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