I am looking for the correct spelling and ? accuracy name of surgical
procedure perhaps related to open Bankart repair - sounds like
Hayfield-Melfit. Procedure involves knotless anchors. If you can lead
me to an operative report, I would be interested in reading it.  Thank
you

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Request for Question Clarification by synarchy-ga on 10 Feb 2003 23:38 PST

Hi -

I have been unable to track down anything that "sounds like"
Hayfield-Melfit, so I'm posting this as a clarification to see if this
is along the right track or not.

The closest that I could come for "melfit" is "Mitek" - a leading
supplier of the equipment and supplies for knotless anchor repairs for
arthroscopic shoulder repair.  Their product catalog is shown here:
http://ecatalog.ethicon.com/ec_ecatalog/mitek/default.asp

While this doesn't match the suggested "sounds like", there is a
technique developed by Dr. Raymond Thal, who, at least by number of
published reports/reviews appears to be a large name in the field. 
While I could not find any operative reports, a description of the
Thal technique for a knotless-anchor shoulder repair can be found
here:
http://www.shoulder.com/pdf/ThalKnotless.PDF


While not necessarily germane to your question, a discussion of the
location of placement of sutures versus anchors in shoulder repairs
can be found here:
http://www.shoulder.com/pdf/BarberAnchorHandout2000.PDF

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Clarification of Question by green2-ga on 11 Feb 2003 05:22 PST

I am familiar with Mitek suture/anchor and this not what physician
stated.  It is a name of a procedure, probably with surnames of those
perfecting technique.

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Request for Question Clarification by voila-ga on 11 Feb 2003 09:28 PST

Hi green2,

I looked quite a while for this in both online and offline sources and
found the same information synarchy did.  Rather than an eponym for
the type of surgery, do you think it could be instead the type of
injury?  People walking behind haywagons pitching hay would have
constant shoulder problems from overuse -- to the point where there's
a malfit of the shoulder socket.  Do you think it could be lowercase
hayfield/malfit?

My only other suggestion is that there is a Mark Maffet, M.D. in
Houston who specializes in sports injuries of the knee and shoulder. 
I haven't found that a surgical technique was named for him yet and it
also doesn't solve your 'hayfield' dilemma.  http://www.drmaffet.com

There's also a Larry Field, M.D., who has published several articles
on shoulder arthroscopy.  http://www.aana.org/concepts/concepts.html

Sorry I couldn't be of more help on your mystery procedure,
V

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Request for Question Clarification by bcguide-ga on 11 Feb 2003 11:52 PST

Could it be... 
A modified Bristow-Helfet-May procedure for recurrent dislocation and
subluxation of the shoulder?

Hayfield Melfit could very well have been a streesed minds recording
of those names?

If it is - let me know and I'll post the sources.

bcguide-ga

Hi,

Clin Orthop 2001 Sep;(390):42-51  
Knotless suture anchor: arthroscopic bankart repair without tying
knots.
Thal R.
Town Center Orthopaedic Associates, Reston, VA 20190, USA.
"To the author's knowledge, the current study describes the first
knotless suture anchor. A secure, low-profile repair can be created
without arthroscopic knot tying."
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11550875&dopt=Abstract

This is a journal article by Thal, who synarchy-ga mentioned. Sounds
like he pioneered the technique. I'll keep looking for
Hayfield-Melfit, but I'll try searching without the bankart repair. I
doubt that they named this technique after any one but the guy who
first published on it.

In the meantime - hope that shoulder isn't causing too much pain!

Regards,
bc-guide