Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Right shoulder, beach-chair position, arthroscopic view, 70° scope, anterosuperior portal. (A-C) With an arthroscopic grasper, a nitinol wire is retrieved from the inferior glenoid tunnel, through the subscapularis muscle split and the cannula in the anteroinferior portal. The nitinol is replaced with a FiberLink and then subsequently with the FiberTape from the posterior to the anterior side of the glenoid. (D-F) By pulling the blue distal coracoid FiberLink assembled with the FiberTape through the cannula outside the patient, these are shuttled from the inferior to the superior side of the coracoid (distal coracoid drill hole). In the same way, the white FiberLink is pulled through the cannula to shuttle the FiberTape from the superior to the inferior side of the coracoid process (proximal drill hole). (G-I) With an arthroscopic grasper, a nitinol wire is retrieved from the superior glenoid tunnel, through the subscapularis muscle split and the cannula in the anteroinferior portal. The nitinol is replaced with a FiberLink. Then the FiberLink, previously connected with the FiberTape outside the patient, is pulled from the cannula from the anterior side to the posterior side of the glenoid. (C, coracoid process; Ca, cannula; CT, conjoint tendon; D, cannulated drill; FL, FiberLink; FT, FiberTape; G, glenoid; Gr, arthroscopic grasper; iT, inferior glenoid tunnel; N, nitinol wire; SSC, subscapularis muscle; sT, superior glenoid tunnel.)

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Schematic representation of sutures shuttling technique through the glenoid and coracoid process sequentially from figure A to E. The inbound-outbound shuttling process is divided in 4 phases. The FiberTape must be equally tensioned at the same length in every shuttling phase. Inbound process: (A) Phase 1: From the posterior to the anterior side of the glenoid, the FiberTapes are transferred through the inferior glenoid tunnel, across the subscapularis muscle split and retrieved through the cannula at the anteroinferior portal. (B) Phase 2: The FiberTapes are transferer from the cannula through the distal coracoid tunnel from ventral to dorsal. Outbound process: (C) Phase 3: The FiberTapes are shuttled from the dorsal to the ventral side of the coracoid and retrieved through the cannula. (D) Phase 4: The FiberTapes are shuttled from the cannula through the subscapularis split and pulled from the anterior side to the posterior side of the glenoid. (E) Schematic representation of the final construct before performing the coracoid osteotomy. (C, coracoid; Ca, cannula; DT, distal coracoid tunnel; FT, FiberTape; FL, FiberLink; G, glenoid; IT, inferior glenoid tunnel; PT, proximal coracoid tunnel; ST, superior glenoid tunnel.)

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques: Construct

Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Right shoulder, beach-chair position, arthroscopic view, 70° scope, anterosuperior portal. An arthroscopic burr and chisel are used to osteotomized the coracoid, inserted through the anterior portal. (B-D) By Pulling the FiberTapes, the coracoid is transported through the subscapularis muscle split to the anterior glenoid neck. An arthroscopic grasper is used to facilitate the coracoid passage across the subscapularis split. (C, coracoid; CT, conjoint tendon; FT, FiberTape; Gr, grasper; O, chisel; SSC, subscapularis muscle.)

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Posterior extraarticular view of the right shoulder, beach-chair position. (A) The FiberTape Cerclage System is interconnected, and traction is performed subsequently one by one for each strand to fix the coracoid in the anterior glenoid neck. (B) A tensioner (Arthrex) is used to achieve a strong fixation of up to 100 N. (FT: FiberTape; P, posterior right shoulder; Pm, posteromedial portal; Pp, posterior portal; T, tensioner.).

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Schematic representation of the final Latarjet cerclage construct. The circle-like configuration of the fixation can be noted. FiberTape cerclage sutures (FT), FiberTape interconnected (FTI).

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques: Construct

Journal: Arthroscopy Techniques

Article Title: Latarjet Cerclage: The All-Arthroscopic Metal-Free Fixation

doi: 10.1016/j.eats.2020.10.028

Figure Lengend Snippet: Advantages and Disadvantages of the Technique

Article Snippet: Two preconfigured FiberTape Cerclage sutures (FTC-s; Arthrex) are transported by pulling the blue FiberLink from posterior to anterior across the inferior glenoid tunnel passing through the subscapular split and retrieved through the canula at the AI portal ( C).

Techniques: Construct, Control

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: A step-by-step schematic of the acromioclavicular cerclage technique on a right shoulder. (A) A tunnel is drilled in the clavicle from anterior to posterior and a shutting suture is passed through this tunnel, leaving the looped end posteriorly. (B) A posterior acromion tunnel is drilled superior to inferior. (C) The straight end of the suture is inserted and shuttled through the posterior acromion tunnel. (D) An anterior tunnel is then drilled, followed by shuttling the suture from inferior to superior and to the posterior looped end creating a figure-of-8 construct. (A, acromion; Ant, anterior; C, clavicle; LE; looped end; Post, posterior; SE, straight end.)

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques: Construct

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Arthroscopic view of a right shoulder in a patient in lateral decubitus position from a posterior subacromial viewing portal shows the shuttling suture used for the figure-of-8 acromioclavicular cerclage passing through the acromion tunnels. (A, acromion; C, clavicle.)

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Illustration of the coracoclavicular reconstruction with a tunnel-free technique in a right shoulder. The graft and cerclage sutures are passed posterior to the clavicle and medial to the coracoid. Then, anterior to the clavicle and lateral to the coracoid.

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Arthroscopic view of a right shoulder in a patient in lateral decubitus position from a posterior glenohumeral viewing portal with a 70° arthroscope. The semitendinosus graft and cerclage sutures have been shuttled in place to rest beneath the coracoid. (CB, coracoid base; G, graft; SSc, subscapularis.)

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: A disposable tensioner (FiberTape Cerclage Disposable Tensioner; Arthrex) is used to maximize reduction and remove slack in the acromioclavicular and coracoclavicular cerclages.

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Open view of the final construct in a right shoulder. One graft limb taken from the coracoclavicular reconstruction is lengthened and taken over the acromioclavicular joint. Then, this limb is secured beneath a cerclage suture. (A, acromion; C, clavicle; G, graft.)

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques: Construct

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Illustration of the final construct demonstrates combined coracoclavicular and acromioclavicular cerclage fixation and biologic reconstruction using a tunnel-free technique in a right shoulder.

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques: Construct

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Pearls and Pitfalls of an Open CC and AC Cerclage With a Semitendinosus Allograft Assisted With Arthroscopy

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques:

Journal: Arthroscopy Techniques

Article Title: Arthroscopically Assisted Tensionable Cerclage Reconstruction of an Acromioclavicular Separation With Combined Fixation of the Coracoclavicular and Acromioclavicular Ligaments

doi: 10.1016/j.eats.2022.11.010

Figure Lengend Snippet: Pre- (A) and postoperative (B) Zanca views of the right shoulder on a patient undergoing AC and CC cerclage for AC separation (blue arrows). (AC, acromioclavicular; CC, coracoclavicular.)

Article Snippet: Reconstruction of the CC ligaments is performed with an allograft and tensionable suture tape cerclage (FiberTape Tension Compression Bridge [TCB]; Arthrex).

Techniques: