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Using standard arthroscopic maneuvers
shoulder surgeons can expect excellent results for reattaching
torn labrum tissue to bone with the punch-chop needle
technique. This Technique is easy, quick, cheap and allows
anatomical reconstruction of the labrum through increasing the
glenoid surface as open bankart repair. You will find the
punch-chop needle System provides all the necessary
instrumentation for complete and successful repair of shoulder
instability. |
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1. |
Establish three portals |
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| 1. |
Posterior
superior used for 70° scope |
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Anterior
superior located in the rotator interval area just anterior to
the biceps tendon |
| 3. |
Posterior inferior located 2 cm below the superior portal
which is used for instrumentation |
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2. |
Through the punch needle guide . a 2.4 mm K. wire is used to
make a hole through the anterior glenoid 2-3 mm posterior to
the edge in the articular surface anteriorly. |
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3. |
A Punch Needle is used to pass . the suture through the hole
in the anterior glenoid. A Chop Needle Puller is passed medial
to the labrum through the capsule to pull the
(one suture limb out of the canula. |
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4. |
The two limbs of the suture are
pulled out through the canula. |
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5. |
Standard arthroscopic knot tying techniques are used to secure
the capsulolabral ligaments to the glenoid. |
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6. |
To complete the repair, you can place a second and or third
suture. The widening of the glenoid through the labrum bulk is
achieved. |
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