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Abstract
Arthroscopic Bankart repair using the Suretac device (Acufex Microsurgical, Mansfield,
MA) was developed as an alternative to both the staple and suture repair techniques.
While offering some technical advantages compared with these other approaches, it's
technical limitations and pitfalls have only been described anecdotally based on the
clinical experience of several surgeons. The purpose of this study was to define these
limitations and pitfalls. Eight cadaver shoulders underwent arthroscopic Bankart repair
using the Suretac device after first arthroscopically creating a Bankart lesion. These
shoulders were then dissected to reveal the placement of the Suretacs and the adequacy
of the Bankart lesion repair. Glenoids were transected in the transverse plane and
embedded in clear methylmethacrylate to show placement of the Suretac device relative
to the articular surface. There were several technical errors that occurred: (1) Inadequate
abrasion of the anterior and inferior juxta-articular scapular neck; (2) inadequate
superior and medial shift of the inferior glenohumeral ligament before placement of
the lowest Suretac, (3) medial placement of the Suretac relative to the articular
margin; and (4) insufficient capture and compression of capsular tissue by the Suretac
device. This procedure is technically difficult and careful attention must be paid
to each step of preparation and repair. Recognition of the common errors may help
the surgeon to avoid these pitfalls in the clinical situation.
Keywords
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References
- Diagnostic and surgical arthroscopy of the shoulder.in: Mosby, St. Louis1993: 276-352
- The anterior labroligamentous periosteal sleeve avulsion: A cause of anterior instability of the shoulder.Arthroscopy. 1993; 9: 17-21
- Arthroscopic staple capsulorrhaphy for anterior shoulder instability.Am J Sports Med. 1992; 20: 253-256
- Arthroscopic shoulder capsulorrhaphy: Does it work?.Am J Sports Med. 1989; 17: 459-500
- Arthroscopic Bankart refixation techniques.in: Resch H Beck E Arthroscopy of the shoulder. Springer-Verlag, New York1992: 81-89
- Arthroscopic three-point Bankart suture repair.in: Resch H Beck E Arthroscopy of the shoulder. Springer-Verlag, New York1992: 90-98
- Arthroscopic Bankart refixation with absorbable staples.in: Resch H Beck E Arthroscopy of the shoulder. Springer-Verlag, New York1992: 113-120
- Evaluation of the individual arthroscopic Bankart refixation techniques and our own method.in: Resch H Beck E Arthroscopy of the shoulder. Springer-Verlag, New York1992: 121-126
- Arthroscopic screw fixation techniques.in: Resch H Beck E Arthroscopy of the shoulder. Springer-Verlag, New York1992: 99-112
- Arthroscopic therapy of recurrent anterior luxation of the shoulder by capsular repair.Arthroscopy. 1992; 8: 296-304
- Arthroscopic Bankart procedure by suture fixation technique: Indications, technique, and results.Arthroscopy. 1992; 8: 111-115
- Arthroscopic anterior shoulder capsulorrhaphy.Tech Orthop. 1988; 3: 67-73
- Arthroscopic reconstruction for anterior shoulder instability.Tech Orthop. 1988; 3: 59-66
- Arthroscopy for shoulder instability and a technique for arthroscopic repair.Arthroscopy. 1988; 4: 25-30
- Arthroscopic Bankart suture repair: Techniques and early results.Arthroscopy. 1987; 3: 111-122
- Arthroscopic treatment of glenohumeral instability.in: Arthroscopic shoulder surgery and related procedures. Lea & Febiger, Philadelphia1993: 213-298
- Arthroscopic shoulder reconstruction for instability: A one- to seven-year follow-up of seventy-five cases.in: Presented at the 24th Eastern Orthopaedic Association Meeting, Orlando, FLOctober 12–14, 1993
- Arthroscopic inferior capsular shift for multidirectional instability of the shoulder: A preliminary report.Arthroscopy. 1993; 9: 24-27
- Arthroscopic Bankart repair using a cannulated, absorbable, fixation device.Op Tech Orthop. 1991; 1: 192-198
- Mitek suture anchor technique.in: Presented at the Annual Arthroscopy Association of North America Meeting, San Francisco, CAFebruary 21, 1993
- Arthroscopic transglenoid suture repair.Op Tech Orthop. 1991; 1: 171-179
- Arthroscopic stabilization for recurrent shoulder instability.Orthop Trans. 1989; 13: 508
- Arthroscopic stapple capsulorrhaphy for recurrent anterior shoulder instability.Arthroscopy. 1988; 4: 106-111
- Arthroscopic stapling repair for shoulder instability: A retrospective study of 50 cases.Arthroscopy. 1989; 5: 122-128
- Arthroscopic staple capsulorrhaphy: A long-term follow-up.Arthroscopy. 1993; 9: 190-194
- Arthroscopic staple capsulorrhaphy for recurrent shoulder instability.in: Presented at the Annual Meeting of the American Academy of Orthopaedic Surgeons, New Orleans, LAFebruary 16, 1990
- Complications about the glenoid related to the use of screws and staples.J Bone Joint Surg Am. 1984; 66: 175-180
- Arthroscopic transglenoid suture capsulolabral repair: Preliminary results.Am J Sports Med. 1993; 21: 656-665
- A prospective evaluation comparing open and arthroscopic treatment of recurrent anterior glenohumeral dislocation.in: Presented at the Annual Meeting of the American Orthopaedic Society for Sports Medicine, New Orleans, LAFebruary 11, 1990
- Arthroscopic glenoid labrum suture repair.in: Presented at the Annual Meeting of the American Ortopaedic Society for Sports Medicine, New Orleans, LAFebruary 11, 1990
- Arthroscopic Bankart suture repair.Am J Sports Med. 1993; 21: 348-353
- Scapulothoracic penetration of a beath pin: An unusual complication of arthroscopic Bankart suture repair.Arthroscopy. 1991; 7: 115-117
- Arthroscopic Bankart with the Suretac device: A 3–5 year follow-up.in: Presented at the Annual Meeting of the American Shoulder and Elbow Surgeons, New Orleans, LAFebruary 1994
- Arthroscopic shoulder stabilization.Op Tech Sports Med. 1993; 1: 276-284
- Shoulder Arthroscopy in the Beach-chair position: Basic setup.Op Tech Orthop. 1991; 1: 147-154
- The axillary, musculocutaneous, and suprascapular nerves and their relationship to arthroscopic Bankart and SLAP lesion repair using a bioabsorbable fixation device in the beach-chair position.in: Presented at the Annual Meeting of the Arthroscopy Association of North America, Palm Dessert, CAApril 1–4, 1993
- The Bankart procedure: A long-term end-result study.J Bone Joint Surg Am. 1978; 60: 1-16
- The pathology and treatment of recurrent dislocation of the shoulder joint.Br J Surg. 1938; 26: 23-29
- T-plasty anterior repair for anterior and inferior instability of the shoulder.J Bone Joint Surg Am. 1991; 73: 105-112
- The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder.Am J Sports Med. 1990; 18: 449-456
- Arthroscopic anterior stabilization in patients without labral detachment.in: Presented at the annual meeting of the Arthroscopy Association of North America, San Francisco, CAFebruary 21, 1993
- Arthroscopic Bankart repair with transglenoid suture pins.in: Presented at Arthroscopy Association of North America, San Francisco, CAFebruary 21, 1993
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© 1995 Published by Elsevier Inc.
