Return to sport following Latarjet versus distal tibia allograft for anterior shoulder instability: a matched cohort analysis

Introduction: The latarjet procedure is recognized as the gold standard for return to function in recurrent anterior instability patients by virtue of the triple-block effect with respect to increased articular arc, dynamic stability from the subscapularis split, and the sling effect from the conjoint tendon. However, anatomic glenoid reconstruction, most recently evaluated using distal tibial allograft (DTA), is an alternative modality that has recently demonstrated similar clinical outcomes, while lacking any donor site morbidity. Return to sport is a relevant clinical outcome in these cohorts, because they are often composed of young, active individuals, and comparison of both techniques is essential in patient counseling and management.