Name: Arthroscopic Anterior Stabilisation with a Mattress Suture
Uploaded: 2024-05-31T00:00:00.0000000
Duration: T00H09M13S
Description: Arthroscopic Anterior Stabilisation with a Mattress Suture

Name: Arthroscopic Anterior Stabilisation with a Mattress Suture

Description: Arthroscopic Anterior Stabilisation with a Mattress Suture

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Duration: T00H09M13S

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Content URL: https://cadmoreoriginalmedia.blob.core.windows.net/aaba9a0f-4d5e-46fe-959f-055d7d9d8626/Arthroscopic Anterior stabilisation with a mattress suture.mp4?sv=2019-02-02&sr=c&sig=XUMQ6eOl6eNW6IUdZSqD38xNy388QxR0E5oEWKW%2FMFk%3D&st=2024-11-24T04%3A10%3A22Z&se=2024-11-24T06%3A15%3A22Z&sp=r

Upload Date: 2024-05-31T00:00:00.0000000

Transcript: Language: EN.
Segment:0 .
In this left shoulder in the lateral decubitas position, the deficient and inferior labrum can be clearly seen.
Posteriorly the Hill Sachs lesion is apparent and is non engaging. After the creation of an anterior portal in the rotator interval, an elevator is used to start the mobilization of the deficient labrum and capsule. Shaver is used to continue the preparation, freeing scar tissue from the glenoid neck.
Shaver is also used to prepare the leading edge of the glenoid face to receive the reattached labrum. The release is continued until subscapularis can be clearly visualized. The tight, curved suture lasso loaded with fiber stick is then inserted and passed through the capsule in a low position in relation to the glenoid face.
The fiber stick is then shuttled through the suture lasso and an accessory percutaneous portal is created in the rotator interval.
The fiber stick suture is retrieved through this portal and the suture lasso is withdrawn from the capsule and repositioned to create a mattress suture.
The new loop created is then withdrawn through the same accessory portal as the first limb. This suture is retrieved in a loop fashion to allow it to be withdrawn completely through the suture lasso.
The suture lasso can then be removed and both suture limbs can be retrieved through the anterior cannula. A 2.9 millimetre push lock drill guide is then inserted in a position, which is adequate
to achieve the required capsular shift. After drilling the pilot hole the push lock anchor is loaded onto the sutures. It is inserted whilst tensioning the sutures and once fully seated is driven home.

After removal of the inserter, the suture tails are cut leaving a complete repair and almost no suture material within the joint. The process can then be repeated with a second fiber stitch suture passed in this same manner using the corkscrew suture lasso.
Again, the suture is retrieved through the accessory portal and withdrawn.
The suture lasso is then repositioned, creating a mattress suture.
and the second limb is withdrawn through the same accessory portal in a loop fashion, allowing it to be removed completely from this suture lasso. The sutures are then withdrawn through the anterior cannula,
a pilot hole is drilled on the glenoid face, the push lock anchor is then inserted tensioning the sutures,
and driven home to anchor them. After removal of the inserter, the suture tails are cut flush and the end result is a secure repair of the labrum to the anterior glenoid with no suture material in contact with the humeral articular surface.

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