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

doi:10.1007/s00167-007-0450-5

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

Istituto Clinico Humanitas

Research output: Contribution to journal › Article › peer-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 language	English
Pages (from-to)	415-419
Number of pages	5
Journal	Knee Surgery, Sports Traumatology, Arthroscopy
Volume	16
Issue number	4
DOIs	https://doi.org/10.1007/s00167-007-0450-5
Publication status	Published - 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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A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair : The MIBA stitch. / Castagna, Alessandro; Conti, Marco; Mouhsine, Elyazid; Delle Rose, Giacomo; Massazza, Giuseppe; Garofalo, Raffaele.

In: Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 16, No. 4, 04.2008, p. 415-419.

Research output: Contribution to journal › Article › peer-review

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