AANA19 Shoulder Access Pass-Master Lecture_ Getting the Bankart Right-Dr. Richard K.N. Ryu, M.D.

Master Lecture_ Getting the Bankart Right-Dr. Richard K.N. Ryu, M.D.

Video Transcription

Video Summary

The speaker discusses improving Bankart repair techniques to reduce high recurrence rates from past studies. Key steps include careful patient selection, recognizing on- vs off-track lesions, and considering bone loss. Advanced surgical techniques recommended are performing repairs in lateral decubitus position, using a 6 o’clock anchor to address inferior instability, and treating bony Bankart lesions early with bone grafting. The addition of posterior-inferior capsular plication (rent blissage) is advised, especially for engaging Hill-Sachs lesions. Newer methods involve targeted autograft bony augmentation rather than broad labral shifts. Prolonged immobilization in young athletes is suggested. Knotless anchors are acceptable but require careful use to prevent repair failure.

Keywords

Bankart repair

shoulder instability

bone grafting

Hill-Sachs lesion

knotless anchors