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Arthroscopic Capsular Repair without Relaying Sutures: ‘Simple Sewing Technique’
Clin Should Elbow 2019;22:146-148
Published online September 1, 2019;  https://doi.org/10.5397/cise.2019.22.3.146
© 2019 Korean Shoulder and Elbow Society.

Hyungsuk Kim, Hyun Seok Song, Seung Gu Kang, Sung Bin Han

Department of Orthopedic Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Hyun Seok Song
Department of Orthopedic Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 1021 Tongil-ro, Eunpyeong-gu, Seoul 03312, Korea
Tel: +82-2-2030-4628, Fax: +82-2-2030-4629, E-mail: hssongmd@yahoo.com, ORCID: https://orcid.org/0000-0002-7844-2293
IRB approval: The Catholic University of Korea, St. Paul’s Hospital (No. PC19RESI0080).
Received July 31, 2019; Revised August 4, 2019; Accepted August 4, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
We report a simple technique for repairing capsular tear, using only a hook-like, cannulated instrument and braided sutures without relaying steps. A No. 2 braided suture is passed through the lumen of the instrument. Under direct arthroscopic view, the tip of the instrument is passed through the side of the capsule that has previously been separated with the probe. One end of the suture is retrieved with a grasper through a separate portal. The tip is moved back without withdrawing through the skin, and reinserted into the other side of the capsule. Holding the end retrieved earlier, the other end of the suture is retrieved with a suture retriever. After complete removal of the instrument, the suture is tied through a cannula using the standard knot tying techniques. The same procedures are repeated for other required knots.
Keywords : Arthroscopy; Sutures; Capsule