title: A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch.
abstract: The success of anatomic repair of Bankart lesion diminishes in the presence of a capsule stretching and/or attenuation is reported in a variable percentage of patients with a chronic gleno-humeral instability. We introduce a new arthroscopic stitch, the MIBA stitch, designed with a twofold aim: to improve tissue grip to reduce the risk of soft tissue tear, particularly cutting through capsular-labral tissue, to and address capsule-labral detachment and capsular attenuation using a double loaded suture anchor. This stitch is a combination of horizontal mattress stitch passing through the capsular-labral complex in a "south-to-north" direction and an overlapping single vertical suture passing through the capsule and labrum in a "east-to-west" direction. The mattress stitch is tied before the vertical stitch in order to reinforce the simple vertical stitch, improving grip and contact force between capsular-labral tissue and glenoid bone.
authors.affiliation: Shoulder Department, IRCCS Humanitas Institute, Rozzano, Milan, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Castagna
authors.forename: Marco
authors.initials: M
authors.lastname: Conti
authors.forename: Elyazid
authors.initials: E
authors.lastname: Mouhsine
authors.forename: Giacomo
authors.initials: G
authors.lastname: Delle Rose
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Massazza
authors.forename: Raffaele
authors.initials: R
authors.lastname: Garofalo
mesh_terms: D001182:Arthroscopy / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000601:surgery; D012785:Shoulder Joint / Q000601:surgery*; D053441:Suture Anchors; D013536:Suture Techniques