In this video presentation Dr. Millett demonstrates arthroscopic pearls using the knotless FiberTak® suture anchor for labral repair. The are two cannulas used in this repair, a 5 mm cannula superiorly just below the biceps tendon and an 8.25 mm canula just above the subscapularis. For placement of the first anchor, a 15 degree curved guide was used to get down low on the glenoid face and a flexible drill was utilized to create a drill hole. A 1.8mm knotless FiberTak anchor was started by hand and then tapped into place in the drill hole. A 25 degree tight left lasso was placed around the labrum and a shuttling wire allowed the repair suture to be shuttled out the 8.25 mm cannula. The repair suture is then placed through the looped end of the shuttling suture and folded onto itself before being pulled through the anchor. An arthroscopic grasper is then used to pull up on the tissue to facilitate shift of the tissue from inferior to superior prior to tensioning and securing the tissue in place. The repair suture is then cut right at the cartilage to decrease the risk of tangling with the placement of additional anchors. This process was repeated from inferior to superior until all anchors were placed and sufficient repair was achieved. Labral repair was performed in this case with four suture anchors placed in the anterior glenoid at approximately the 7 o’clock, 8 o’clock, 9:30, and 10:30 positions for this left shoulder demonstration.
