APEX Advanced Shoulder Arthroscopy-Online Didactic (August 2021)-The Arthroscopic Bankart Technique

Video Transcription

Video Summary

In this video, Dr. Brian Waterman, from Wake Forest University School of Medicine and Wake Forest Baptist Health, presents on arthroscopic Bankart repair and capsule labor reconstruction for shoulder instability. He thanks the course directors and faculty for the opportunity to present and mentions the long-standing military heritage in the field of shoulder instability. Dr. Waterman discusses the high risk of failure and recurrence in shoulder instability cases and the importance of surgical treatment in reducing these risks.<br /><br />He talks about the goals of shoulder stabilization procedures, which include minimizing the risk of recurring instability and facilitating a return to pre-injury activity. Dr. Waterman discusses the current trends in the treatment of anterior shoulder instability, including traditional arthroscopic Bankart repair and bone block procedures. He debates the use of knotless anchors compared to traditional knotted fixation and highlights the potential benefits of knotless anchors, such as consistent performance and reduced operative time.<br /><br />Dr. Waterman emphasizes the importance of portal position in arthroscopic Bankart repair and shares his preferred portal positions. He discusses the mobilization and repair of labral tissue, the use of anchors, and the techniques for achieving proper tensioning and fixation. He also talks about the treatment of bony Bankart lesions and the options for glenoid bone augmentation.<br /><br />In conclusion, Dr. Waterman emphasizes the importance of technique in arthroscopic Bankart repair and the potential benefits of knotless anchors. He encourages the use of liberal percutaneous portals and the incorporation of bony fragments for improved outcomes. He also highlights the potential cost savings associated with decreased operative time when using knotless anchors. Dr. Waterman welcomes questions and provides his contact information for further discussion. The video provides a comprehensive overview of arthroscopic Bankart repair and capsule labor reconstruction for shoulder instability.

Asset Caption

Brian Waterman, M.D.

Keywords

arthroscopic Bankart repair

shoulder instability

surgical treatment

knotless anchors

portal position

bony Bankart lesions

operative time