Methods for passing a posterior button suture for medical procedures

Methods for suspension fixation most applicable for a Latarjet of bone block procedure are performed using an open surgery with an anterior approach. The method passes endobuttons and sutures through the glenoid from posterior without the need of a posterior drill guide and disposable drill/sleeve. As an alternative embodiment, a passing pin with a slot at the advancing end may be used to further reduce surgical steps. The passing pin may be advanced and exit the muscle, and the suture loop may be directly attached to the pin rather than a secondary shuttle suture and then retrieved anteriorly.