"Cannula-in-cannula" technique for turbulence control and suture management in arthroscopic superior capsular reconstruction-A technical note

Abstract

Arthroscopic superior capsular reconstruction is gaining popularity in managing irreparable rotator cuff tears in younger patients without arthrosis. One of many reasons for the increase in this trend is the simplification of technique using allograft and knotless technology for fixation. Despite all this, turbulence control and suture management are still arduous undertakings. In order to improve visualization and prevent entanglement of sutures, we employed the cannula-in-cannula technique which allowed a continuous fluid management and tangle-free handling of sutures.

Keywords: Arthroscopy; Cannula; Shoulder; Superior capsular reconstruction; Suture management; Turbulence control.