title: Footprint fixation for arthroscopic reconstruction in anterior shoulder instability: the Cassiopeia double-row technique.
abstract: Footprint fixation with a double-row technique is a new concept for arthroscopic capsulolabral reconstruction in anterior shoulder instability. The described double-row fixation technique with 2 suture anchors on the glenoid neck and 3 on the glenoid rim allows healing of the capsulolabral complex to a broader bony surface and not only to the thin glenoid rim as achieved with current techniques. Because the anchor insertion W-shaped form resembles the star constellation of Cassiopeia, this technique is called the Cassiopeia double-row technique. The restoration of the original capsulolabral footprint with the Cassiopeia double-row technique by a stronger fixation should decrease recurrence rates of instability after arthroscopic stabilization but we need longer follow-up and larger numbers of patients to confirm.
authors.affiliation: Department of Orthopaedic Surgery, Clinique Générale d'Annecy, Annecy, France. lafosseshoulder@yahoo.fr
authors.forename: Laurent
authors.initials: L
authors.lastname: Lafosse
authors.forename: Gloria P
authors.initials: GP
authors.lastname: Baier
authors.forename: Bernhard
authors.initials: B
authors.lastname: Jost
mesh_terms: D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D012785:Shoulder Joint; D013536:Suture Techniques