APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing Instability: Capsulorrhaphy/Remplissage

Video Transcription

Video Summary

Alan Curtis discusses managing anterior instability from an arthroscopic perspective, emphasizing the restoration of stability, preservation of anatomy, and minimizing soft tissue morbidity. He notes contraindications for arthroscopic repair such as significant bone loss and failed prior repairs. Curtis prefers the lateral decubitus position for surgery, allowing thorough examination and access to both anterior and posterior parts. Key steps include confirming diagnosis, using specific portal placements, and mobilizing the capsule and labrum. He describes anchor insertions and knot-tying techniques to ensure solid labral fixation, addressing potential unexpected issues like Hill Sachs lesions or multidirectional instability. Curtis also describes a capsuloraphy technique for labral augmentation and interval closure to induce inflammation and promote repair. Postoperative care entails gradual motion recovery, strengthening, and a return to activity within six months, ensuring the repair's success and stability.

Asset Caption

Faculty: Alan S. Curtis, M.D., FAANA

Keywords

anterior instability

arthroscopic repair

labral fixation

capsuloraphy technique

postoperative care