AANA19 Shoulder Access Pass-Grand Brouhaha_ Don’t Forget Open Bankart-Dr. John M. Tokish, M.D.

Grand Brouhaha_ Don’t Forget Open Bankart-Dr. John M. Tokish, M.D.

Video Transcription

Video Summary

The speaker critically examines arthroscopic versus open Bankart repairs for shoulder instability, highlighting higher failure and recurrence rates with arthroscopic methods, especially in young, contact athletes. Despite its initial appeal—being easier, faster, and visually attractive—arthroscopic Bankart repairs show failure rates up to 35%, compared to lower rates with open surgery. Studies indicate open Bankart offers better outcomes in recurrences and return to sports. The speaker urges careful patient selection, warns against over-reliance on arthroscopic techniques, and advocates preserving traditional open methods. Emphasis is placed on understanding indications clearly to avoid real consequences of failed repairs.

Keywords

arthroscopic Bankart repair

open Bankart repair

shoulder instability

failure rates

patient selection