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Arthroscopic Capsular Repair without Relaying Sutures: ‘Simple Sewing Technique’

Clinics in Shoulder and Elbow 2019년 22권 3호 p.146 ~ 148
김형석 ( Kim Hyung-Suk ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Orthopedic Surgery

 ( Song Hyun-Seok ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Orthopedic Surgery
 ( Kang Seung-Gu ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Orthopedic Surgery
 ( Han Sung-Bin ) - Catholic University College of Medicine Eunpyeong St. Mary’s Hospital Department of Orthopedic Surgery

Abstract


We report a simple technique for repairing capsular tear, using only a hook-like, cannulated instrument and braided sutures without relaying steps. A No. 2 braided suture is passed through the lumen of the instrument. Under direct arthroscopic view, the tip of the in-strument is passed through the side of the capsule that has previously been separated with the probe. One end of the suture is retrieved with a grasper through a separate portal. The tip is moved back without withdrawing through the skin, and reinserted into the other side of the capsule. Holding the end retrieved earlier, the other end of the suture is retrieved with a suture retriever. After complete removal of the instrument, the suture is tied through a cannula using the standard knot tying techniques. The same procedures are repeated for other required knots.

키워드

Arthroscopy; Sutures; Capsule
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