Adams Brook A, Garrett William H, Wright Garth B, Khan Maher W, Taylor Jonathon B, Nord Keith D
Sports, Orthopedics & Spine, Jackson, Tennessee, U.S.A.
Arthrosc Tech. 2013 Apr 6;2(2):e121-4. doi: 10.1016/j.eats.2012.12.006. Print 2013 May.
Passing suture during a Bankart repair can be a difficult task. A key component of a Bankart repair involves shifting the anteroinferior capsule and labrum superiorly. This technical note describes a new technique of reaching the inferior aspect of the Bankart lesion from posterior. Typical suture passers push the tissue further away. Using a SutureLasso through the low posterolateral portal allows one to push the tissue from inferior toward the suture anchor, making it simpler to advance the capsulolabral complex. Three suture anchors are used in the anteroinferior quadrant. The lowest suture anchor is the critical anchor for advancing the capsule and labrum. The SutureLasso is placed into the axillary recess through the low posterolateral portal, and the nitinol wire is advanced through the capsule and labrum, retrieving the suture and pulling it back through the tissue for tying with a sliding locking knot. This ensures good superior advancement of the tissue and helps obtain an optimal arthroscopic result in Bankart repair. Additional anchors are placed, and suture passage for the middle and superior anchors is then completed from anterior. The advancement and restoration of the tissue tightness provide the optimal components for an excellent result.
在Bankart修复术中穿入缝线可能是一项困难的任务。Bankart修复术的一个关键组成部分是将前下关节囊和盂唇向上移位。本技术说明描述了一种从后方到达Bankart损伤下方的新技术。典型的缝线穿入器会将组织进一步推开。通过低位后外侧入路使用SutureLasso可以将组织从下方推向缝线锚钉，使推进关节囊盂唇复合体变得更简单。在前下象限使用三个缝线锚钉。最低的缝线锚钉是推进关节囊和盂唇的关键锚钉。将SutureLasso通过低位后外侧入路放入腋窝隐窝，将镍钛合金线推进穿过关节囊和盂唇，取出缝线并将其拉回穿过组织，用滑动锁定结打结。这确保了组织良好的向上推进，并有助于在Bankart修复术中获得最佳的关节镜检查结果。放置额外的锚钉，然后从前侧完成中间和上方锚钉的缝线穿入。组织张力的推进和恢复为获得优异结果提供了最佳条件。
