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KMID : 0828620130170010095
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Journal of Korean Arthroscopy Society
2013 Volume.17 No. 1 p.95 ~ p.99
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Anteroinferior Capsulolabral Complex Repair Using Antegrade Suture Passer - Technical Note -
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Seo Hyuk-Jun
Cho Chul-Hyun
Lee Si-Wook
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Abstract
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We introduce arthroscopic Bankart repair technique using antegrade suture passer that can effectively restore detached anteroinferior capsulolabral complex for shoulder anterior instability. After diagnostic arthroscopy is performed using posterior, anteroinferior and anterosuperior portals, we confirm Bankart lesion and perform debridement and decortications of anteroinferior glenoid edge and neck. Suture anchor is inserted through anteroinferior portal at 2 mm medial side of glenoid edge (4:30 direction). Scorpion loaded suture is directly advanced to detached and retracted anteroinferior capsulolabral complex and the suture is passed at 10~15 mm medial side of detached anteroinferior capsulolabral complex (5:30 direction). The suture is retrieved by Scorpion’s hook and then is tied using samsung medical center (SMC) sliding knot technique. Then suture anchors are serially inserted (2:30, 3:30) and capsulolabral complex repair is performed using suture hook and suttle-relay technique. This technique that can obtain anatomical restoration of anteroinferior glenohumeral ligament with proper tension is useful technique to reduce postoperative recurrence and makes it possible for less experienced surgeons.
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KEYWORD
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Bankart lesion, Capsulolabral complex, Arthroscopic repair, Antegrade suture passer
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