A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch.

Details

Serval ID
serval:BIB_BF9D1E589F8E
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch.
Journal
Knee Surgery, Sports Traumatology, Arthroscopy
Author(s)
Castagna A., Conti M., Mouhsine E., Delle Rose G., Massazza G., Garofalo R.
ISSN
0942-2056
ISSN-L
0942-2056
Publication state
Published
Issued date
2008
Volume
16
Number
4
Pages
415-419
Language
english
Abstract
The success of anatomic repair of Bankart lesion diminishes in the presence of a capsule stretching and/or attenuation is reported in a variable percentage of patients with a chronic gleno-humeral instability. We introduce a new arthroscopic stitch, the MIBA stitch, designed with a twofold aim: to improve tissue grip to reduce the risk of soft tissue tear, particularly cutting through capsular-labral tissue, to and address capsule-labral detachment and capsular attenuation using a double loaded suture anchor. This stitch is a combination of horizontal mattress stitch passing through the capsular-labral complex in a "south-to-north" direction and an overlapping single vertical suture passing through the capsule and labrum in a "east-to-west" direction. The mattress stitch is tied before the vertical stitch in order to reinforce the simple vertical stitch, improving grip and contact force between capsular-labral tissue and glenoid bone.
Keywords
Arthroscopy/methods, Humans, Joint Instability/surgery, Shoulder Joint/surgery, Suture Anchors, Suture Techniques
Pubmed
Web of science
Create date
05/03/2009 13:38
Last modification date
20/08/2019 16:34
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