Evolution of Technology

Suture Anchor

Suture anchors are the technology of choice when performing labral repair. A variety of suture anchor types exist, each with their own benefits and limitations. Suture anchors contain three components: the anchor, the eyelet and the suture. The anchor can be a screw mechanism, or an interference fit.

Materials used for anchors include various metals or bioabsorbable composites. The eyelet is a loop in the anchor through which the suture passes. Finally, the suture is what connects the under-repair tissue to the anchor. Suture can be absorbable or permanent, and varies in strength and elasticity. The ideal anchor when performing a labral repair is low profile, to eliminate the possibility of the anchor violating the glenoid cartilage, and provides excellent pullout strength.

Evolution of Procedure

Shoulder Labral Repair

The treatment of choice for labral tears is direct repair of the labrum back to the glenoid. This repair restores the soft-tissue buttress to anterior and/or posterior translation of the humeral head on the glenoid. Effective labral repair first requires mobilization of the labrum off of the glenoid. Once mobilized, labrum and surrounding capsule are sutured together into a soft-tissue bumper to repair the area of damage. By including capsule into the repair, surgeons can create a larger barrier to translation or dislocation, and prevent further instability events.