Summary

Arthroscopyof shoulder is booming in china,The SLAP lessions are less,We should seek a easy and quick method for a young doctor or beginners.

Abstract

Objective

To study the clinical efficacy of the knotless suture anchor For The Arthroscopic Repair Of The Unstable Superior Labrum Anterior and Posterior (SLAP) Lession.
Methods:13 cases of unstable slap lession were repaired with The knotless suture anchor arthroscopically, place the patiet in the lateral decubitus position, place the arm in 30 to 40 degrees of abduction and 20 degrees of forward flexion with 5 to 10 lb balanced suspension,, establish portals ,prepare the bone bed on the superior neck of the glenoid,beneath the detached labrum ,using a motorized shaver, use the biedbreak suture passer to pass 2 #ethibond through the labrum and the cannula ,place the spear guide for anchor placement for fixation of SLAP lession,pass 2 #ethibond through the hole of the knotless suture anchor ,place a knotless suture anchor in that position,wire ethibond, lock anchor. After the repair ,perform the peel-back and drive-through test again to be sure that they are negative. Regular check small incisions and processing, for postoperative rehabilitation training actively, respectively, at the time of the preoperative and final follow-up ASES score and UCLA score function assessment.

Results

following up for 3 ~ 24 months, an average of 13.2 months, preoperative and follow-up shoulder joint was eventually ASES scoring average, respectively (73．6±15．7)and (96．3±3．2), the difference was statistically significant (P < 0.05).Preoperative and final follow-up at UCLA scoring average (18．56±3．23)、(34．31 ±2．34), the difference was statistically significant (P < 0.05).11 cases of injury before the movement level, completely relieve symptoms;2 cases of mild limited;No blood vessel and nerve injury and infection.

Conclusion

:Repairing the SLAP lesions arthroscopically with The knotless suture anchor is safeˎeffective,operation management of the line is simpler than suture anchor, operation time shortened obviously.This is a good method for a young doctor or beginners.