A New Technique to Improve Tissue Grip: “The Lasso-Loop Stitch”

Lafosse, Laurent; Raebroeckx, Antoon Van; Brzóska, Roman

doi:10.1016/j.arthro.2006.05.021

Cited by 107 publications

(96 citation statements)

References 6 publications

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“…The nonsliding locking lasso-loop configuration provides secure tightening of the remnant at right angles with the direction of its fibers, thus preventing midsubstance tearing caused by sliding suture. 6 The remnant's tightening suture is passed through the holes of the EndoButton device together with the sutures inserted for passing the graft and flipping the EndoButton. No additional tunnel creation or pin insertion is needed, and the remnant is tensioned and secured by use of the same fixation device that is used for the ACL graft.…”

Section: Discussionmentioning

confidence: 99%

“…2 white or co-braid ultrahighmolecular-weight polyethylene fiber Magnum Wire (ArthroCare, Austin, TX) is introduced into the joint by use of an arthroscopic grasper. With a curved rotator cuff hook, the torn end of the ACL is sutured by a lassoloop technique 6 (Fig 2). The free ends of the suture are retrieved through the anterolateral portal, permitting clear visualization of the medial wall of the lateral femoral condyle and of the tibial insertion of the ACL.…”

Section: Lasso Loop Through Acl Remnantmentioning

confidence: 99%

“…5 The purpose of this study is to present a simple and reproducible technique of tensioning the preserved ACL remnant over the femur using a "lasso loop" reeved through the femoral EndoButton (EndoButton CL; Smith & Nephew Endoscopy, Andover, MA). 6 …”

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confidence: 99%

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Anterior Cruciate Ligament Remnant–Preserving Reconstruction Using a “Lasso-Loop” Knot Configuration

Boutsiadis

Karampalis

Tzavelas

et al. 2015

Arthroscopy Techniques

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Anterior cruciate ligament (ACL) rupture predisposes to altered kinematics and possible knee joint degeneration. Graft fiber maturation and ligamentization may eliminate this risk during ACL reconstruction procedures. ACL remnantesparing techniques support the theory that the preserved tissue enhances revascularization, preserves the mechanoreceptors, and leads to anatomic remodeling. The purpose of this article is to present a simple and reproducible technique of tensioning the preserved ACL remnant over the femur. A nonabsorbable suture is passed through the ACL remnant with a "lasso-loop" technique using a curved rotator cuff hook. Femoral and tibial tunnel preparation is performed according to a standard surgical technique for the EndoButton device (Smith & Nephew Endoscopy, Andover, MA). The free ends of the ACL remnant suture are retrieved through the tibial tunnel and passed through each outside hole of the EndoButton device. The hamstring graft is passed through the tibial and femoral tunnels and fixed to the femoral cortex by flipping the EndoButton and to the tibia by an interference screw. Finally, non-sliding half-stitch locking knots are made to secure the ACL remnant suture on the EndoButton device, by use of a knot pusher. This technique offers simple and secure tensioning of the ACL remnant on the fixation device.A nterior cruciate ligament (ACL) rupture is one of the most common knee injuries, predisposing to altered knee kinematics, loss of neuromuscular feedback, increased medial compartment contact, and shear forces. 1,2 In an effort to decelerate this degenerative process, arthroscopic anterior cruciate ligament reconstruction (ACLR) using tendon autografts has been one of the most popular surgical interventions worldwide. 3 However, despite the numerous surgical techniques described, ACLR improves the patient's activity level and reduces, but does not eliminate, the risk of joint degeneration and the necessity for further surgery. 2,3 Restoration of normal ACL anatomy requires anatomic remodeling, fiber maturation, and ligamentization of the applied graft. Early ACL remnantesparing techniques support the theory of preserving the proprioceptive receptors, enhancing the revascularization process, and finally, achieving "cellular ligamentization." 4 However, ACL remnanteretaining procedures can be technically demanding and predispose to cyclops lesion formation. 5 The purpose of this study is to present a simple and reproducible technique of tensioning the preserved ACL remnant over the femur using a "lasso loop" reeved through the femoral EndoButton (EndoButton CL; Smith & Nephew Endoscopy, Andover, MA). 6 Surgical Technique Joint Assessment and Graft PreparationThe patient is positioned supine with a thigh tourniquet and a standard leg holder allowing full knee range of motion. With a 4.0-mm 30 arthroscope, standard anterolateral and anteromedial (AM) portals are made. The knee joint is evaluated, and other associated lesions are assessed and addressed appropriately. The ACL tear i...

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Section: Discussionmentioning

confidence: 99%

Section: Lasso Loop Through Acl Remnantmentioning

confidence: 99%

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Anterior Cruciate Ligament Remnant–Preserving Reconstruction Using a “Lasso-Loop” Knot Configuration

Boutsiadis

Karampalis

Tzavelas

et al. 2015

Arthroscopy Techniques

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“…Diferentes factores sumados a una disminución del espacio subcoracoideo pueden contribuir a las roturas del tendón del subescapular (9) . Las lesiones se clasifican en parciales o totales y, en este último caso, ocupar parte o toda la inserción del tendón (10) ; Lafosse las clasifica en 5 tipos: I, lesión parcial del tercio superior; II, lesión completa del tercio superior; III, lesión completa de los dos tercios superiores; IV, lesión completa con la cabeza humeral bien centrada y degeneración grasa menor de 3; y V, lesión completa con subluxación de la cabeza humeral, conflicto coracoideo y degeneración grasa mayor de 3 (11) . La etiología puede ser traumática, por caída con el brazo en hiperextensión o rotación externa (RE) con el brazo abducido, luxación o las degenerativas (5,12) .…”

