鏡視下バンカート修復術における新しい複合体固定法の短期治療成績

概要

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Nowadays, single layer fixation of inferior glenohumeral ligamament(IGHL) -labral complex is commonly accepted at arthroscopic Bankart repair using suture anchor technique. Using this conventional method, the complex was repaired by pin point fixation and edge slack phenomenon after surgery was reported. We introduce a new repair technique that provides double layer foot print fixation using PANALOK LOOP anchor™ . After resurfacing the glenoid rim, we added another suture through eyelet loop(suture A,B) and inserted the anchor on the glenoid at the 5 oclock position. Mobilized IGHL-labral complex was conventionally fixed by the suture A. Second anchor with two sutures(suture C,D) was placed under the glenoid at the 4 oclock position. Both of the sutures were passed through the IGHL-labral complex using suture relay technique. The suture B and C were tied outside the portal and the knot was placed on the complex. Another ends of the suture B and C were tied on the complex by non-sliding knot. Third anchor with two sutures(suture E,F) was inserted on the glenoid at the 3 oclock position. Suture D and E were tied in a same manner. Using this new technique named double bridging fixation method, double layer foot print fixation of IGHL-labral complex was achieved. This method is considered to be a useful and a further follow-up is required.
日本肩関節学会の論文