# A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture

## TL;DR

This paper introduces a simplified and safer arthroscopic technique for fixing bony Bankart lesions using a spinal needle, reducing iatrogenic damage and making the procedure more accessible for beginners.

## Contribution

The novel contribution is a simplified, less invasive arthroscopic technique using a percutaneous spinal needle for bony Bankart lesion fixation.

## Key findings

- The technique reduces the risk of iatrogenic damage and splitting the fracture fragment.
- It is more convenient, economical, and suitable for beginners compared to traditional suture devices.
- The method uses commonly available equipment without requiring high-value consumables.

## Abstract

Bony Bankart lesion is commonly seen and highly associated with anterior glenohumeral instability. However, the reported arthroscopic techniques that reduce and fix bony Bankart lesion with traditional suture devices may encounter several problems during the suture-passing process, including splitting the fracture fragment or surrounding soft tissue, resulting in iatrogenic damage, and causing difficulties for instrument operation and suture management. Here, we have proposed a simplified technique for arthroscopic reduction and fixation of bony Bankart lesion by the introduction of percutaneous suturing with a spinal needle, which has a lower risk of iatrogenic damage, lower possibility of splitting the fracture fragment or surrounding soft tissue, and less difficulty in suturing during operation and suture management. Our technique, a combination of percutaneous spinal needle suture passing and s double-pulley suture-tying technique, is less invasive to patients, more convenient and economical, and more suitable for beginners, which is challenging to achieve with a traditional suture device. In addition, the equipment used in our technique is commonly seen and accessible in the operating room, without requiring high-value consumables and supporting instruments. In summary, our technique, integrating economy, simplicity, reliability, and safety, has very good application potential in clinical situations.