El pasador de sutura Rotation Lasso tiene un diseño simple e intuitivo con un lazo rotatorio dirigible para la reparación artroscópica y de tejido blando abierta. Su simplicidad ayuda a reducir los pasos del procedimiento, evita los enredos y dobleces dentro de las cánulas y elimina la necesidad de pasar la sutura desde afuera. El lazo de nitinol rotatorio desplegable y duradero permite utilizar una técnica de paso all-inside.

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Lasso Suture Passers

Patrick J. Denard, MD (Medford, OR), demonstrates an all-inside, suture-shuttling technique using the Rotation Lasso suture passer, which reduces procedural steps and helps eliminate suture tangles. Dr. Denard also shows how to use the suture passer to create simple and cinch stitch configurations with Knotless FiberTak® soft anchors.

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Rotation Lasso Suture Passer Pearls for Labral Repair, Featuring Knotless 1.8 FiberTak® Soft Anchors

Today we're demonstrating the rotation lasso. This is a suture shuttling device for labor repair. There's a deployable loop. One can deploy this by pushing the wheel. The loop has a smooth shrink wrap coating, which is really nice for sliding and passing the suture, especially for a knotless anchor. A distinct feature of this device is that you can rotate the loop by turning the wheel. This allows easy access inside the glenohumeral joint. This device helps reduce steps by eliminating the need to shuttle on the outside of the joint. This is a left shoulder I'm viewing from an antero-superolateral viewing portal. We have an anterior working portal established and a posterior working portal established. We've placed an inferior anchor. The rotation lasso works very well for shuttling sutures with the one eight FiberTak. We've inserted our rotation lasso through the anterior portal. We'll grab a bite of the tissue as you're passing through the tissue. You want to make sure the loop is fully retracted. Once we've shuttled through the tissue, we'll deploy the loop. You can see here to start. Our loop is not oriented relative to the suture. We need to retrieve the repair suture through the posterior portal passing through this loop. If the loop is not oriented properly, we simply turn the wheel to orient the loop relative to the repair suture. This allows us to pass through the loop and retrieve the repair suture out the posterior portal. Now you can see the repair suture has passed through the loop. It's important to leave the loop fully deployed as you retrieve the lasso. This allows the repair suture to slide through the tissue. Another great use of the rotation lasso is to create a cinch stitch with the knotless FiberTak. Again, we're going to pass the lasso through the tissue, making sure the loop is fully retracted. The loop is deployed, allowing us to reach through to partially retrieve the repair suture. We want to retrieve about half way through the cannula posteriorly. You can see here we're left with a loop that's been passed through the labrum. Next we'll move to the anterior cannula. We'll reach through the loop and grab the other end of the repair suture. You can see how we've created a cinch suture by passing that loop first and then retrieving the end through the loop. The final step is then to shuttle the repair suture into the knotless mechanism of the anchor, retrieve the repair suture and the round end, which has a loop on the end. On final tensioning you can see that cinch suture. You can see this is a nice way to broaden compression of the labrum against the glenoid, and get a tape like effect with the number two FiberWire. If you prefer to view through a posterior portal, you can place the anchor through an anterior portal and retrieve through an antero-superolateral viewing portal. In this case, we'll shuttle through the anterior portal. We're going to retrieve through the ASL portal. We can rotate the loop first to align it properly. Another nice trick with the rotation lasso is the ability to push the repair suture into the loop. You can see now we've pushed the loop through the lasso. We can rotate slightly and retrieve it out the other side.

Pasador de sutura Rotation Lasso

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Rotation Lasso Suture Passer Pearls for Labral Repair, Featuring Knotless 1.8 FiberTak® Soft Anchors

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Lasso Suture Passers

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AR-6065-90