An Overview of Bankart Repair
A Bankart repair, also known as capsulolabral reconstruction surgery, is the most common surgery performed on patients with chronic instability. This procedure can be performed by Dr. Peter Millett as an open procedure or by using an arthroscopic technique. If the problem is in fact due to the inferior shoulder ligament tearing away from the labrum within the shoulder, then a Bankart repair can be performed to fix this ligament. Arthroscopically, the torn labrum is repaired and the stretched-out anterior shoulder capsule is made to lie on top to make it smaller. This procedure is successful approximately 95% of the time in eliminating recurrent dislocations.
A capsulolabral reconstruction is a fairly new technique that has been developed using a transplanted tendon (from another part of the body or from a cadaver) to make new ligaments and cartilage, which then act to prevent dislocation and stabilize the chronically unstable shoulder. This is a salvage procedure that serves as a promising alternative to shoulder fusion for patients with severe shoulder instability.