Open Bankart Repair

The best candidates for Open Bankart Repair are individuals who have encountered recurrent dislocations of the shoulder leading to Bankart lesions, causing ongoing instability in the shoulder. This procedure is often recommended over the arthroscopic technique for athletes with a high risk of injury, those with extensive labrum damage, bony lesions, or in instances where prior arthroscopic repairs have failed.

The surgery is generally carried out under general anesthesia. During the procedure, shoulder surgeon Dr. Mayo makes an incision over the front of the shoulder to expose the joint. The muscles and other tissues are then gently moved aside to visualize the torn labrum. The labrum is sutured back to the edge of the glenoid socket using small drilled holes. Alongside labrum repair, the surrounding joint capsule is tightened through a “pleating” technique to prevent future dislocation.

The recovery timeline is similar to that of arthroscopic surgery. Patients can often return to one-handed light activities within a couple of weeks. Full recovery, allowing a return to strenuous activities or sports, may require up to six months or more.

Once the operation is completed, you will be monitored in the recovery area until the anesthesia’s effects have dissipated. You should anticipate your shoulder being immobilized in a sling for a few weeks as part of the postoperative care. Pain medications will be prescribed by Dr. Mayo to alleviate discomfort.

Postoperative rehab is essential and generally follows a three-phase plan:

• Early Stage (Weeks 1-6): The primary focus is on reducing inflammation, pain management, and restoring a passive range of motion.
• Middle Stage (Weeks 6-12): Therapy shifts towards active range-of-motion activities and introducing mild strengthening exercises.
• Late Stage (Weeks 12 and beyond): This final stage incorporates advanced strengthening routines and activities tailored to get you back to your original activity level.

Although uncommon, surgical risks include:

• Infection: Occurs in fewer than 1% of patients. Antibiotics are usually provided to mitigate this risk.
• Ongoing instability or recurrent dislocation: Roughly 5-10% of patients may still experience instability or further dislocation.
• Nerve damage: Rare, but can lead to numbness, tingling, or weakness in the arm.
• Stiffness or decreased motion: Some individuals might encounter a restricted range of motion, often improving with physical therapy.
• Persistent pain: A small number of patients may continue to experience shoulder pain post-surgery.

Opting out of the recommended Open Bankart Repair procedure can result in:

• Frequent dislocations: Your shoulder may remain unstable, increasing the risk of future dislocations.
• Progressive joint damage: Ongoing instability may lead to further wear and tear on the joint, possibly culminating in osteoarthritis.
• Reduced functional capacity: Continuous instability may hamper your ability to engage in sports or other physical activities.