A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch

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Abstract
The success of anatomic repair of Bankart lesion diminishes in the presence of a capsule stretching and/or attenuation is reported in a variable percentage of patients with a chronic gleno‐humeral instability. We introduce a new arthroscopic stitch, the MIBA stitch, designed with a twofold aim: to improve tissue grip to reduce the risk of soft tissue tear, particularly cutting through capsular–labral tissue, to and address capsule‐labral detachment and capsular attenuation using a double loaded suture anchor. This stitch is a combination of horizontal mattress stitch passing through the capsular–labral complex in a “south‐to‐north” direction and an overlapping single vertical suture passing through the capsule and labrum in a “east‐to‐west” direction. The mattress stitch is tied before the vertical stitch in order to reinforce the simple vertical stitch, improving grip and contact force between capsular–labral tissue and glenoid bone.

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