Name:
Superior Capsule Reconstruction
Description:
Superior Capsule Reconstruction
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/5cb36c55-ccac-492e-b216-8eee7860f38c/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H06M29S
Embed URL:
https://stream.cadmore.media/player/5cb36c55-ccac-492e-b216-8eee7860f38c
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/5cb36c55-ccac-492e-b216-8eee7860f38c/Superior Capsule Reconstruction.mp4?sv=2019-02-02&sr=c&sig=OhUAmDczkm1J6QrcIf7s%2F8%2B0eVvxBHfNL5LQPRfC6as%3D&st=2024-11-21T17%3A02%3A22Z&se=2024-11-21T19%3A07%3A22Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Superior capsule reconstruction using the Arthrex DX matrix. Patient is a 70-year-old man with an unreconstructable supraspinatus tear, but an intact subscapularis and infraspinatus. In the lateral position and viewing from the posterior portal, a lateral portal is created and a shaver used to decorticate both the greater tuberosity and the superior glenoid. From an anterior portal, two bio composite suture tack anchors are inserted into the superior aspect of the glenoid.
Bio composite swivel lock anchors loaded with fiber tape are inserted in the anterior and posterior margins of the tuberosity footprint. The sutures are taken out of an anterior at a posterial lateral portal to keep them out of the field of view. A graduated probe is used to measure the distance between the glenoid anchors, the medial row anchors, as well as the distance between the medial row and the glenoid and the size of the footprint.
The measurements are transferred to a DX matrix patch and two identical patches are cut out. These are then whip stitched together. Holes are punched for both the medial and lateral sutures in positions corresponding to the anchors. Two additional holes are made in the posterior margin of the graft for the passage of the sutures to infraspinatus.
The glenoid sutures are passed through the prepared holes and one limb of each type together. When the other limbs are pulled, the graft is drawn down into the joint and can be positioned neatly over the two period glenoid. The free limbs are then tied, securing the glenoid repair.
The medial row sutures are then passed through the previously prepared holes in the graft.
The lateral row can be created in a speed bridge fashion by taking one limb from each anchor and securing them with two swiv lock anchors laterally.
The graft is then secured to the infraspinatus by passing two sutures in a margin convergence fashion.
Once these sutures have been tied down securely, the repair is complete.