A Technique Using an Easy-to-Fabricate Cannula to Manage Sutures and Aid Graft Passage in Arthroscopic Superior Capsular Reconstruction

Abstract

Arthroscopic superior capsular reconstruction has become a popular technique used to restore shoulder function in superior cuff deficiency. Passage of the graft via the portal sites is prone to entanglement with sutures and graft twisting. To make shuttling of the graft easier, and reduce the risk of suture entanglement, we developed a technique involving fabricating a suture management cannula from a simple sterile 10-mL syringe. The benefits of this technique are that it allows multiple sutures to be managed easily, avoiding entanglement of the graft during passage and attachment.

Interposition Grafting Using Fascia Lata Autograft for Failed Rotator Cuff Repairs

“…To ensure the graft and sutures not becoming entangled within the cannula or inside the joint, Rashid et al. 20 used a sleeve made of a 10-mL syringe for suture management and reported good results while avoiding many troubles during the surgical process.…”

Arthroscopic superior capsular reconstruction with dermal allograft for primary and recurrent rotator cuff tears

“…3 ). 40 The graft was then shuttled through the syringe to cover the residual rotator cuff defect and positioned deep into the remaining medial cuff tissue. The medial sutures were tied first, followed by the lateral ones.…”