A new technique to improve tissue grip: "the lasso-loop stitch".
In the chain of reattachment of the rotator cuff, links extend from the tendon to the anchor within the bone. Passage of the suture through the tendon is noted at the start of the chain, but as shown before, this is most vulnerable, depending on the quality of the tendon. We present a new technique of suture placement designed to improve tissue grip: "The lasso-loop stitch." One side of the wire is passed through the edge of the tendon, which is ruptured by the wire in the middle-not at the end. The wire is not pulled through completely. Through this process, a loop is created at the upper side of the tendon. The end of the wire, at the same side used to make the loop, is passed through the loop with a grasp. The wire is passed through the loop, and the end of the wire is brought extra-articularly. Through this technique, the reduction force of a suture is augmented, and a constricting factor is added. We have not changed the location of the anchors. So far, we have used the technique in rotator cuff repair, biceps tenodesis, and the Bankart procedure.
Lafosse
Laurent
L
Clinique Generale, Annecy, France. lafosseshoulder@yahoo.fr <lafosseshoulder@yahoo.fr>
Van Raebroeckx
Antoon
A
Brzoska
Roman
R
D001182:Arthroscopy; D001864:Bone Wires; D006801:Humans; D017006:Rotator Cuff / Q000601:surgery*; D000070636:Rotator Cuff Injuries; D053441:Suture Anchors; D013536:Suture Techniques