Simplified Double-Pulley Remplissage With Knotless All-Suture Anchor Fixation Using a Digital Subdeltoid Retrieval Method
Cody Ashy, J. Ambrose Martino, Mitchell H. Negus, Brandon L. Rogalski, Richard J. Friedman, Josef K. Eichinger
TL;DR
This paper introduces a simplified surgical technique for shoulder dislocation repair using a knotless suture anchor system to improve outcomes and reduce complications.
Contribution
The novel method uses a digital subdeltoid retrieval technique with knotless all-suture anchors to enhance double-pulley remplissage.
Findings
The technique maximizes anchor spread within Hill-Sachs lesions using a knotless construct.
Digital subdeltoid retrieval reduces the risk of tissue bridge formation.
The method avoids arthroscopic access to the subacromial space, saving time and improving efficiency.
Abstract
Anterior shoulder dislocations represent one of the most common joint dislocations, with particular populations at increased risk of recurrence. Associated bone loss further increases the risk of dislocation and often needs to be addressed via soft tissue or bony augmentation. In particular, for large Hill-Sachs lesions in patients at increased risk of dislocation, remplissage is indicated. This current technique builds upon previously double-pulley techniques and utilizes a knotless all-suture anchor construct that allows for maximization of anchor spread within an associated Hill-Sachs lesion. The knotless all-suture anchor constructs are placed percutaneously under direct visualization through a routine posterior portal. After completion of any associated labral repair, the posterior incision is expanded, and the sutures are retrieved via digital dissection to facilitate a…
Genes, proteins, chemicals, diseases, species, mutations and cell lines named across the full text — each resolved to its canonical identifier and authoritative record.
Click any figure to enlarge with its caption.
Figure 1
Figure 2
Figure 3
Figure 4
Figure 5
Figure 6
Figure 7
Figure 8
Figure 9
Figure 10
Figure 11
Figure 12Peer Reviews
No public reviews on file for this paper yet. If you reviewed it on a platform where reviews are public (OpenReview, ICLR, NeurIPS, ICML), you can paste yours below so the community can read it here.
Videos
No videos yet. Explain this paper in a talk, walkthrough, or lecture? Add one.
Taxonomy
TopicsShoulder Injury and Treatment · Shoulder and Clavicle Injuries · Surgical Sutures and Adhesives