2021 Annual Meeting Shoulder Access Pass-Suture Spaghetti

Video Transcription

Video Summary

Dr. Kelly discusses managing tangled sutures ("suture spaghetti") during rotator cuff repair, emphasizing prevention through diligent, reproducible techniques. For double row repairs, fewer tendon passes and strategic suture storage in alternative cannulas reduce tangling risk. Single row repairs with triple loaded anchors demand careful retrograde suture passing and "pass-and-park" methods to organize sutures by color and avoid complexity. Visualization improvements through thorough debridement and positioning are crucial. If tangles occur, tools like crochet hooks or knot tiers help untangle sutures. Overall, prevention, organization, and the proper use of portals and devices optimize suture management in shoulder surgery.

Asset Caption

Dr. Mark Getelman

Keywords

rotator cuff repair

suture management

double row repair

single row repair

knot tying techniques