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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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© 1995 Published by Elsevier Inc.
