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VID1-003550-en-US | A | Proximal Biceps Tenodesis with 6.25 MM Bio-SwiveLock™

Alan M. Hirahara

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

Proximal Biceps Tenodesis with 6.25 MM Bio-SwiveLock™

And it looks like we're seeing the biceps subluxation out of the groove. There, it's in the groove here. And then as we bring the arm this way, it subluxed out of the groove because of the tearing down here. I want to probe this so that actually then goes ahead. See, even though the SpeedScap didn't look that bad and his biceps intra-articular looked not bad. Now that we pull it into the joint, we're seeing that there's damage clearly intra articular intra notch, and that damage is going to give him symptoms. And so that confirms the subluxation is causing his pain and problems. So he needs to be addressed. So the first thing we're gonna do is we're going to go ahead and whip stitch the the biceps proximal attachment. So we can have full control over the biceps. Right. So the so we're using a number two fiber wire with a hard angled BirdBeak. So what I've done is first I've just gone ahead and passed the suture right through the biceps tendon. And I'm going to grab it pull it out. We just need to pass this a couple times just to be able to get good control. Now we're just cutting the biceps off the anchor. There it is. So now it's now been freed up completely. We're now going to use a curved Kelly to undermine the deltoid, to make sure that we can actually create a space that we can put the arthroscope into and be able to see. So we're going to clean up our potential space a little bit from some of the, some of the fat in this region. And you can see I've got it. And there we go. We know that we're going to be reattaching it back at the bottom of the groove, not the top of the groove. And so we're going to cut off approximately between 2.5 and three centimeters. Of course, as you're doing this whip stitch, if you only do about 15mm of whip knot, once you go to put it into your bone tunnel, you'll know that you're in because you won't see any more of your suture. Now we're just going to cut off our excess portion that we don't need. The reamer we're going to use does have a pointed tip. And therefore it's either going to it's going to sit into the the bone notch and not skive. You'll notice also that the the fins are not very deep, so it's not going to damage the soft tissue as we're drilling. And there is a stop point at 20mm with a laser line. Okay. So the point that we're going to choose to actually drill our tunnel is basically right there where the biceps had exited the notch. Okay, there we go. So there's our tunnel. We're going to use a 6.25 Bio-SwiveLock. You can see it has a peak eyelet. We're going to attach both sutures into that eyelet. The key in this is that you have to get down to the actual tendon. You have to hold it to the tendon and be very tight so that as you're pushing it back in, you can get it to go all the way into the hole. Okay. Now we're going to bring this in and there we go. All right. There. That's gone in very nicely. [00:04:11] There we go. There's your biceps right in the tunnel.

Proximal Biceps Tenodesis with 6.25 mm Bio-SwiveLock™

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