Section: Introductionunclassified

Sutura artroscópica del tendón del subescapular. Técnica y resultados

Gebellí-Jové¹,

Iftimie-Iftime²,

Bel-LLop³

et al. 2018

REACA

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RESUMENObjetivo: mostrar el diagnóstico, la técnica quirúrgica y nuestros resultados de la sutura por vía artroscópica de las roturas completas del tendón del subescapular. Métodos: se han incluido los pacientes intervenidos en nuestro hospital entre los años 2014 y 2016 de rotura completa del tendón del subescapular, comprendiendo tanto las lesiones agudas como crónicas. Para la evaluación se objetivó la movilidad articular y se realizó la escala visual analógica (EVA) para el dolor y el test de Constant-Murley previo a la cirugía, a las 6 semanas, 3 y 6 meses posquirúr-gicos y al alta clínica. Resultados: se incluyen 13 pacientes. Edad media de 57,5 (24-73). El tiempo medio transcurrido entre la lesión y el tratamiento fue de 18 semanas (2-48). El tiempo medio de seguimiento fue de 7 meses (rango: 5-12). El tiempo medio de inmovilización fue de 5,6 semanas (4-6). Realizaron rehabilitación durante 4,2 meses (3-6). La EVA final fue de 0,3 (0-4), el Constant-Murley de 87 (65-95) y, en cuanto a la movilidad, la rotación externa fue de 53,2 (45-60), la flexión anterior de 165,5 (155-180) y la abducción de 162,7 (140-180). Conclusión: en la exploración física no debemos olvidar las maniobras para descartar lesiones del tendón del subescapular. Es una patología que tiene que diagnosticarse y tratarse lo antes posible para tener menor dificultad técnica y obtener mejores resultados. En nuestra serie, los casos agudos se presentan en pacientes más jóvenes, tienen lesiones ABSTRACT Arthroscopic suture of the subscapularis tendon. Technique and resultsObjective: to show the diagnosis, the surgical technique and our results of the arthroscopic suture of the complete tears of the subscapularis tendon with inbox technique. Methods: all patients operated at our hospital between 2014 and 2016 had a complete subscapular tendon rupture, including both acute and chronic injuries. For the evaluation the ranges of movement was recorded and visual analogue scale (VAS) for pain and Constant-Murley score were performed before surgery, 6 weeks, 3, 6 months and at discharge. Results: we included 13 patients. Mean age of 57.5 (24-73). Time elapsed between injury and treatment was 18 weeks (2-48), mean follow-up was 7 months (5-12), mean time for immobilization was 5.6 weeks (4-6). Rehabilitation performed for 4.2 months (3-6). VAS at discharge was 0.3 (0-4), Constant-Murley score 87 (65-95) and in mobility the external rotation was 53.2 (45-60), forward flexion of 165.5 (155-180) and abduction 162.7 (140-180).

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“…Several studies have described and evaluated different techniques for LHB tenodesis. [1][2][3][4][5][6][7] Two options regarding the position of the tenodesis have been described: the suprapectoral position, [1][2][3]8 at the entrance of the bicipital groove, and the subpectoral position, 4 caudal to the insertion of the tendon of the pectoralis major muscle. In a preliminary study we have biomechanically compared 4 arthroscopically performable techniques for suprapectoral LHB tenodesis on human cadavers 6 : 2 techniques with interference screws and 2 with widely used knotless suture anchors.…”

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confidence: 99%

All-Arthroscopic Suprapectoral Long Head of Biceps Tendon Tenodesis With Interference Screw–Like Tendon Fixation After Modified Lasso-Loop Stitch Tendon Securing

Patzer

Kircher

Krauspe

2012

Arthroscopy Techniques

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Arthroscopic suprapectoral techniques for tenodesis of the long head of the biceps tendon (LHB) are appropriate for the treatment of proximal biceps lesions. Several types of techniques and fixation devices have been described and evaluated in biomechanical studies regarding primary stability. In this technical note, we describe an all-arthroscopic suprapectoral technique using the 6.25-mm Bio-SwiveLock device (Arthrex, Naples, FL) for an interference screw-like bony fixation after having armed the tendon with a lasso-loop stitch. Both the interference screw fixation and securing of the lasso-loop tendon have been well described and approved in biomechanical tests concerning the primary stability. One advantage of this technique performed from the glenohumeral space, in addition to the strong and secure fixation with ingrowth of the tendon in a bony canal, is the avoidance of touching the soft tissue above the bicipital groove, which results in a smooth fitting of the tendon into its natural canal and therefore avoids mechanical irritation of the stump at the rotator interval. In conclusion, the all-arthroscopic suprapectoral LHB tenodesis performed from the glenohumeral space with the modified lasso-loop stitch for securing of the tendon and the 6.25-mm Bio-SwiveLock suture anchor for interference screw-like bony tendon fixation is an appropriate technique for the treatment of LHB-associated lesions.

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A New Technique to Improve Tissue Grip: “The Lasso-Loop Stitch”

Cited by 107 publications

References 6 publications

Anterior Cruciate Ligament Remnant–Preserving Reconstruction Using a “Lasso-Loop” Knot Configuration

Anterior Cruciate Ligament Remnant–Preserving Reconstruction Using a “Lasso-Loop” Knot Configuration

Sutura artroscópica del tendón del subescapular. Técnica y resultados

All-Arthroscopic Suprapectoral Long Head of Biceps Tendon Tenodesis With Interference Screw–Like Tendon Fixation After Modified Lasso-Loop Stitch Tendon Securing

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