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OasisLMS
Catalog
Specialized Toolkit Series: Shoulder Instability
Why You Should Use Suture Anchors and Tie Knots
Why You Should Use Suture Anchors and Tie Knots
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Video Transcription
Video Summary
The speaker discusses surgical techniques for shoulder repairs, emphasizing the use of knotted versus knotless sutures. Studies show knotted repairs, especially with mattress sutures in the inferior quadrant, provide better tension control, lower failure rates, and improved capsular shifts compared to knotless methods. Knotless repairs may suffice for superior labral tears but risk complications like postage stamp fractures if too many anchor holes are used. Personal experience and literature suggest a tailored approach: knotted mattress sutures inferiorly, simple or knotless superiorly. Effective pouch ablation and spreading fixation points are crucial. The talk concludes humorously linking “tying knots” to being prepared and “cool.”
Asset Caption
Jeffrey S. Abrams, M.D.
Keywords
shoulder repair
knotted sutures
knotless sutures
mattress sutures
capsular shift
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