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Check out Dr. Garcia’s new Remplissage technique with an anterior and posterior labral repair.
Dr. Garcia specializes in complex knee, shoulder and elbow sports surgeries. He has prepared a number of surgical videos below to help patients better understand their procedures. He is frequently updating his surgical video database so check back soon for further updates.
This video showcases Dr. Grant Garcia demonstrating his surgical technique for an arthroscopic Superior Labrum Anterior to Posterior (SLAP) tear repair. This type of injury involves a tear of the top portion of the shoulder's labrum, right where the long head of the biceps tendon attaches to the socket (glenoid).
The procedure is executed through the following critical phases:
- Joint Portal Strategy & Assessment: Dr. Garcia establishes precise viewing and working portals to obtain a clear line of sight over the top of the glenoid cavity. He uses an arthroscopic probe to feel and stress the superior labrum, confirming the stability defect and identifying the full extent of the SLAP tear.
- Debridement & Bed Creation: Any frayed or unstable tissue remnants around the upper edge of the rim are trimmed back using a mechanical shaver. The underlying bone bed is then lightly prepared to produce a clean, bleeding bone footprint. This biological activation ensures that when the labrum is secured back down, it has the blood supply necessary to successfully fuse to the bone.
- Anchor Insertion: Using a specialized drilling guide angled slightly away from the articular cartilage to protect the joint face, Dr. Garcia inserts high-strength, low-profile suture anchors directly into the top edge of the glenoid rim.
- Tissue Passing & Knotless Cinching: A specialized suture passer is guided through the working port to capture a robust tissue bite through the displaced superior labral tissue. The suture limbs are threaded back into the locking eyelets of the anchors and sequentially tensioned down. This pulls the labrum tightly flush against the raw bone bed, restoring the native structural "bumper" of the shoulder socket.
The final inspection shows a perfectly re-tensioned and stabilized superior labral complex, effectively securing the anchoring base of the long head of the biceps tendon to eliminate deep shoulder pain and restore throwing mechanics.
