APEX Optimizing Surgical Outcomes for Knee & Shoulder Arthroscopy-Optimizing Instability: Capsulorrhaphy/Remplissage

Video Transcription

Video Summary

Alan Curtis discusses arthroscopic surgical treatment for anterior shoulder instability, emphasizing goals like restoring stability, preserving anatomy, minimizing tissue damage, and maximizing function. Contraindications include significant bone loss and failed prior repairs, especially in contact athletes. The preferred lateral decubitus position aids access and management of complications. Key steps include confirming diagnosis under anesthesia, creating precise anterior portals, mobilizing the capsule and labrum carefully, and placing double-loaded suture anchors for secure fixation. Knot tying techniques aim to bury knots in tissue to avoid damage. He also covers management of complex cases such as bony Bankart lesions, multi-directional instability, Hill-Sachs lesions, and capsular augmentations using suture anchors and interval closure techniques to tighten and stabilize the shoulder. Postoperative care involves initial immobilization, gradual range of motion, delayed physical therapy, progressive strengthening, and return to sport around six months.

Asset Caption

Faculty: Alan S. Curtis, M.D., FAANA

Keywords

arthroscopic shoulder surgery

anterior shoulder instability

suture anchor fixation

lateral decubitus position

postoperative rehabilitation