I attended the Matcalf / AANA course in Snowbird last week and had an interesting discussion and then interview with Dr. Giovanni DiGiacomo from Rome. He developed a plate for the coracoid to meet two needs. 1. Support against possible screw cut out. 2. The coracoid in the traditional position does not always lie flush to the angled surface of the anterior scapular neck. His plate is built up on one side so that it applies force unevenly, compresses the coracoid medially and helps it lie flat against the anterior scapular neck. He has wonderful animations and video from surgery but I have not tried it yet. I spoke to my local Arthrex rep today. I have done the traditional Latarjet as explained to me by Gilles Walch and recently have tried the medial side down, congruent arc technique of Burkhart and Joe DeBeers. The congruent arc technique is aptly named as the medial side fits the glenoid rim perfectly. The downside is that the coracoacromial ligament is no longer intra-articular. Does this matter?