Double-Row Bony Bankart Bridge for Large Bony Bankart Lesions: Technical Considerations

Authors:

Colin P. Murphy, M.D., Christopher J. Hawryluk, M.B.S., Ayham Jaber, M.D., Tyler J. Uppstrom, M.D., and Peter J. Millett, M.D., M.Sc.

Abstract:

Anterior shoulder dislocations frequently cause glenoid labral pathology in the form of a Bankart lesion. Some patients also present with a concomitant fracture of the anterior glenoid rim, termed a bony Bankart lesion. A variety of approaches exist to treat and repair the lesion, depending on factors such as bone fragment size, acuity of injury, and patient activity level. This Technical Note describes the bony Bankart bridge, the authors' preferred technique for treating large bony Bankart lesions, consisting of a double-row suture anchor fixation.

You may watch the surgical demonstration below:

Video can be found in the study posted in Arthroscopy Techniques:

Double-Row Bony Bankart Bridge for Large Bony Bankart Lesions: Technical Considerations

Authors/contributors:

Colin P. Murphy, M.D., Christopher J. Hawryluk, M.B.S., Ayham Jaber, M.D., Tyler J. Uppstrom, M.D., and Peter J. Millett, M.D., M.Sc.

Video Summary:

The patient, who injured his left shoulder in a BMX accident, experienced two dislocations within consecutive days. The second dislocation was reduced by an orthopedic surgeon, but he continued to have pain and instability. Imaging revealed a bony Bankart lesion and anterior labral tear. During surgery, the glenoid fracture fragment was elevated and visualized using a 70° scope. Anchors were strategically placed to secure sutures around the bone fragment and associated capsulolabral tissue. A combination of knotless fiber anchors and push lock anchors created a double-row bridging construct to compress and stabilize the fracture. Additional anchors were used to address labral tearing as needed. The final construct successfully restored the articular surface, reduced and stabilized the bone fragment, and repaired the capsulolabral tissue, resulting in excellent glenohumeral stability. Postoperative imaging confirmed proper fixation, and rehabilitation was initiated immediately after surgery.

You may download the study here:

Double-Row Bony Bankart Bridge for Large Bony Bankart Lesions: Technical Considerations

Peter Millett, MD

Average rating:

39 reviews

Alexandra Thompson

Mar 23, 2024

by Alexandra Thompson on Peter Millett, MD

110%

Dr. Millett and his team did a SLAP tear repair and bicep tenodesis on my left shoulder. I use my arms as an artist, and love to swim in the ocean, surf, paddle, and telemark ski. So regaining full use of my shoulder and keeping my bicep attached was very important to me. Now, over two years later, my shoulder has the equivalent range of motion as my other arm and as before the injury, and no pain. After the first three months it felt so good and was so strong that - to my horror - I completely forgot my six-month follow-up.

Not only did Dr. Millett and his team make my arm as good as new, but having had the experience of such kindness and expertise throughout the process of surgery and recovery is like an added shoulder superpower.

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Jeff Chandler

Jan 31, 2022

by Jeff Chandler on Peter Millett, MD

Flawless procedure, Easy recovery

Dr. Millet's repaired my knee and tibia, following a botched operation by a different surgeon. That procedure was virtually pain free and I was weight bearing within a few days. That was 18 years ago and the knee is still strong. A few years after the knee incident, Dr Millet repaired my shoulder. My insurance company approved me for 3 months of disability following that surgery. I was off pain medication in 2 days and had 90% range of motion within a week. I withdrew my disability claim and returned to work within two weeks of surgery. I’m not a famous athlete—just a regular guy. Nonetheless, I was treated like an NFL at the Steadman clinic. Most notable was the time for recovery. Other surgeons perform their hour-long task in the OR and don’t involve themselves in the other functions. Peter and his team manages the entire process from diagnosis, anesthesia, nursing care, and therapy. He takes a holistic approach to patient care and doesn’t skip any steps.

Jenn West

Jul 2, 2021

by Jenn West on Peter Millett, MD

Saved My Life

I went to Dr. Millett after 7 knee surgeries (6 on my right and 1 on my left) and had seen 11 different surgeons who all refused to remove femur metal from my right leg. I am highly allergic to metal and the chronic pain was leaving me bedridden for 3.5wks out of a month. He personally wrote me back on my inquiry, listened to my concerns, scheduled my surgery within a week (due to insurance issues) and personally followed up with my recovery. The level of patient care from Dr. Millett and his ENTIRE team is above any care I have ever received in my 20 years of dealing with orthopedic surgeons. There are not enough words to describe the level of care, dedication and professionalism you receive from Dr. Millett and his staff.
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Double-Row Bony Bankart Bridge for Large Bony Bankart Lesions: Technical Considerations

Authors:

Abstract:

Video can be found in the study posted in Arthroscopy Techniques:

Authors/contributors:

Video Summary:

You may download the study here:

About the Author: Peter Millett, MD