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Punch Chop Needle Technique

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 Overlap SLAP Repair
The fixation of the superior labrum using the Punch Needle overlap technique for reattaching torn labral tissue to bone gives the surgeon excellent results. It is easy, cheap and quick technique which allows anatomical reconstruction.
Slap lesion Type II
1. A Punch Needle Guide is passed through the superior portal medial to the acromion and posterior to the clavicle. Then a 2.4 mm Kirchner wire is passed media/ to the Biceps insertion through the upper rim of the glenoid posterior to the biceps.
2. Two holes are made with 2.4 mm Kirchner wire . anterior and posterior to the Biceps.
3.

The Aeratec pusher Punch Needle pass the No. 2 sutur through the posterior hole.

4.

The suture is placed with the Punch-Needle
medial to the rim and pulled with the Chop puller laterally.

5.

The knots are tied with the concave knot driver using a sliding Niky knot tying technique.

GOC Clinic Bonn, Germany  1990 - 2006