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Anterior Stabilization (Bankart) Repair
Dr. James Chen, M.D. - In San Francisco, CA



Dr. Chen’s surgical technique for anterior stabilization of a bony Bankart fracture:

An arthroscopic procedure performed to stabilize the shoulder after a dislocation or injury has caused tearing of the anterior labrum. Through 2 or 3 small incisions around the shoulder sutures are introduced into displaced labral tissue. The tissue is brought to its proper position then secured to the bone of the shoulder socket by driving absorbable anchors into small, drilled holes. This recreates the normal anatomy of the shoulder socket thus stabilizing the joint.

Common Questions about Anterior Stabilization (Bankart) Repair

What is a Bankart tear?

The anterior inferior labrum is the static stabilizer to prevent anterior shoulder dislocation. Tear of the anterior inferior labrum is called a Bankart tear.

What is a Bony Bankart?

A "bony" Bankart is when the anterior inferior aspect of the shoulder socket is fractured or broken. If the bony piece comprises one-third of the area of the socket, then surgical repair is recommended.

What is an arthroscopic Bankart repair?

Arthroscopic Bankart repair is a suture repair of the torn anterior inferior labrum with suture anchors to the rim of the glenoid (socket). By restoring this static stabilizer shoulder dislocations can be prevented.

What is an arthroscopic Bony Bankart repair?

Arthroscopic Bony Bankart repair is repair of the broken socket rim with screws or anchors. By restoring the contour and full volume of the socket further dislocations can be prevented.

How long does it take for a Bankart repair to heal?

Arthroscopic shoulder stabilization takes 6 weeks to heal in a sling. During that period the patient is allowed to perform passive shoulder motion. After sling removal, physical therapy is required for 2 to 3 months to regain full motion.

How long does a Bankart repair last?

A Bankart repair should prevent any further dislocations during regular physical and athletic activities. Traumatic dislocations can occur after a Bankart repair just as they could in a normal shoulder.

How painful is a Bankart repair?

A Bankart repair is done arthroscopically through two 5 mm incisions. A nerve block is placed pre-operatively by the anesthesiologist which alleviates immediate post-operative pain. The surgery is done as an outpatient, meaning the patient goes home the same day and pain is managed with oral medications.

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Dr. Chen’ surgical technique for revision anterior stabilization:

Dr. Chen’s surgical technique for anterior
stabilization: