A comparison of knot security and loop security in arthroscopic knots tied with newer high-strength suture materials.

Purpose: The purpose of this study was to compare the knot security and loop security of 2 sliding and 1 static arthroscopic knot tied with different types of suture material.

Methods: We evaluated 3 commonly used arthroscopic knots (surgeon's knot, Roeder knot, and Weston knot) tied with 6 different braided No. 2 sutures (FiberWire [Arthrex, Naples, FL]; Ethibond [Ethicon, Somerville, NJ]; Orthocord [DePuy Mitek, Raynham, MA]; Herculine [now called HiFi; ConMed Linvatec, Largo, FL]; MaxBraid [Arthrotek, Warsaw, IN]; and UltraBraid [Smith & Nephew, Andover, MA]).

Arthroscopic double-pulley remplissage technique for engaging Hill-Sachs lesions in anterior shoulder instability repairs.

We present a modified arthroscopic technique used to treat anterior shoulder instability associated with mild glenoid bone loss and a large Hill-Sachs lesion. The procedure aims to convert a bony intra-articular defect into an extra-articular defect by insetting the infraspinatus into the Hill-Sachs lesion. The arthroscopic procedure is performed with the patient in the lateral decubitus position, and the same portals used for anterior instability repair are used for this technique.

Glenohumeral bone defects in the treatment of anterior shoulder instability.

There is a well-recognized association between osseous defects of the glenoid or humerus and shoulder dislocation, which often leads to recurrent instability. A variety of strategies have been used to treat bone loss, and procedures have become more refined as the goals of surgery have evolved. Achieving optimal motion and function and minimizing the risk of osteoarthritis have become almost as important as stabilizing the joint.