Modified single-portal type II SLAP repair

Area of Science:

• Orthopedic Surgery
• Shoulder Arthroscopy
• Sports Medicine

Background:

• Superior Labrum Anterior to Posterior (SLAP) lesions are common shoulder injuries.
• Type II SLAP lesions often require surgical repair for optimal patient outcomes.
• Existing 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 working portal in the rotator interval.
• To demonstrate secure biceps root reattachment while minimizing tissue disruption.

Main Methods:

• A novel single-portal arthroscopic technique for type II SLAP lesion repair.
• Utilizing a double-loaded absorbable bone anchor with a suture eyelet for biceps root reattachment.
• Percutaneous retrieval of anchor limbs with a spinal needle and PDS suture to prevent intra-articular complications.

Main Results:

• Successful and secure reattachment of the biceps root anteriorly and posteriorly.
• Avoidance of rotator cuff tendon or muscle violation.
• Prevention of suture tangling and premature knot formation during the procedure.

Conclusions:

• This simplified, single-portal technique offers a cost-effective and efficient solution for type II SLAP lesion repair.
• The method ensures robust biceps root fixation without compromising rotator cuff integrity.
• The described technique simplifies arthroscopic SLAP repair, potentially reducing operative time and complexity.