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Summary of Common Procedures Depicting the Versatility of Knotless Tensionable Anchors
Procedure
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Hip/shoulder labral treatment
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Bone/labral function:
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Eversion: Anchor placed on acetabular rim. Repair sutured is passed through labral defect into chondrolabral junction.
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Inversion: Anchor on acetabular rim. Looped end of shuttling suture is passed through labral defect into chondrolabral junction.
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Chondrolabral junction:
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Eversion: Anchor is placed in chondrolabral junction, Looped end of shuttling suture is passed through labral defect to the bone/labral junction.
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Inversion: Anchor is placed in chondrolabral junction. Repair suture is passed through defect to the bone/labral junction.
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Tendon repair
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Suture staple:
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Insert anchors in previously prepared tendons insertion site. Pass repair sutures through adjacent anchors in an interlocking configuration (A-B, B-A.) or (A-B, B-C, C-D, D-A).
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Miscellaneous
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Labral reconstruction:
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Prepare acetabular rim and place anchors throughout its circumference. Secure graft in an eversion construct.
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Labral augmentation:
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Place anchors on acetabular rim above deficient labrum. Pass repair suture is passed behind the graft and through the native chondrolabral junction.
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Capsular reconstruction:
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Two anchors are placed at the corner of the acetabular-side capsular defect. Graft is secured to the anchors and stitched to the remaining femoral capsular tissue.
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Capsular augmentation
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Two anchors are placed on the subspine cortical bone to secure the graft above the capsular tissue. Distal dermal graft is stitched to the capsule.
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Femoral remplissage
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Locate defect. Place anchor on the center of defect. Pass sutures through dermal graft in a mattress configuration. Add 4 anchors to secure the corners of the graft.