Arthroscopic Bankart Repair

The procedure is most appropriate for individuals with a history of shoulder dislocations, resulting in a Bankart lesion, who experience ongoing shoulder instability. Athletes and those involved in high-impact activities often opt for this treatment. The chance of re-dislocation is exceptionally high for younger patients if the issue is not addressed surgically.

The procedure is minimally invasive and conducted under general anesthesia. Your shoulder surgeon, Dr. Ben Mayo, will make several tiny incisions around the shoulder and insert a small camera to visualize the damaged areas. Once assessed, specialized tools are employed to free the torn labrum and reattach it to the shoulder socket with anchors and sutures. If a Hill-Sachs lesion is present, a Remplissage may be added to fill the “dent” in the humeral head.

The procedure is most appropriate for individuals with a history of shoulder dislocations, resulting in a Bankart lesion, who experience ongoing shoulder instability. Athletes and those involved in high-impact activities often opt for this treatment. The chance of re-dislocation is exceptionally high for younger patients if the issue is not addressed surgically.

The procedure is minimally invasive and conducted under general anesthesia. Your shoulder surgeon, Dr. Ben Mayo, will make several tiny incisions around the shoulder and insert a small camera to visualize the damaged areas. Once assessed, specialized tools are employed to free the torn labrum and reattach it to the shoulder socket with anchors and sutures. If a Hill-Sachs lesion is present, a Remplissage may be added to fill the “dent” in the humeral head.

The timeline for recovery depends on various factors, including the extent of damage and specific procedures performed. Generally, you can expect to return to light-duty work within a week or two, and to full physical activity in four to six months.

After the surgery, you will spend some time in the recovery room before going home the same day. Your arm will be immobilized in a sling for about a month, and medication will be prescribed to manage postoperative discomfort.

Physical therapy plays an important role in recovery, typically involving:

• Early Stage (Weeks 1-6): Focus is on managing pain, reducing swelling, and restoring limited range of motion.
• Middle Stage (Weeks 6-12): As your shoulder heals, active motion and gentle strengthening exercises are introduced.
• Late Stage (Weeks 12 and beyond): Advanced strengthening activities are initiated to facilitate a return to your pre-injury activity level.

While generally safe, there are rare complications such as:

• Infection: Prevented with pre-operative antibiotics.
• Ongoing Instability: A small percentage may continue to experience instability.
• Nerve Injury: Rare but could cause numbness or weakness.
• Reduced Motion: Some may face stiffness post-surgery, which typically improves with physical therapy.

Opting out of recommended surgery could lead to:

• Recurring Dislocations: Increased likelihood of further shoulder joint damage.
• Joint Deterioration: Long-term untreated instability can result in osteoarthritis.
• Reduced Functionality: Ongoing instability could affect daily life and athletic performance.