Arthroscopic Repair of the Bankart Lesion Using Dual-Row Labral Repair

班卡病损 医学 Bankart修复 解剖 纤维接头 外科 口腔正畸科 病变 前肩 关节镜检查
作者
Bryan Loh,Denny Lie
出处
期刊:Video journal of sports medicine [SAGE]
卷期号:1 (4): 263502542110164-263502542110164
标识
DOI:10.1177/26350254211016468
摘要

Background: The most common technique described for bankart repair is the single-row labral repair. Recent interest has been the use of a dual-row, double pulley technique, first described by Zhang et al and popularized by Millett et al as the “bony Bankart bridge” technique. The aim of this study is to report a double-row all-suture labral fixation technique using knotless anchors. Technique: Step 1: glenohumeral debridement, and preparation of the glenoid labral and Bankart. The patient is first placed in the beach-chair position and surface landmarks are created. The standard posterior portal is first created and the glenohumeral joint is evaluated. Once the lesion is identified, the relevant working anterosuperior and anteroinferior portals are established using the outside-in technique. The synovitis is debrided to allow visualization and the labrum is liberated from the anterior glenoid. The Bankart lesion fragment is liberated, and partial fragments are osteotomized. With the anterolateral portal as the viewing portal, the anterior rim of the glenoid is now decorticated using a motorized shaver and rasp to create a bleeding bony surface. Step 2: the low rim anchor (5:30 o’clock). At the anterior-inferior aspect of the glenoid, the drill guide is positioned as low as possible (5:30 o’clock position for the right shoulder) and about 7 to 10 mm medial to the rim of the glenoid. The first 1.8 mm single-loaded suture anchor (Q-FIX All-Suture Anchor) is then inserted via the posterior portal. Step 3: the anterior-inferior-medial (AIM) anchor (4 o’clock). Step 4: the knotless high rim anchor (3 o’clock). Step 5: tying of sutures. The sutures from each anchor are tied in a mattress configuration, eventually creating a suture bridge over the labral repair Discussion/Conclusion: This dual row labral repair technique allows for maximum compression and contact between the fragment and the glenoid bed, allowing healing over a contact area rather than just the rim. The other added advantage is the use of curved tip anchors which allow negotiation of difficult corners, especially in the 5 to 6 o’clock position.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
wwz应助科研通管家采纳,获得10
1秒前
star应助科研通管家采纳,获得30
1秒前
盒子应助科研通管家采纳,获得10
2秒前
乐乐应助科研通管家采纳,获得10
2秒前
彭于晏应助科研通管家采纳,获得10
2秒前
完美世界应助科研通管家采纳,获得10
2秒前
所所应助科研通管家采纳,获得10
2秒前
华仔应助科研通管家采纳,获得10
2秒前
2秒前
桐桐应助科研通管家采纳,获得10
2秒前
FashionBoy应助科研通管家采纳,获得10
2秒前
华仔应助科研通管家采纳,获得30
2秒前
情怀应助科研通管家采纳,获得10
2秒前
大模型应助科研通管家采纳,获得10
2秒前
Hello应助科研通管家采纳,获得10
2秒前
2秒前
pluto应助科研通管家采纳,获得10
2秒前
FashionBoy应助科研通管家采纳,获得10
2秒前
2秒前
美好乐松应助科研通管家采纳,获得10
2秒前
3秒前
ljc完成签到 ,获得积分10
4秒前
科研狗完成签到,获得积分10
4秒前
顺顺尼发布了新的文献求助10
5秒前
pophoo完成签到,获得积分10
8秒前
9秒前
李友健完成签到 ,获得积分10
9秒前
可乐完成签到 ,获得积分10
10秒前
科研通AI2S应助端庄的白风采纳,获得10
11秒前
11秒前
拼搏菲鹰完成签到,获得积分10
11秒前
12秒前
李爱国应助霸气鹏飞采纳,获得10
12秒前
13秒前
汉堡包应助董璐采纳,获得10
13秒前
跟屁虫完成签到,获得积分10
14秒前
踏雪无痕发布了新的文献求助10
14秒前
充电宝应助dan采纳,获得10
15秒前
15秒前
雪山飞龙发布了新的文献求助10
16秒前
高分求助中
Sustainability in Tides Chemistry 2800
Kinetics of the Esterification Between 2-[(4-hydroxybutoxy)carbonyl] Benzoic Acid with 1,4-Butanediol: Tetrabutyl Orthotitanate as Catalyst 1000
The Young builders of New china : the visit of the delegation of the WFDY to the Chinese People's Republic 1000
Rechtsphilosophie 1000
Bayesian Models of Cognition:Reverse Engineering the Mind 888
Handbook of Qualitative Cross-Cultural Research Methods 600
Very-high-order BVD Schemes Using β-variable THINC Method 568
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3137360
求助须知:如何正确求助?哪些是违规求助? 2788429
关于积分的说明 7786365
捐赠科研通 2444582
什么是DOI,文献DOI怎么找? 1300002
科研通“疑难数据库(出版商)”最低求助积分说明 625695
版权声明 601023