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Pointers & Pearls: Superior Capsular Reconstruction (SCR) Using Knotless SutureTak® Anchors


Pointers & Pearls: Superior Capsular Reconstruction (SCR) Using Knotless SutureTak® Anchors

AdamsFeaturing Christopher Adams, MD

Vice President of Global Education
Arthrex, Inc.

 

Chris Adams, MD, provides pointers and pearls for SCR repair with knotless SutureTak anchors for medial graft fixation, featuring tips on glenoid anchor insertion, ArthroFLEX®* dermal allograft suture passage, graft delivery and final construct:

SCR

Glenoid Anchor Insertion:

  • Spinal needles can be used to identify the angles of anchor insertion to span the superior aspect of the glenoid to avoid convergence of the anchors and glenoid face perforation.
  • Three knotless SutureTak anchors are inserted percutaneously and their suture limbs remain outside the corresponding portals.

 

 

 

 

 

SCR

ArthroFlex Dermal Allograft Suture Passage:

  • A 12-mm PassPort Button™ cannula is used to help with suture management and also smoothly deliver the graft into position.
  • The FiberTape™ sutures are retrieved first and passed through their prepared locations on the graft.
  • Each knotless SutureTak suture and shuttle loop is retrieved out the cannula. The suture is passed in a mattress configuration through the graft then loaded into the shuttle loop and pulled through the anchor and back out of the corresponding portal.

 

 


SCR

Graft Delivery and Final Construct:

  • A controlled delivery, tensioning each knotless SutureTak suture strand, removing slack until the graft is secure to the glenoid.
  • An anterior lateral side-to-side stitch is passed between the rotator cuff cable and graft without over constraining the shoulder.

 

 

 

 

 

 

 

To view the cadaveric video highlights, visit www.arthrex.com/SCR-KLST

SCR video

 

 

 

 

 

 

 

 

 

 

 

 

 

*ArthroFLEX is a registered trademark of LifeNet Health.

 

 

 

 

Category: Arthrex Blog
Disclaimer

The views expressed in these posts reflect the experience and opinions of the presenting surgeons and do not necessarily reflect those of Arthrex, Inc. This is not medical advice and Arthrex recommends that surgeons be trained in the use of any particular product before using it in surgery. A surgeon must always rely on his or her own professional clinical judgment when deciding whether to use a particular product when treating a particular patient. A surgeon must always refer to the package insert, product label and/or instructions for use before using any Arthrex product. Products may not be available in all markets because product availability is subject to the regulatory and/or medical practices in individual markets. Please contact your Arthrex representative if you have questions about availability of products in your area.