2021 Annual Meeting Shoulder Access Pass-Surgical Technique Spotlight: Open Bankart Repair: The Lost Art (demo on cadaver)

Surgical Technique Spotlight: Open Bankart Repair: The Lost Art (demo on cadaver)

Video Transcription

Video Summary

In this detailed surgical discussion, Michael outlines indications and techniques for open Bankart stabilization to treat anterior shoulder instability. He notes most patients treated are non-throwing athletes with high instability scores, favoring open repair over arthroscopic methods, especially when large glenoid defects or Hill-Sachs lesions are present. Remplissage is added arthroscopically for significant Hill-Sachs lesions to reduce recurrence risk. The procedure involves a precise incision along Langer's lines, careful dissection through the deltopectoral interval, and a subscapularis tenotomy to expose the glenoid. A transverse capsulotomy is performed, and suture anchors are placed on the anterior glenoid rim. Capsular flaps are doubly sutured together and shifted inferiorly with the arm positioned in abduction and external rotation to restore stability. The technique emphasizes anatomical repair, capsular tensioning, and minimizing recurrence while preserving function.

Asset Caption

Dr. Michael Pagnani

Keywords

Open Bankart stabilization

Anterior shoulder instability

Hill-Sachs lesions

Remplissage technique

Capsular tensioning