Arthroscopic three-point double-row repair for acute bony Bankart lesions.
After mobilizing anteroinferior osseous Bankart lesion from the glenoid neck, a suture anchor loaded with differently colored non-absorbable braided sutures is placed on the medial edge in the glenoid neck along the rim fracture through the anterior-inferior trans-subscapularis tendon portal. Two same-colored suture limbs on the anchor are then pulled through the labrum using PDS suture shuttling simultaneously. These steps are repeated for the others suture limbs. The two same-color suture limbs located inferiorly are retrieved using the trans-subscapularis tendon portal. Both suture strands are threaded through the eyelet of a PushLock anchor on the distal end of the driver. The anchor is advanced into the pilot hole completely. These steps are repeated for a second anchor at the upper edge of the fracture in the glenoid rim using the anterior portal. This technique confers effective, firm fixation of the bony Bankart lesion by three-point fixation without the suture material crossing the glenoid cavity.
Kim
Kyung Cheon
KC
Department of Orthopaedic Surgery, Chungnam National University School of Medicine, 640 Daesa-Dong, Jung-Gu, Daejeon 301-721, South Korea. kckim@cnuh.co.kr
Rhee
Kwang Jin
KJ
Shin
Hyun Dae
HD
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D015331:Cohort Studies; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000293:injuries / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery*; D053441:Suture Anchors; D055815:Young Adult