Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization (AANA19)-Failed Arthroscopic Anterior Shoulder Stabilization_ Open Revision Bankart Reconstruction-Dr. Aman Dhawan, M.D.

Failed Arthroscopic Anterior Shoulder Stabilization_ Open Revision Bankart Reconstruction-Dr. Aman Dhawan, M.D.

Video Transcription

Video Summary

The presentation emphasizes the value of open Bankart reconstruction for failed arthroscopic shoulder stabilizations, especially in patients with hyperlaxity, minimal glenoid bone loss (<15-20%), and non-engaging Hill-Sachs lesions. Despite its decline due to less training exposure and preference for arthroscopic or bone block procedures, open Bankart offers advantages such as thicker capsular tissue restoration and lower recurrence rates in selected patients. Compared to Latarjet, it carries fewer complications like nonunion or nerve injury. The speaker details the surgical technique involving a deltopectoral approach, L-shaped subscapularis tenotomy, lateral capsular shift, and use of retrograde suture passing for secure repair with double-thick capsule reinforcement. Clinical studies show open Bankart yielding excellent long-term stability with nearly zero recurrences when bone loss is absent. Ultimately, open Bankart remains a crucial, underutilized option enhancing outcomes for specific revision shoulder instability cases.

Asset Caption

Instructional Course Lecture: Revision Treatment Options for Recurrent Instability Following Failed Anterior Arthroscopic Stabilization

Keywords

open Bankart reconstruction

failed arthroscopic shoulder stabilization

hyperlaxity

minimal glenoid bone loss

non-engaging Hill-Sachs lesions

deltopectoral approach