Dr. Garcia demonstrates his advanced technique for 360 degree labral repairs.

This video demonstrates an advanced arthroscopic technique performed by Dr. Grant Garcia for a 360-degree labral repair. This extensive procedure is designed for patients with multidirectional shoulder instability or massive, circumferential tears that compromise the labrum across the entire socket (anterior, inferior, and posterior regions).

The procedure is executed through the following key clinical steps:

• Complete Joint Access & Preparation: Dr. Garcia establishes multiple strategic viewing and working portals around the shoulder to achieve a full 360-degree visualization of the glenoid cavity. He carefully mobilizes the entire torn and displaced labrum from the front, bottom, and back of the bone rim, using a rasp to rough up the bone and form a bleeding bed to stimulate optimal biological healing.
• Circumferential Anchor Placement: Moving systematically around the shoulder clock-face, Dr. Garcia implants a series of high-strength, low-profile anchors directly into the glenoid rim. He targets the inferior, anterior, and posterior sectors to ensure every segment of the detached labrum is captured.
• Tissue Cinching & Reconstruction: Using specialized arthroscopic suture passers, he takes precise tissue bites through the labrum and adjacent capsule at each anchor point. The sutures are tensioned down sequentially, drawing the tissue tightly flush against the bone rim. This process creates a continuous, elevated "bumper" entirely around the socket.

The final evaluation shows a perfectly centered shoulder joint with a completely restored 360-degree labral barrier, eliminating multidirectional loose play while preserving native structural mobility for recovery.