Bankart Repair for Shoulder Dislocation

Bankart lesion results in loss of strength of joint and results in recurrent shoulder joint dislocation.

• Severe pain
• Unable to move the shoulder
• Deformity present at shoulder joint/ or shoulder not in place
• Swelling of the shoulder
• Numbness, weakness, tingling sensation of arm, forearm or hand

Investigations done are x-rays, MRI, ct scans of the shoulder.

• Number of times the shoulder joint has dislocated
• Severity of injury causing shoulder dislocation
• Underlying disease-causing shoulder dislocation, which is diagnosed in MRI and clinical examination
• Condition of structures around shoulder joint like socket or ball of joint ligaments and tendons around the joint

• Rest. Don’t try to move your joint
• Cold packs
• Painkillers can be taken
• Contact the surgeon in an emergency at the earliest

In patients of young age with more than one episode of shoulder dislocation, surgery is required. Since chances of another shoulder dislocation increase with further dislocations. So, if the patient has a shoulder dislocation in the 1st episode, the chances of getting another one increase by 70-75% for ages less than 20, 30-50% for the patient of age 20-30, and 25% over 50 years of age.

Shoulder dislocation due to bankart lesion requires

ARTHROSCOPIC BANKART REPAIR This is standard gold surgery done routinely in the world.

Yes, shoulder dislocation can be treated without surgery in old-age patients with low-impact activities or patients requiring a low-active lifestyle. But the ultimate decision has to be taken in consultation with the surgeon.

Patients of young age and any age with an active lifestyle and heavy-duty jobs will require surgery. Surgery is decided after a proper examination of the patient and in consultation with the surgeon.

It depends on the number of dislocations the patient has. If dislocation has more than 1-time chances are reduced to heal on its own.

• Rest
• Ice packing
• Shoulder immobilization
• Pain killers
• Physiotherapy after 3 weeks

• Chances of future dislocation will increase
• The patient will feel uncomfortable and lose confidence in performing heavy activities or playing sports.
• If shoulder dislocation continues, bone loss of socket or glenoid will occur, making future treatment more difficult.

It involves the repair of the labrum or rim of tissue around the shoulder to its natural position using Knotless suture anchors.

It is a defect of bone on the ball/ humeral head of the joint.

In patients where dislocation has occurred multiple times, there is a dent in the ball/ humeral head of the joint. This is called a HILL SACHS lesion.

Treatment of HILL SACHS lesion is ARTHROSCOPIC REMPLISSAGE. In this technique, the HILL SACHS lesion is debrided, and the infraspinatus tendon and posterior capsule are used to fill the dent/ defect in a ball or head of the humerus in the shoulder joint.

After examining the joint, if both Bankart and HILL SACHS lesions are present, both can be treated together with ARTHROSCOPIC BANKART REPAIR + ARTHROSCOPIC REMPLISSAGE.

These are the latest cork-like screws of very small size, which are used in arthroscopic bankart repair to attach the torn rim of the labrum to the socket/ glenoid bone.

Usually, it depends on the patient's medical condition; if the patient is not suffering from any disease before surgery, hospital stay is for 1-2 days.

You can shower within 2-3 days after arthroscopic bankart repair surgery. Usually, waterproof dressing is applied to the wound, after which the patient can shower. But to take a bath or swim a patient will require 4-6 weeks. The patient has to keep the wound dry and avoid using hot water as it increases swelling.

You can usually drive after arthroscopic bankart repair after 4- 6 weeks. But it has to be consulted with a surgeon and physiotherapist.

A patient must use a sling after arthroscopic bankart repair for 2-4 weeks. After which patient will have to follow a regular physiotherapy routine for several weeks. Patients can start low-impact activities after 4-6 weeks, like driving a car and doing routine activities. Complete recovery of patients will take 3- 4 months.

Usually, if a patient’s office work involves a desk job and no heavy work activities, he can join the office in 3- 6 weeks. In case it’s a field job and requires heavy work activities, it may take 3-4 months

Usually, if only arthroscopic bankart repair is done, the patient will require physiotherapy for 3-6 months, which can be done by the patient himself after a few weeks. 

It depends on the recovery course of the patient after arthroscopic bankart repair surgery, but usually, patients can get back to sports in months. Initially, some surgeons started to decrease recovery duration to 3-4 months, but it was observed in various studies that chances of failure have increased. We follow the international standards of proper rehabilitation and advice our patients to return to sports after 4-6 months after proper physical training. We believe we should follow the latest, best and thoroughly studied techniques and provide results comparable to international standards.

After arthroscopic bankart repair is done complications rate has decreased to a larger extent, but still, they can occur. This includes infection, nerve injury, stiffness of the shoulder, implant failure, and re-dislocation.

It depends on the hospital category chosen by patients and the type of implant discussed. At Simpainortho.com, we have tried to reduce the cost of surgery and hospital expenses and included complete after-surgery services, which patients require after surgery because we know treatment doesn’t end at the patient's discharge. To ensure the quick recovery of patients in simpainortho.com, we believe that a patient requires expert care within the most comfortable surroundings until he can join routine activities. So, we have made different packages for different patients according to need, and that too at the most affordable prices.

Yes, most of the insurances have included arthroscopic bankart repair surgery.