Nata Parnes, M. D. , Maryellen Blevins, P. A. -C. , M. P. A. S

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Presentation transcript:

The Oblique Mattress Lasso-Loop Stitch for Arthroscopic Capsulolabral Repair Nata Parnes, M.D., Maryellen Blevins, P.A.-C., M.P.A.S., Monica Morman, M.D., Paul Carey, M.D. Arthroscopy Techniques Volume 5, Issue 5, Pages e959-e963 (October 2016) DOI: 10.1016/j.eats.2016.04.023 Copyright © 2016 Terms and Conditions

Fig 1 A Smith & Nephew Suturefix 1.7-mm single-loaded anchor is placed on the glenoid rim. The deeper posterior labrum is penetrated with a 45° suture-shuttling device. Viewing is performed through the trans–rotator cuff portal. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 2 The loop of suture is created by folding the suture limb over itself. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 3 The loop of suture is shuttled through the labrum. The end of the suture limb is not pulled through the labrum. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 4 The end of the suture limb is retrieved through the suture loop using an arthroscopic suture manipulator. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 5 The lasso-loop part of the stitch is completed (arrows). Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 6 The 45° suture-shuttling device is used to shuttle the other limb of the suture through the labrum and capsule obliquely and more superficially to the first pass. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 7 The second limb of the suture is passed through the labrum and capsule obliquely and more superficially to the first suture limb. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 8 An arthroscopic non-sliding knot-tying technique is performed to complete the stitch. The excess sutures are removed using an arthroscopic knot cutter. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions

Fig 9 The stability of the completed repair is confirmed using a probe. Arthroscopy Techniques 2016 5, e959-e963DOI: (10.1016/j.eats.2016.04.023) Copyright © 2016 Terms and Conditions