A single surgeon (S.-J.S.) performed revision arthroscopic labral repair on patients in the lateral decubitus position under general anesthesia. After penetrating sufficient capsulolabral tissue using a suture hook, the anterior capsulolabral complex was restored by the simple suture technique using single-loaded all-suture anchors (1.3-mm FiberTak; Arthrex). Without decortication on the glenoid rim from 3 o’clock to 6 o’clock, the anchors were inserted at intervals of 5 to 7 mm (Figure 1 ). When a SLAP lesion was observed, 1 or 2 all-suture anchors were inserted to repair the lesion. For posterior labral tears requiring repair, all-suture anchors were inserted according to the extent of the posterior labral tear.
The same postoperative rehabilitation protocol was applied to all patients. Shoulder immobilization supported by an abduction brace was prescribed for the first 4 weeks. At the beginning of the fifth week, passive range of motion (ROM) and active-assisted exercises were encouraged after discontinuation of the immobilization. Shoulder muscle strengthening exercises were allowed after 8 weeks postoperatively. Return to sports was allowed 6 months postoperatively when shoulder ROM and strength had been recovered without recurrent instability.
The same postoperative rehabilitation protocol was applied to all patients. Shoulder immobilization supported by an abduction brace was prescribed for the first 4 weeks. At the beginning of the fifth week, passive range of motion (ROM) and active-assisted exercises were encouraged after discontinuation of the immobilization. Shoulder muscle strengthening exercises were allowed after 8 weeks postoperatively. Return to sports was allowed 6 months postoperatively when shoulder ROM and strength had been recovered without recurrent instability.
