AANA19 Shoulder Access Pass-Surgical Options after Failed Bankart Repair - Featured Lecture-Dr. Fernando Barclay, M.D.

Surgical Options after Failed Bankart Repair - Featured Lecture-Dr. Fernando Barclay, M.D.

Video Transcription

Video Summary

The speaker reflects on 20 years of experience treating shoulder instability, emphasizing the importance of strategic surgical decision-making in revision cases. Key factors include assessing why primary surgery failed, recognizing risk factors like age, epilepsy, contact sports, and especially bone loss. They highlight that arthroscopic Bankart repair is common but has notable recurrence rates, partly due to unrecognized bone loss. The speaker favors careful evaluation of bone loss—ideally under 10-15% for revision—and tailored techniques like remplissage or Latarjet procedures depending on the case. Ultimately, success depends on understanding pathology, risk factors, and individualized surgical strategy rather than choosing a single "best" technique.

Keywords

shoulder instability

revision surgery

bone loss assessment

Bankart repair

Latarjet procedure