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A Percutaneous Knotless Technique for SLAP Repair.
Duncan Tennent1, Eyiyemi Pearse1
1Shoulder Unit, St. George's Hospital, London, England.
Arthroscopy Techniques
|April 14, 2016
Summary
A new percutaneous technique simplifies the repair of type II Superior Labrum Anterior Posterior (SLAP) lesions. This knotless method uses a spinal needle and specific anchors, leaving minimal suture material in the joint.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Superior Labrum Anterior Posterior (SLAP) lesions are common shoulder injuries.
- Type II SLAP lesions often require surgical intervention for optimal recovery.
- Existing surgical techniques can be complex and time-consuming.
Purpose of the Study:
- To describe a novel percutaneous technique for repairing type II SLAP lesions.
- To present a simple, reproducible, and minimally invasive surgical approach.
- To evaluate the feasibility of a knotless repair method.
Main Methods:
- A percutaneous technique utilizing the Neviaser portal.
- A spinal needle is used to pass suture material through the labrum.
- Creation of two mattress sutures secured with PushLock anchors.
- The procedure is performed without the need for cannulas.
Main Results:
- The described technique is simple and reproducible.
- The repair is knotless, reducing potential complications.
- Minimal suture material remains within the shoulder joint post-procedure.
- The technique offers a percutaneous approach to SLAP lesion repair.
Conclusions:
- This percutaneous technique provides an effective method for type II SLAP lesion repair.
- The knotless, cannula-free approach simplifies the procedure.
- The technique shows promise for efficient and minimally invasive shoulder surgery.
