Arthroscopic Anterior Stabilisation with a Mattress Suture

Description

This video begins with a detailed examination of a left shoulder in the lateral decubitus position, where key anatomical features such as a deficient labrum and a Hill Sachs lesion are identified. The procedure follows to mobilize the deficient labrum and capsule through the creation of an anterior portal, utilizing tools such as an elevator and shaver. The shaver is particularly effective in removing scar tissue and preparing the glenoid face for a successful reattachment of the labrum.



The process advances with the use of a tight, curved suture lasso, allowing intricate mobilization and suturing techniques to secure the labrum effectively to the glenoid. The introduction of accessory portals facilitates the manipulation of suture materials for a stable mattress stitch.



Throughout the surgical narrative, there are several repetitions of the suturing technique with meticulous care taken to ensure minimal suture material remains within the joint, thus preventing complications in the future. Following the drill insertion for securing sutures, the end result boasts a complete and secure repair of the labrum to the anterior glenoid, ultimately ensuring that no sutures come into contact with the humeral articular surface. This meticulous surgical technique offers insights into best practices for shoulder repair.

Specialties