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. 2016 Jan 11;5(1):e33-5.
doi: 10.1016/j.eats.2015.09.001. eCollection 2016 Feb.

A Percutaneous Knotless Technique for SLAP Repair

Duncan Tennent  1 , Eyiyemi Pearse  1
Affiliations

A Percutaneous Knotless Technique for SLAP Repair

Duncan Tennent et al. Arthrosc Tech. .

Abstract

We describe a percutaneous technique for repair of type II SLAP lesions. Through the Neviaser portal, a spinal needle is used to pass a FiberStick suture (Arthrex, Naples, FL) through the labrum to create 2 mattress sutures that are secured with PushLock anchors (Arthrex). This technique is simple, reproducible, and knotless and requires no cannulas. At the end of the procedure, minimal suture material remains in the joint.

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Figures

Fig 1
Fig 1
(A) Viewing from the posterior portal, the needle is passed through the superior labrum at the 1-o'clock position. A suture is then passed through the needle and retrieved through the anterior portal. (B) Viewing from the posterior portal, the needle is carefully withdrawn to remain in the joint and is repositioned 0.5 cm posteriorly and passed through the labrum a second time. The loop of suture is retrieved through the anterior portal.
Fig 2
Fig 2
Viewing from the posterior portal, the drill guide is inserted and 2 holes are drilled at the 11:30 clock-face position and 12:30 clock-face position. The sutures are then retrieved and the anchors placed.
Fig 3
Fig 3
Completed repair, viewing from posterior portal.
See this image and copyright information in PMC

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