Specialized Toolkit Series: Shoulder Instability-Why You Should Use Suture Anchors and Tie Knots

Why You Should Use Suture Anchors and Tie Knots

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