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

Alessandro Castagna, Marco Conti, Elyazid Mouhsine, Giacomo Delle Rose, Giuseppe Massazza, Raffaele Garofalo

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)415-419
Number of pages5
JournalKnee Surgery, Sports Traumatology, Arthroscopy
Volume16
Issue number4
DOIs
Publication statusPublished - Apr 2008

Keywords

  • Arthroscopic
  • Bankart repair
  • Shoulder instability
  • Soft tissue attenuation
  • Stitch

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Surgery

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