Arthroscopic Bankart repair in the beachchair position: a cannulaless method using an intra-articular suture relay technique

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Hiroyuki SugayaAkihiro Tsuchiya

Abstract

In shoulder arthroscopy, cannulas with large diameters (7-9 mm) are commonly used both in the lateral decubitus and the beachchair position because they ensure the easy introduction of instruments into the intra-articular space and provide a clear arthroscopic view through the application of high intra-articular pressure. On the other hand, fluid extravasation and the resulting inconvenience due to the narrowing of the intra-articular working space are also obvious issues. Consequently, this makes arthroscopic stabilization surgery all the more challenging. To avoid these shortcomings of this procedure, we believe cannulas should be used only when necessary such as for knot tying and for transtendon portals. In this article, we report a unique and original method of arthroscopic Bankart repair in the beachchair position with limited use of cannulas of smaller diameter (5 mm) and its advantages over ordinary arthroscopic techniques using large-diameter cannulas in terms of preventing fluid extravasation and keeping a wide working space, which facilitates beneficial intra-articular techniques.

References

Feb 1, 1997·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·S H TreacyF H Savoie
May 7, 1999·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·G M GartsmanS M Hammerman
Oct 16, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·D K Mishra, G S Fanton
Feb 6, 2002·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Stephen C WeberWesley M Nottage

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Citations

May 14, 2005·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Hiroyuki SugayaAkihiro Tsuchiya
Sep 19, 2008·Journal of Shoulder and Elbow Surgery·Shane J NhoJohn D MacGillivray
Nov 20, 2015·The Journal of Bone and Joint Surgery. American Volume·Soichiro KitayamaJoji Moriishi
Jul 27, 2020·Orthopaedic Journal of Sports Medicine·Yasutaka TakeuchiShota Hoshika
Jul 13, 2016·JBJS Essential Surgical Techniques·Hiroyuki Sugaya, Norimasa Takahashi

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