Specialized Toolkit Series: Shoulder Instability-Do The Right Thing, Not Just What You Know: Case for Open Bankart

Do The Right Thing, Not Just What You Know: Case for Open Bankart

Video Transcription

Video Summary

The speaker critiques data on primary interventions, emphasizing this is a revision case of failed arthroscopic Bankart with subcritical bone loss in a young collision athlete. They highlight high failure rates (20-50%) for revision arthroscopic stabilization and lack of data on arthroscopic Bankart with remplissage in revisions. Open Bankart repair is advocated for revisions; it offers robust capsule-labral repair, addressing capsular redundancy and bone resorption issues, with better long-term outcomes. While acknowledging bone block procedures, the speaker stresses not all cases need grafts. Overall, open Bankart remains a reliable revision option supported by evidence.

Asset Caption

Robert A. Arciero, M.D.

Keywords

revision arthroscopic stabilization

failed arthroscopic Bankart

open Bankart repair

capsule-labral repair

bone block procedures