Anterior Shoulder Stabilization Using a Single Portal Technique With Suture Lasso

Area of Science:

• Orthopedic Surgery
• Arthroscopy
• Shoulder Joint Anatomy

Background:

• Open Bankart repair was historically standard for anteroinferior labrum stabilization.
• Increasing demand for minimally invasive surgical options has driven the development of arthroscopic techniques.
• Current arthroscopic Bankart repair typically involves a posterior portal and two anterior working portals.

Purpose of the Study:

• To describe a novel arthroscopic Bankart repair technique utilizing a single working portal.
• To evaluate the potential benefits of a single-portal approach in terms of invasiveness, pain, and operative time.

Main Methods:

• The technique employs a single anterior working portal.
• A suture passer and a suture lasso are utilized for labrum repair.
• This method contrasts with traditional multi-portal arthroscopic approaches.

Main Results:

• A single working portal approach reduces the number of portals compared to standard arthroscopic techniques.
• Fewer portals may lead to decreased postoperative pain.
• Potential for a shorter operative time exists with this streamlined technique.

Conclusions:

• The described single-portal arthroscopic Bankart repair offers a less invasive alternative for anteroinferior labrum stabilization.
• This technique holds promise for improving patient outcomes by reducing invasiveness and potentially shortening recovery.
• Further clinical studies are warranted to validate the efficacy and benefits of this approach.