Modified Caspari Technique for Traumatic Anterior Shoulder Instability: Comparison of Absorbable Sutures Versus Absorbable Plus Nonabsorbable Sutures

Kagaya, Keiko; Yoneda, Minoru; Hayashida, Kenji; Wakitani, Shigeyuki; Nakagawa, Shigeto; Maeda, Akira; Izawa, Kiyoko

doi:10.1016/s0749-8063(99)70058-7

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…27 If the initial transglenoidal sutures become loose because of the expansion of the infraspinatus muscle with irrigation fluid during arthroscopy, 15 or if they lose more than half of their initial tensile strength over three weeks, the labral attachment will be relatively weak at the time of mobilisation of the shoulder. Kagaya et al 28 compared absorbable sutures to absorbable plus non-absorbable sutures in the transglenoid technique. Recurrence of dislocation was higher when only absorbable sutures were used (26% vs 6%).…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of a transglenoid suture technique for anterior shoulder instability in young adults

Söderlund

Mattila

Visuri

et al. 2008

The Journal of Bone and Joint Surgery. British volume

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We reviewed the outcome of arthroscopic stabilisation of anterior glenohumeral instability in young adults using the transglenoid suture technique. A questionnaire was sent to 455 consecutive patients who had undergone this procedure between 1992 and 2000. Of these, 312 patients (68.5%) with 313 affected shoulders and a mean age of 20 years (18 to 28) responded. Outcome was determined by the number of re-dislocations or, in patients who had not re-dislocated, by the disease-specific quality of life as measured by the Western Ontario Shoulder Instability index. During a mean follow-up of 6.4 years (1 to 14), 177 patients (56%) sustained a re-dislocation, including 70 who required a further operation. In 136 patients (44%) who reported neither re-dislocation nor re-operation, the index scores were good (median 90.4%; 28.9% to 100%). No significant peri- or pre-operative predictors of re-dislocation or re-operation were found. We found a high rate of re-dislocation after transglenoid suture repair in young, physically active patients.

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Section: Discussionmentioning

confidence: 99%

Long-term outcome of a transglenoid suture technique for anterior shoulder instability in young adults

Söderlund

Mattila

Visuri

et al. 2008

The Journal of Bone and Joint Surgery. British volume

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“…There were 27 studies which reported on 1267 shoulders using two principal techniques of transglenoid suture for arthroscopic anterior capsulorrhaphy. The failure rates in 16 23,25,[41][42][43][44][45][46][47][48][49][50][51][52][53][54] which described the Caspari technique 55 ranged between 8% and 60% and in 11 26,27,[56][57][58][59][60][61][62][63][64] reporting on the Morgan technique 11 between 5% and 75%. There was significant heterogeneity in the reported failure rates for each technique (p < 0.01).…”

Section: Included a Number Of Open Repairs Because Of A Per-operativementioning

confidence: 99%

Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery?

Hobby

Griffin

Dunbar

et al. 2007

The Journal of Bone and Joint Surgery. British volume

205

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A systematic search of the literature published between January 1985 and February 2006 identified 62 studies which reported the results of arthroscopic procedures for chronic anterior shoulder instability or comparisons between arthroscopic and open surgery. These studies were classified by surgical technique and research methodology, and when appropriate, were included in a meta-analysis. The failure rate of arthroscopic shoulder stabilisation using staples or transglenoid suture techniques appeared to be significantly higher than that of either open surgery or arthroscopic stabilisation using suture anchors or bio-absorbable tacks. Arthroscopic anterior stabilisation using the most effective techniques has a similar rate of failure to open stabilisation after two years.

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“…The Caspari suture punch has been used in several studies on Caspari transglenoid Bankart repair. [5][6][7]23,24) These suture punch type shuttle devices, which use a disposable sharp knife have been used well in arthroscopic rotator cuff repair for several years in the authors' clinic and it is believed that this device can be used also in arthroscopic Bankart repair instead of reusable shuttle devices because the blunted tip with multiple use made it difficult to perform the suture passing procedure.…”

Section: Discussionmentioning

confidence: 99%

Advantages of Scorpion Suture Passer and 70 Degrees Arthroscope in Arthroscopic Bankart Repair: Usefulness for Inferior Labral Repair

Hyun

Shin

2017

Clin Shoulder Elbow

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BACKGROUND: The blunted tip of a reusable with multiple uses can cause problems with the passing procedure in arthroscopic Bankart repair. This study assessed the advantage of Scorpion with a 70° arthroscope in arthroscopic Bankart repair compared to hook typed suture passer.METHODS: Scorpion in 19 patients, the hook type suture passer (conventional group) in 18 patients were used. All patients underwent the same procedure except for the type of suture passer used. Another different point of the procedure were telescopes and the number of portals used; three arthroscopic portals (posterior, anterorsuperiorlateral, and mid-anterior) and a 30° arthroscope in the conventional group, but two portals and a 70° arthroscope as well as the 30° one in the Scorpion group. The surgery time and the surgical complications including an iatrogenic axillary nerve injury were recorded.RESULTS: The Scorpion group showed a significant decrease in surgery time compared to the conventional group. In contrast to the conventional group, Scorpion provided an easy estimation of the exit of suture passing, no iatrogenic labral injury during the passing procedure with straight movement and the sharp tip of the knife installed. Iatrogenic supraspinatus injuries could be avoided when making an accessory anteosuperiorlateral portal due to the 70° arthroscope.CONCLUSIONS: In arthroscopic Bankart repair, the use of the Scorpion suture passer and a 70° arthroscope can reduce the surgery time, avoid unnecessary supraspinatus injury, and avoid iatrogenic axillary nerve damage through the relatively easy and precise suture passing and saving of the anterosuperior portal.

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Modified Caspari Technique for Traumatic Anterior Shoulder Instability: Comparison of Absorbable Sutures Versus Absorbable Plus Nonabsorbable Sutures

Cited by 10 publications

References 17 publications

Long-term outcome of a transglenoid suture technique for anterior shoulder instability in young adults

Long-term outcome of a transglenoid suture technique for anterior shoulder instability in young adults

Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery?

Advantages of Scorpion Suture Passer and 70 Degrees Arthroscope in Arthroscopic Bankart Repair: Usefulness for Inferior Labral Repair

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