Name:
1.8 Knotless FibreTak Shoulder Stabilisation
Description:
1.8 Knotless FibreTak Shoulder Stabilisation
Thumbnail URL:
https://cadmoremediastorage.blob.core.windows.net/9538d681-f8a8-469a-8551-d75031642390/videoscrubberimages/Scrubber_1.jpg
Duration:
T00H05M18S
Embed URL:
https://stream.cadmore.media/player/9538d681-f8a8-469a-8551-d75031642390
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/9538d681-f8a8-469a-8551-d75031642390/1.8 Knotless FibreTak shoulder stabilisation.mp4?sv=2019-02-02&sr=c&sig=vVfl8T4MkGNI4p63G%2BoYA6WbRP6kxlsZbYZoHWbLQV4%3D&st=2024-12-04T08%3A59%3A58Z&se=2024-12-04T11%3A04%3A58Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
Arthroscopic anterior stabilization using the 1.8 knotless fiber tac suture with the patient in the lateral position, a diagnostic arthroscopy is first performed and the anterior labral tear can be clearly seen. The back of the humeral head is inspected and the Hill Sachs lesion can also be identified. Opening portal is made in the rotator interval and an elevator used to mobilize the labrum from the glenoid neck.
The release is continued round to the 6 o'clock position and beyond if necessary. The release is continued until the labrum is fully mobile and subscapularis can be seen in its depth. Shaver is then used to prepare the face of the glenoid down to a bleeding surface, removing all cartilage. The curved 1.8 knotless fiber tack guide is then passed through the anterior portal and placed in the 5 o'clock position on the glenoid face.
A hammer is used to seek the guide and the glenoid is then drilled with the flexible drill. The 1.8 knotless fiber tack anchor is then inserted through the drill guide and hammered into position. The guide is then removed. The white end of the blue working suture is loaded into a labral scorpion.
This is then passed through the working portal and a bite of labram taken in the desired position. The suture is then retrieved using the scorpion. The degree of capsular shift can be checked at this stage if desired. Using an accessory rotator interval portal, the thin white loop suture and the blue working suture are retrieved at the same time.
The blue suture is then passed through the white loop. The broader white suture is the tail of the loop, and this is still in the working portal. This is now pulled to draw the white loop and then the blue working suture through the mechanism to complete the knot. Continue pulling on this suture until the desired tension is achieved. The remaining blue suture is then cut.
The process is then repeated for the second anchor by bringing the drill guide through the working portal and placing this in position and securing with a couple of taps of a hammer. The socket is drilled and the anchor is inserted before the drill guide is removed.
The white tail of the blue working suture is then loaded into the labral scorpion and introduced through the working portal. The desired bite of labral tissue is made and the needle is deployed, passing the suture. This is then retrieved using the labral scorpion. Using the accessory portal, the blue working suture and the thin white loop suture are retrieved together.
The blue working suture is passed through the white loop. The flatter white tail, which resides in the working portal, is then pulled to draw the suture through the anchor until the labrum is reduced and the desired tension is achieved. The tail is then cut. A third anchor could be inserted in the same fashion by inserting the drill guide through the working portal and positioning it on the glenoid face.
Once it has been secured by a couple of taps with a hammer, the glenoid is then drilled and the anchor inserted before the guide is removed. The white tail of the blue working suture is then loaded into the labral scorpion. A bite of tissue is taken before the needle is deployed and then the suture is retrieved using the scorpion.
The blue working suture and the thin white looped suture are then retrieved through the accessory portal. The blue suture is loaded into the loop and the broad white tail is pulled to reduce the suture into the anchor and complete the knot. Keep pulling on the broad white suture until the desired tension has been achieved.
Cut the tail flush to complete the repair. A final inspection can be made and it can be seen that the capsular redundancy has been removed and the labrum has been reduced nicely onto the glenoid face.
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