Wednesday, August 22, 2012

Open Bankart repair for traumatic anterior shoulder dislocations and instability

Many orthopaedic surgeons these days are unfamiliar with the open technique for Bankart repair for traumatic instability. In these cases the glenoid labrum is separated from the bony glenoid socket as shown here.

This procedure is designed to restore the suction cup effect and the concavity compression mechanism of shoulder stability.

We've summarized the technique here and provided some highlights below.

roughening the glenoid to enhance healing
drilling holes in the glenoid lip
passing sutures through the glenoid lip
suturing the labrum
subscapularis repair

See also the videos on the mechanics of shoulder stability.

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