Name: Arthroscopic Bankart Utilizing The PushLock® Anchor
Uploaded: 2008-07-23T00:00:00Z
Channel: Arthrex

Shoulder

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English  - en

video

DVD-1106_001 | A | Arthroscopic Bankart Utilizing The PushLock® Anchor

James J. Guerra

Human

A video recording of a surgical technique on a live patient in an operating room setting or a cadaveric demonstration.

Eine Videoaufnahme einer Operationsanleitung an einem lebenden Patienten oder Patientin in einem Operationssaal oder eine Demonstration an einem Humanpräparat.

Operationstechnikvideos

Surgical Technique Videos

Gravação em vídeo de uma técnica cirúrgica em um paciente em uma sala de cirurgia ou uma demonstração cadavérica.

Vídeos de técnicas cirúrgicas

Grabación en vídeo de una técnica quirúrgica de un paciente en un quirófano o una demostración cadavérica.

Videos de técnicas quirúrgicas

Arthroscopic Bankart Utilizing The PushLock® Anchor

The following instructional program demonstrates use of the Arthrex PushLock anchor for Bankart repair. The PushLock anchor is designed to alleviate knot tying in arthroscopic shoulder surgery. This technique reduces operative time while eliminating concerns associated with knot profiles. The anchor is a two piece design featuring a peak eyelet secured to the tip of the driver, and the main body of the anchor, which is made of pique or PLA materials. The anchor is designed to allow the surgeon to tension tissue to bone prior to securing the repair. In this case, a classic appearing bankart lesion is visualized arthroscopically via a posterior portal. Routine preparation. Utilizing a soft tissue elevator shaver, burr and rasp create a bleeding surface for the bankart repair. An anterior inferior cannula is established above the subscapularis tendon to To complement the previously placed anterior superior cannula. Using the SD lasso, a number two FiberStick is preloaded into the lasso. The SD lasso is then passed through the anterior inferior cannula and into the joint. Concurrently, a KingFisher suture retriever placed through the anterior superior cannula is used to shift the labrum superiorly, as the tip of the lasso is passed through the tissue and exiting at the desired point, where the pilot hole for the PushLock will be placed. Once through tissue, the suture is retrieved with the KingFisher and stored in the anterior inferior cannula. The pilot hole for the PushLock may be created with a straight or 1.5mm offset guide, as seen here. A pilot hole for the implant is created with standard drilling technique. The drill and spear are removed. The two suture tails that were passed through the tissue are passed through the peak eyelet of the PushLock, both in the same direction. The PushLock is then passed through the cannula and the eyelet positioned within the base of the pilot hole. At this time, the tension of the repair may be tested and adjusted by pulling on each individual suture strand. Once the tissue is reduced to bone, the body of the PushLock anchor is advanced into bone. A mallet is used to impact the silver knob located on the end of the PushLock driver. Note the implant is fully visualized arthroscopically as it is impacted. The implant is fully seated when the laser line viewed. Arthroscopically is flush with surrounding bone surface. The driver for the PushLock is then removed by unscrewing the driver. Six complete revolutions. This will disengage the peak tip from the driver handle once the implant driver is removed. An open jaw FiberWire cutter is used to cut the sutures flush to the bone surface. In standard Bank art repairs. A series of 2 to 3 PushLock anchors may be placed to complete the repair. The PushLock may also be used for Slap lesions utilizing the same surgical technique. Steps. In conclusion, the PushLock, SD, SutureLasso, and FiberStick are combined to expeditiously facilitate arthroscopic bankart repair in a series of time saving steps which eliminate knot tying while reducing overall operative time. Bankart repair can now be conducted with a knotless system that can also be variably tensioned more decisively as well. For information on the Arthrex Surgical Skills Training program, contact Arthrex or visit the Arthrex website at Arthrex.

Arthroscopic Bankart Utilizing The PushLock® Anchor

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