Abstract

Arthroscopic Bankart repair with knotless all-suture anchors

Highlights

  • All-suture anchors are a valuable alternative to solid anchors for arthroscopic Bankart repairs with a strong biomechanical profile and promising clinical short-term results [1, 2, 5]

  • The benefits of knotless, all-suture anchors include the small size, allowing for more points of fixation per unit area, improved access due to the ability to insert through curved drill guides, artifactreduced postoperative imaging, bone stock preservation, less risk of erosion of the humeral head or soft tissue such as the rotator cuff, and time efficiency due to the knotless construct [1,2,3,4,5]

  • The repair suture is separated from the shuttling suture by retrieving it through the anterosuperior portal using an atraumatic arthroscopic grasping instrument (

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Summary

Background

All-suture anchors are a valuable alternative to solid anchors for arthroscopic Bankart repairs with a strong biomechanical profile and promising clinical short-term results [1, 2, 5]. The repair suture is separated from the shuttling suture by retrieving it through the anterosuperior portal using an atraumatic arthroscopic grasping instrument The senior author prefers to use a 25° angulated sutureshuttling device that is passed through the anteroinferior 8.25-mm cannula and through the desired capsulolabral tissue in order to facilitate a capsular shift from lateral to medial and from inferior to superior. Through the anterosuperior portal, an atraumatic arthroscopic grasping device is used to superiorly advance the labral tissue while the repair suture is fully tightened. Return to full activity is typically permitted at 4 months

Discussion
Findings
Compliance with ethical guidelines
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