Shoulder Surgery: Anterior Stabilisation (Bankart Repair)

Indications for operation

Traumatic anterior instability

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Anaesthetic

General Anaesthetic with an interscalene block (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type

Arthroscopic or open

Incisions

Figure 1
Arthroscopic stabilisation incisions

If the operation is arthroscopic: 3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.

Figure 2
Open incisions

If the operation is "open" arthroscopy may be performed first. The incision for the open operation is a 6cm deltopectoral incision (over the front of the shoulder).

Procedure

Figure 1 Figure 2
Figure 3 Figure 4

With either type of operation the procedure is essentially the same. The gleno-humeral (shoulder) joint will be inspected first followed by the subacromial bursa and the rotator cuff. The area where the labrum has become detached will be freshened up and the labrum re-attached to the glenoid using 2 or 3 sutures secured to the bone using "suture anchors"

 

Video

Animation of the Arthrex Pushlock technique for anterior stabilisation

Wound Closure

Small butterfly paper stitches will be used to close the wounds. If the open operation has been performed a dissolving stitch under the skin will also be used.

Dressings

Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare

An immobilser sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.

Further instructions for Shoulder Stabilisation rehabilitation

Download Postoperative Instructions