A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture
Bony Bankart lesion is commonly seen and highly associated with anterior glenohumeral instability. However, the reported arthroscopic techniques that reduce and fix bony Bankart lesion with traditional suture devices may encounter several problems during the suture-passing process, including splitti...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-06-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628725000775 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849419606494543872 |
|---|---|
| author | Fashuai Wu, M.D., Ph.D. Wenbo Yang, M.D., Ph.D. Chunqing Meng, M.D., Ph.D. Hong Wang, M.D., Ph.D. Wei Huang, M.D., Ph.D. |
| author_facet | Fashuai Wu, M.D., Ph.D. Wenbo Yang, M.D., Ph.D. Chunqing Meng, M.D., Ph.D. Hong Wang, M.D., Ph.D. Wei Huang, M.D., Ph.D. |
| author_sort | Fashuai Wu, M.D., Ph.D. |
| collection | DOAJ |
| description | Bony Bankart lesion is commonly seen and highly associated with anterior glenohumeral instability. However, the reported arthroscopic techniques that reduce and fix bony Bankart lesion with traditional suture devices may encounter several problems during the suture-passing process, including splitting the fracture fragment or surrounding soft tissue, resulting in iatrogenic damage, and causing difficulties for instrument operation and suture management. Here, we have proposed a simplified technique for arthroscopic reduction and fixation of bony Bankart lesion by the introduction of percutaneous suturing with a spinal needle, which has a lower risk of iatrogenic damage, lower possibility of splitting the fracture fragment or surrounding soft tissue, and less difficulty in suturing during operation and suture management. Our technique, a combination of percutaneous spinal needle suture passing and s double-pulley suture-tying technique, is less invasive to patients, more convenient and economical, and more suitable for beginners, which is challenging to achieve with a traditional suture device. In addition, the equipment used in our technique is commonly seen and accessible in the operating room, without requiring high-value consumables and supporting instruments. In summary, our technique, integrating economy, simplicity, reliability, and safety, has very good application potential in clinical situations. |
| format | Article |
| id | doaj-art-cdf58b8199564fcfb2e48a1d9b69cc48 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-cdf58b8199564fcfb2e48a1d9b69cc482025-08-20T03:32:01ZengElsevierArthroscopy Techniques2212-62872025-06-0114610350810.1016/j.eats.2025.103508A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle SutureFashuai Wu, M.D., Ph.D.0Wenbo Yang, M.D., Ph.D.1Chunqing Meng, M.D., Ph.D.2Hong Wang, M.D., Ph.D.3Wei Huang, M.D., Ph.D.4Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaAddress correspondence to Wei Huang, M.D., Ph.D., Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.; Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaBony Bankart lesion is commonly seen and highly associated with anterior glenohumeral instability. However, the reported arthroscopic techniques that reduce and fix bony Bankart lesion with traditional suture devices may encounter several problems during the suture-passing process, including splitting the fracture fragment or surrounding soft tissue, resulting in iatrogenic damage, and causing difficulties for instrument operation and suture management. Here, we have proposed a simplified technique for arthroscopic reduction and fixation of bony Bankart lesion by the introduction of percutaneous suturing with a spinal needle, which has a lower risk of iatrogenic damage, lower possibility of splitting the fracture fragment or surrounding soft tissue, and less difficulty in suturing during operation and suture management. Our technique, a combination of percutaneous spinal needle suture passing and s double-pulley suture-tying technique, is less invasive to patients, more convenient and economical, and more suitable for beginners, which is challenging to achieve with a traditional suture device. In addition, the equipment used in our technique is commonly seen and accessible in the operating room, without requiring high-value consumables and supporting instruments. In summary, our technique, integrating economy, simplicity, reliability, and safety, has very good application potential in clinical situations.http://www.sciencedirect.com/science/article/pii/S2212628725000775 |
| spellingShingle | Fashuai Wu, M.D., Ph.D. Wenbo Yang, M.D., Ph.D. Chunqing Meng, M.D., Ph.D. Hong Wang, M.D., Ph.D. Wei Huang, M.D., Ph.D. A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture Arthroscopy Techniques |
| title | A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture |
| title_full | A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture |
| title_fullStr | A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture |
| title_full_unstemmed | A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture |
| title_short | A Simplified Technique for Arthroscopic Reduction and Double-Pulley Fixation of Bony Bankart Lesion by Percutaneous Spinal Needle Suture |
| title_sort | simplified technique for arthroscopic reduction and double pulley fixation of bony bankart lesion by percutaneous spinal needle suture |
| url | http://www.sciencedirect.com/science/article/pii/S2212628725000775 |
| work_keys_str_mv | AT fashuaiwumdphd asimplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT wenboyangmdphd asimplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT chunqingmengmdphd asimplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT hongwangmdphd asimplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT weihuangmdphd asimplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT fashuaiwumdphd simplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT wenboyangmdphd simplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT chunqingmengmdphd simplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT hongwangmdphd simplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture AT weihuangmdphd simplifiedtechniqueforarthroscopicreductionanddoublepulleyfixationofbonybankartlesionbypercutaneousspinalneedlesuture |