Bankart Repair
Bankart Repair is a precise surgery addressing recurrent anterior shoulder dislocations. It involves reconstructing or repairing the torn labrum, a crucial cartilage ring in the shoulder joint. This procedure aims to restore stability, allowing individuals to regain strength and an active lifestyle, with postoperative rehabilitation playing a key role in optimal recovery.
Here's an overview of the typical steps involved in Bankart Repair:
1. Patient Evaluation
Before the surgery, the patient undergoes a comprehensive evaluation by an orthopedic surgeon. This includes a review of the patient's medical history, a physical examination, and imaging studies such as MRI scans to assess the extent of labral damage.
2. Anesthesia
On the day of the surgery, the patient is administered anesthesia to ensure they are comfortable and pain-free during the procedure. The choice of anesthesia (general or regional) is determined based on the patient's health and the surgeon's preference.
3. Incision
Bankart Repair is often performed arthroscopically, utilizing minimally invasive techniques. Small incisions are made to insert a camera (arthroscope) and surgical instruments into the shoulder joint.
4. Labral Repair or Reconstruction
The surgeon assesses the labral damage and may choose to repair the torn labrum using sutures or opt for labral reconstruction if the damage is extensive. Graft options for reconstruction may include using the patient's tissue (autograft) or a donor tissue (allograft).
5. Capsule Tightening
If necessary, the surgeon tightens the joint capsule to enhance stability. This step is crucial in preventing further dislocations.
6. Fixation
Sutures, anchors, or other fixation devices are used to secure the repaired or reconstructed labrum in place, ensuring its stability within the shoulder socket.
7. Closure
After securing the labrum, the surgeon closes the incisions with stitches or staples, and a sterile dressing is applied to the wounds
8. Recovery and Rehabilitation:
Postoperative care involves a recovery period and a structured rehabilitation program. Physical therapy is essential to help the patient regain strength, flexibility, and stability in the repaired shoulder.
Bankart Repair is an effective intervention for individuals with recurrent anterior shoulder dislocations. The choice between labral repair and reconstruction depends on the severity of the labral damage and the patient's specific condition. Successful rehabilitation is crucial for achieving optimal outcomes and preventing further shoulder instability.