Arthroscopic Bankart Repair

Source: What’s New in Orthopedics (Arthrex)

Disclaimer: The information in this video is intended for patient education and general awareness. It is not a substitute for professional medical consultation. For personal medical advice, please speak with your physician.

The shoulder joint’s unique mobility makes it prone to dislocations, particularly in younger, active individuals. A common result of such dislocations is a Bankart lesion, where the labrum (cartilage) at the front of the shoulder socket tears. This injury compromises the shoulder’s stability, leading to recurrent dislocations and impacting daily activities and sports performance.

What Is Arthroscopic Bankart Repair?

Arthroscopic Bankart Repair is a minimally invasive surgical procedure aimed at reattaching the torn labrum to the shoulder socket (glenoid) using small incisions and specialized instruments. This technique offers several advantages over traditional open surgery, including reduced pain, quicker recovery, and minimal scarring.

Surgical Procedure

Performed under general anesthesia, the procedure involves:

Small Incisions

Two to three tiny cuts around the shoulder.

Arthroscope Insertion

A small camera inserted through one incision to visualize the joint.

Anchor Placement

Biocomposite anchors are inserted into the bone of the shoulder socket.

Suture Tying

Sutures attached to the anchors are used to reattach the torn labrum to the bone.

Capsulolabral Plication

The joint capsule is tightened to enhance stability.

The entire procedure typically takes about an hour, with patients usually discharged the following day after a brief hospital stay.

Advantages of Arthroscopic Approach

Minimally Invasive: Smaller incisions lead to less tissue disruption.
Reduced Pain and Scarring: Faster healing with minimal visible scars.
Enhanced Visualization: Clear view of the joint allows for precise repair.
Lower Complication Rates: Generally fewer risks compared to open surgery.

Rehabilitation and Recovery

Post-surgery, a structured rehabilitation program is essential for optimal recovery:

Phase I (Weeks 1–6): Focus on pain management and gentle range-of-motion exercises.
Phase II (Weeks 6–12): Progress to active range-of-motion and strengthening exercises.
Phase III (Post 12 Weeks): Emphasis on functional activities and return to sports-specific training.

Full recovery typically spans 8 to 12 months, depending on individual healing and adherence to the rehabilitation protocol.

Who is a candidate for Arthroscopic Bankart Repair Surgery?

Arthroscopic Bankart Repair is recommended for individuals who:

Experience recurrent shoulder dislocations or instability.
Have failed conservative treatments like physical therapy.
Are active individuals or athletes desiring to return to high-demand activities.

Risks and Considerations

While the procedure is generally safe, potential risks include:

Infection at the incision sites.
Nerve or blood vessel injury.
Re-tear of the labrum.
Stiffness or limited range of motion.

These risks are minimized with proper surgical technique and adherence to post-operative care instructions.

Arthroscopic Bankart Repair is a highly effective procedure for restoring shoulder stability and function in individuals with recurrent dislocations due to labral tears. With advancements in surgical techniques and rehabilitation protocols, patients can expect a successful outcome and a return to their desired activities.

If your shoulder repeatedly gives way or you’ve had multiple dislocations, Dr. Rohit Sane can guide you through a tailored Arthroscopic Bankart Repair. Rebuild shoulder stability, reduce pain, and get back to your active lifestyle with confidence.

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