Reda Walid, Khedr Ahmed
Department of Orthopedics, Faculty of Medicine, Kasralainy Hospital, Cairo University, Elmanial, Cairo, Egypt.
Arthrosc Tech. 2016 Dec 26;5(6):e1467-e1470. doi: 10.1016/j.eats.2016.08.023. eCollection 2016 Dec.
Using a posterolateral portal in passing and tying the inferior knot allows good labral reduction and adequate capsular shift to treat anterior shoulder instability. In this technique, the most inferior anchor is placed through a low anterolateral portal. A penetrating grasper is introduced from a posterolateral portal situated 2 to 3 cm distal and lateral to the viewing portal. This portal is used to pass the 2 limbs of the anchor suture as inferior as possible through the labrum and capsule close to 6 o'clock position to form the 2 limbs of the first mattress suture. Finally, knot tying is performed through this posterolateral portal, thus allowing better superior shift of the capsulolabral tissue. The other 2 anchor sutures are passed and tied through the low anterolateral portal.
通过后外侧入路穿过并系紧下方的结，可实现良好的盂唇复位和足够的关节囊移位，以治疗前肩不稳。在该技术中，最下方的锚钉通过低位前外侧入路置入。从位于观察入路远端外侧2至3厘米处的后外侧入路插入一个穿透抓持器。该入路用于将锚钉缝线的两肢尽可能向下穿过盂唇和关节囊，靠近6点位，以形成第一褥式缝线的两肢。最后，通过该后外侧入路打结，从而使关节盂唇组织更好地向上移位。另外两根锚钉缝线通过低位前外侧入路穿过并打结。
