Arthroscopic Bankart Repair: Accessory Posterior Portal With Slotted Cannula for Lowest Capsulolabral Access

Abstract

We present a novel technique for safe establishment of the accessory posterior portal using a slotted cannula. Arthroscopic Bankart repair is a common procedure. A variety of arthroscopic techniques have been described in the literature, commonly using the posterior portal for visualization and the anterior portal with a working cannula. The accessory posterior portal enables elegant access to the lower part of the capsulolabral junction, a firmer grasp and mobilization of the tissue, quick and easy tool exchange using a slotted cannula, and clearer suture placement because of the flat, direct working angle. The skin incision is made small without the need for an arthroscopic cannula, and the portal location is in a relatively safe zone. The use of the accessory posterior portal along with a slotted cannula shortens the duration of the operative procedure and improves safety and performance.

The “Floating Labrum”: Bankart Lesion Repair With Anterior Capsular Extension Using 2 Anterior Working Portals

“… 3 , 8 In addition, accessory posterior portals have been described as working portals, with a theoretic advantage of a flat, direct working angle; access to the inferior portion of the capsulolabral junction; and better grasp of tissue. 9 , 10 , 11 , 12 …”