Fig 6.

The patient is positioned in the lateral decubitus position, and the right latissimus tendon is repaired back to its footprint on the humerus. A suture button is placed unicortically through each drill hole. (A) Each SutureTape suture that is passed through the latissimus tendon is loaded onto a suture button using the tension-slide technique with one strand of suture entering proximally and exiting distally on the button and the other suture strand entering distally and entering proximally. (B) The loaded suture button is placed unicortically through the drill hole using the inserter and the button is flipped to engage the cortex. The same sequence of events is repeated for the second suture button. Once the buttons are placed, flipped, and are engaging the cortex, one suture tail from each of the buttons is passed through the substance of the tendon from deep to superficial using a free needle. These limbs that are passed through the tendon allow for the knots to lay superficially on the tendon and will serve as the post strand for knot tying. The suture limbs from each SutureTape are sequentially tensioned to reduce the tendon back to its footprint (C). Both sets of suture are then tied using an arthroscopic knot pusher to facilitate knot tension deep in the wound (D). An arthroscopic cutter is then used to leave short tails. (AKP, arthroscopic knot pusher; LT, latissimus tendon; SB, suture button; SBI, suture button inserter; ST, SutureTape.)