2021 Annual Meeting Shoulder Access Pass-Surgical Technique Spotlight: Open Bankart Repair: The Lost Art (demo on cadaver)

Video Transcription

Video Summary

In the video, orthopedic surgeon Michael discusses the indications for an open Bankart stabilization procedure for anterior shoulder instability in 2021. He mentions that in their practice, they perform this procedure on 90% of patients with ISS scores greater than 90, except for throwing athletes who typically undergo arthroscopic surgery. However, he also mentions that they have had excellent results with open procedures over the years. Michael explains that if a glenoid defect exceeds 20% or if there is a large Hill Sachs lesion, he becomes cautious and may consider a Latter Jay or bone block only in cases of failure. He also mentions that they have been performing more remplisage procedures for large Hill Sachs lesions to potentially reduce the recurrence rate. The video then transitions to a demonstration of the surgical procedure, including the steps of making the incision, raising flaps, identifying the coracoid process, performing a subscapularis tenotomy, and completing a transverse capsulotomy. Anchors are then inserted to repair the capsule, and the surgeon explains that the final steps involve tying the sutures to mobilize and shift the capsule, and making sure the arm is positioned correctly for the final suturing. The video ends without showing the completion of the procedure due to time limitations.

Asset Caption

Dr. Michael Pagnani

Meta Tag

Concept Open Bankart Stabilization

Concept Anterior Shoulder Instability

Concept Glenoid Bone Loss

Concept Hill-Sachs Lesion

Concept Subscapularis

Keywords

open Bankart stabilization procedure

anterior shoulder instability

ISS scores

arthroscopic surgery

glenoid defect

Open Bankart Stabilization

Anterior Shoulder Instability

Glenoid Bone Loss

Hill-Sachs Lesion

Subscapularis