all grafts healed and no redislocation occurred. The mean visual analog scale score for instability during motion, the ASES score, Rowe Score and Walch-Duplay score all improved significantly. Immediate postoperatively, the average graft midline center is at 4 o'clock at the e-face view, 146 cases positioned normally, 2 cases superiorly and 4 cases inferiorly. At the axial view, the CT scans showed 134 cases were flush to the glenoid, 2 cases and 16 cases positioned medially and laterally respectively. The coracoid graft showed different degrees of bone resorption, which reached a stable level within an average of 1 year after operation, showing an “out of circle” absorption phenomenon. All bone grafts exhibited upward and downward extension, creeping and shaping. No complication and arthropathy was found. Conclusion The suture button Latarjet technique has achieved an excellent clinical effect and can effectively avoid the complications of joint arthropathy. During the follow-up, the graft showed the characteristics of “out of circle” absorption phenomenonand extended creeping. Finally, the glenoid was fused with the graft to form a pyriform glenoid.