N°015 - January / February 2022
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Current techniques in arthroscopic Bankart repair
By Ajinkya Achalare1, Nilesh Kamat2, M.P. Ramraju Mudunuri1 in category SURGICAL TECHNIQUE
(1) Kamat Clinic, Pune, Maharashtra, India - (2) Department of Shoulder Surgery, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India. / [email protected]
Bankart repair techniques have improved significantly over the last 90 years since Bankart initially described this lesion. Various open and arthroscopic techniques have been developed over the time to address the glenohumeral joint instability with the ultimate goal of restoring the normal shoulder function and lowering the rates of recurrent instability. Arthroscopic Bankart repair is currently the treatment of choice according to various surveys of surgeons, with > 90% of surgeons choosing the Bankart procedure as initial repair procedure. The open Bankart repair was the gold standard for years, with success rates ranging from 75% to 100%; however, postoperative concerns such as restriction of external rotation and secondary osteoarthritis were raised[2,3].
Arthroscopic Bankart repair gained popularity since it began almost 30 years ago because of improved arthroscopic equipments and increased experience of surgeons. There is a significant increase in the percentage of arthroscopically performed Bankart repairs over time. Compared with the open techniques, arthroscopic Bankart repair gives the potential advantages of smaller skin incisions, shorter surgical times, less postoperative pain, decreased blood loss, decreased narcotic usage, decreased rates of...
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