Arthroscopic Bankart Repair

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ARTHROSCOPIC BANKART REPAIR Overview SHOULDER JOINT BEFORE This arthroscopic procedure is used to repair a RECONSTRUCTIVE SURGERY detached labrum. The labrum is a thick band of cartilage attached to the glenoid. It lines the Shoulder shoulder socket and helps keep the ball of the Detached joint humerus in place. labrum Arthroscope Inserted Glenoid Small incisions are made in the front and back of the shoulder. The surgeon inserts a small video camera (called an arthroscope) to view inside the joint. Small instruments are inserted to perform the procedure. Area Cleaned The surgeon cleans the area around the detached labrum, removing any loose particles or rough edges. Anchors Placed Detached The surgeon drills a few small holes in the bone labrum Sutures near the detached labrum. Anchors are placed in Anchor the holes. These anchors are used to hold sutures in place around the glenoid. Glenoid Labrum Reattached The surgeon attaches the sutures to the labrum and pulls the sutures tightly against the anchors, reattaching the labrum to the glenoid. End of Procedure The incisions can be closed with small bandages. After surgery, the arm is usually placed in a sling. Physical therapy will be needed to regain full range of motion and increased shoulder strength. Over time, the labrum will naturally reattach itself to the glenoid socket. Sutures Sutures Reattached labrum Glenoid SHOULDER JOINT AFTER RECONSTRUCTIVE SURGERY www.viewmedica.com © 2006 Swarm Interactive. Unauthorized duplication is strictly forbidden..

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Arthroscopic Bankart Repair Is a Function Selection Patient Indication
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH Number 390, pp. 31–41 © 2001 Lippincott Williams & Wilkins, Inc. Arthroscopic Bankart Repair Experience With an Absorbable, Transﬁxing Implant 03/25/2020 on BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3XGJiJSDa6kLdjliRzOOsR+bI3gZWJ99pv/KNUfPjA6Y= by https://journals.lww.com/clinorthop from Downloaded Stephen Fealy, MD; Mark C. Drakos, BA; Downloaded Answorth A. Allen, MD; and Russell F. Warren, MD from https://journals.lww.com/clinorthop by 3 BhDMf5ePHKav1zEoum1tQfN4a+kJLhEZgbsIHo4XMi0hCywCX1AWnYQp/IlQrHD3XGJiJSDa6kLdjliRzOOsR+bI3gZWJ99pv/KNUfPjA6Y= The use of arthroscopic means to address shoul- scribed in 1938. The essential lesion of shoul- der instability has provided a technically advan- der instability, as described by Bankart, is tageous way to approach Bankart lesions while thought by many to represent the most com- posing complex questions regarding the speciﬁc mon disorder underlying possible causes for indications for such an intervention. A successful shoulder instability.2,19,31 It represents a de- outcome with arthroscopic Bankart repair is a tachment of the labrum and its osseous inser- function of proper surgical indication and pa- tient selection. Several authors have evaluated tion from the anteroinferior glenoid. Reestab- the causes of failure and reasons for success with lishing the structural integrity of the soft tissue the Suretac device. The development of a bioab- to glenoid interface is the paramount objective sorbable repair device at the authors’ institution of the Bankart repair and has an essential role was precipitated by a desire to address and re- in surgery for shoulder stability. Although the pair Bankart lesions arthroscopically while traditional open Bankart repair remains the avoiding the frequent complications associated gold standard in treatment options, continued with the metal staple and the transglenoid suture development of arthroscopic techniques and technique.
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Coracoid Graft Union: a Quantitative Assessment by Computed Tomography in Primary and Revision Latarjet Procedure
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Clinical Guidelines
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Epidemiology of Paediatric Shoulder Dislocation: a Nationwide Study in Italy from 2001 to 2014
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History of Surgical Intervention of Anterior Shoulder Instability
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The Open Modified Bankart Procedure 1065
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Treatment After Traumatic Shoulder Dislocation
Review Br J Sports Med: first published as 10.1136/bjsports-2017-098539 on 23 June 2018. Downloaded from Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis Lauri Kavaja,1,2 Tuomas Lähdeoja,1,3,4 Antti Malmivaara,5,6 Mika Paavola4 ► Additional material is ABStract Acute treatment of a dislocated shoulder is closed published online only. To view Objective To review and compare treatments (1) reduction, which should be performed as soon as please visit the journal online after primary traumatic shoulder dislocation aimed at possible, either on the field or in an emergency (http:// dx. doi. org/ 10. 1136/ 14 bjsports- 2017- 098539). minimising the risk of chronic shoulder instability and (2) department. Some patients develop recurrent for chronic post-traumatic shoulder instability. dislocations or symptomatic subluxations even in 1Medical Faculty, University of Design Intervention systematic review with random daily activities. This has prompted suggestions that Helsinki, Helsinki, Finland effects network meta-analysis and direct comparison surgical stabilisation may be indicated after the first 2Department of Surgery, South Carelia Central Hospital, meta-analyses. dislocation—a treatment strategy that has been Lappeenranta, Finland Data sources Electronic databases (Ovid MEDLINE, investigated in several randomised controlled trials 3Finnish Center of Evidence- Cochrane Clinical Trials Register, Cochrane Database (RCT), with mixed results.3 4 6 7 15 16 based Orthopaedics (FICEBO), of Systematic
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CPG Shoulder Instability 2019 Handouts
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Open Latarjet Anterior Shoulder Stabilization
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Arthroscopic Bankart Repair with Suture Anchors: Tips for Success Kevin D
Arthroscopic Bankart Repair With Suture Anchors: Tips for Success Kevin D. Plancher, MD,* and Stephanie C. Petterson, PhD† Anterior instability treated by arthroscopic surgery is a viable option to return the athlete and nonathlete back to activities. The use of suture-loaded anchors has become a standard method with reliable fixation. Arthroscopic Bankart repair can successfully restore range of motion and stability and yield successful outcomes with a low recurrence rate. This article describes arthroscopic Bankart repair with a modified inferior capsular shift in the lateral decubitus position. Oper Tech Sports Med 21:192-200 C 2013 Elsevier Inc. All rights reserved. KEYWORDS shoulder, anterior instability, arthroscopic Bankart, inferior capsular shift nterior instability is the most common form of shoulder A Bankart lesion is the avulsion of the glenoid labrum, with Ainstability.1 The incidence of traumatic anterior gleno- or without a bony lesion, with the anterior band of the inferior humeral instability in the general population is 1.7%,2 with the glenohumeral ligament (IGHL) from the anterior inferior incidence of Bankart lesions in first-time traumatic dislocators glenoid. The anterior band of the IGHL is the primary restraint as high as 97%.3 A patient account of a traumatic fall with a to anterior translation of the humeral head, particularly when resultant anterior dislocation documented by radiography and the shoulder is in 901 abduction and placed in an externally positive physical findings is a good indication of a Bankart rotated position.7,8 A second restraint to anterior humeral lesion. Although changes in the capsule and the glenohumeral translation is the muscular contribution of the subscapularis.
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Open Bankart Repair: Is It Still Relevant?????
Chicago Sports Medicine Symposium 2016 Open Bankart Repair: Is it Still Relevant????? Brian R. Wolf MD MS Congdon Professor and Vice-Chair of Orthopaedic Surgery Director of Sports Medicine Head Team Physician, University of Iowa, Iowa City, IA Photos B. Wolf personal file Disclosures . No Disclosures relevant to this presentation . Grant support: OREF, Arthrex, Smith and Nephew . Consultant: ConMed . Editorial Board: Orthopaedic Journal of Sports Medicine . Committees: Program Committee: ASES, AOSSM, MAOA Corporate Relations Committee: AOSSM BOS Fellowship Match Committee Chair: AAOS (chair) DISCLAIMER . I do the vast majority of my Scope instability surgery repair DTA arthroscopically . I also do a fair amount of glenoid bone restoration (Latarjet) procedures Open . I absolutely think there is a Bankart role for Open Bankart Repair surgery 1 Open Repair – where did it go? . Limited exposures in training . Less frequently done . New trend in shoulder instability Option A: scope repair Option B: latarjet or bone procedure WE ARE FORGETTING GOOD INTERMEDIATE OPTION – OPEN REPAIR The reality . The majority of primary instability surgery today is done arthroscopically MOON shoulder data 94 % done arthroscopic (604/640) 2/3 of revision surgery done open Latarjet > open Bankart / shift Anterior instability surgery Proper Preoperative Planning – Evaluate Glenoid Bone Loss X-ray, CT with 3D recons, +/- MRI arthrogram; +/- Arthroscopy 0 to 15% 15% to 25% > 25% Primary Repair Primary Repair OPEN bone (Scope or open) (Open or Scope) Augmentation •Incorporate Any Bony •Incorporate bony procedures Fragments if possible fragments if possible •Liberal use of anchors •± bone augmentation •+/- address Hill Sachs What was the prior procedure? Consider different technique for revision 6 2 Glenoid Track – Yamamoto 2007 .
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