Simplified single-portal V-shaped SLAP repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Superior Labrum Anterior to Posterior (SLAP) lesions are common shoulder injuries.
• Type II SLAP lesions involve the biceps anchor and labrum, often requiring surgical repair.
• Current arthroscopic techniques can be complex and may involve multiple portals.

Purpose of the Study:

• To present a simplified, cost-effective arthroscopic method for type II SLAP lesion repair.
• To describe a technique utilizing a single lateral anterosuperior portal (LASP).
• To evaluate the security of biceps reattachment and prevention of the peel-back phenomenon.

Main Methods:

• Utilized a single lateral anterosuperior portal (LASP), positioned 3 cm lateral to the standard anterosuperior portal.
• Employed a double-loaded absorbable bone anchor for anterior and posterior biceps root reattachment.
• Performed sutures using straight and curved suture hooks, securing the labrum with sliding knots.

Main Results:

• The LASP approach provided an optimal 30-degree drill angle without violating rotator cuff structures.
• The V-shaped repair achieved secure fixation of the biceps root.
• The technique effectively eliminated the peel-back phenomenon.

Conclusions:

• The described single-portal technique offers a simplified and cost-effective solution for type II SLAP lesion repair.
• This method ensures robust biceps anchor fixation and stability.
• It represents a viable alternative for arthroscopic SLAP lesion management.