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What Is A Bankart Repair?
A Bankart Repair, also termed A Bankart Shoulder Repair Procedure, is a surgical technique that involves the repairing of recurring dislocations of shoulder joints. A bankart repair often happens due to a shoulder dislocation, which then damages the interior anterior glenoid labrum, a thick rubbery cartilage that lines the glenoid cavity.
When damaged, the labrum allows a small pocket to be created at the front of the glenoid cavity, making extra room for the humeral head to easily slip out of its socket.
Though complicated-sounding, Bankart Repair has a single objective to achieve, which includes reattaching the worn-out ligaments to their correct and proper place in the shoulder joint. However, depending on the severity of the damaged labrum, your surgeon might bring a more open and involved surgical procedure to the table.
Bankart Repair Surgery
The procedure is typically performed arthroscopically, using small incisions and a specialized camera called an arthroscope to visualize the inside of the shoulder joint. The surgeon inserts instruments through these incisions to repair the damaged labrum and restore stability to the shoulder.
During a Bankart repair, the surgeon may perform the following steps:
- Anesthesia: The patient is typically placed under general anesthesia, which means they are asleep during the procedure. In some cases, regional anesthesia may be used instead.
- Arthroscopic Examination: The surgeon makes small incisions around the shoulder joint and inserts the arthroscope to visualize the structures inside the joint. This allows them to assess the extent of the labral tear and any associated damage to other structures.
- Labral Repair: Using specialized instruments, the surgeon reattaches the torn labrum to the glenoid socket of the shoulder joint. This is typically done using sutures or anchors that are placed into the bone. The specific technique used may vary depending on the size and location of the tear.
- Capsular Repair: In some cases, the joint capsule, which is the soft tissue surrounding the joint, may also be repaired or tightened to provide additional stability.
- Closure: After the repair is completed, the surgeon closes the incisions with sutures or surgical staples and applies dressings or bandages.
Following the surgery, the patient may be prescribed pain medication and instructed on post-operative care, including the use of ice packs, physical therapy exercises, and restrictions on shoulder movement. Rehabilitation and physical therapy are crucial components of the recovery process, aiming to restore strength, range of motion, and stability to the shoulder joint.
Bankart repair is commonly performed for individuals who have experienced recurrent shoulder dislocations or subluxations (partial dislocations) resulting from a Bankart lesion. By repairing the torn labrum and stabilizing the joint, the procedure aims to reduce the risk of future dislocations and improve shoulder function and stability.