Bankart Repair
A surgical procedure to restore stability after a shoulder dislocation
A Bankart repair involves reattaching and stabilising the labrum, the cartilage rim surrounding the shoulder socket, to restore stability to the shoulder joint.
Common Reasons for Surgery
- Recurrent shoulder dislocations or instability.
- A torn or detached labrum due to trauma or injury.
- Difficulty with daily activities or sports due to the risk of dislocation.
Goals of the Procedure:
- Stabilise the shoulder joint to prevent further dislocations.
- Improve range of motion and joint function.
- Allow a return to normal activities and sports.
Preparation for Surgery
Preparation for Bankart repair is crucial to ensure the best possible outcome.
Steps in Preparation:
- Pre-Surgical Consultations and Imaging:
- Dr Ben McGrath will perform a physical examination and may order imaging such as X-rays or MRIs to assess the extent of the damage.
- Optimising Health:
- Lifestyle modifications, such as achieving a healthy weight and quitting smoking, can enhance recovery.
- Prehabilitation exercises may be recommended to maintain strength in the surrounding muscles.
- Pre-Surgical Instructions:
- Follow fasting and medication guidelines as instructed by Dr McGrath.
- Arrange for transportation and post-operative assistance at home.
What Happens During the Surgery?
A Bankart repair is typically performed arthroscopically, which involves small incisions and a minimally invasive approach.
Surgical Steps:
- Anaesthesia:
- General anaesthesia is usually administered to ensure comfort during the procedure.
- Procedure:
- A small camera (arthroscope) and specialised instruments are used to access the joint.
- The labrum is reattached to the shoulder socket using anchors and sutures, restoring stability to the joint.
- Completion:
- Incisions are closed with sutures or adhesive strips, and a dressing is applied.
The procedure typically takes one to two hours, depending on the complexity.
Understanding the Risks
As with any surgery, a Bankart repair carries potential risks, which will be carefully managed.
Common Risks:
- Temporary pain or stiffness in the shoulder.
- Swelling or bruising around the surgical site.
Rare but Serious Risks:
- Nerve or blood vessel damage.
- Continued instability or recurrent dislocations.
Dr McGrath will discuss these risks in detail during your consultation and take steps to minimise them.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications.
- Use of a sling to immobilise and protect the shoulder during the initial healing phase.
- Follow-up appointments with Dr McGrath to monitor progress.
Discharge Instructions:
- Guidance on wound care and activity restrictions.
- Instructions on how to use the sling and manage discomfort.
Rehabilitation and Recovery
Rehabilitation plays a vital role in regaining full function after a Bankart repair.
Recovery Phases:
- Early Recovery (Weeks 0–6):
- Focus on protecting the repair with limited movement.
- Gentle range-of-motion exercises under the guidance of a physiotherapist.
- Strengthening Phase (Weeks 6–12):
- Gradual introduction of strengthening exercises to rebuild stability in the shoulder.
- Avoid heavy lifting or overhead activities.
- Functional Recovery (Months 3–6):
- Return to normal activities, sports, or work as strength and stability improve.
- A tailored rehabilitation program will be provided to ensure safe progress.
Long-Term Outcomes
A Bankart repair is often recommended to restore stability and function to the shoulder joint.
Expected Improvements:
- Reduced risk of recurrent dislocations.
- Improved shoulder stability and function.
- Increased confidence in performing daily and athletic activities.
Maintaining Results:
- Adherence to physiotherapy and strengthening exercises.
- Avoiding high-risk activities during recovery.
- Regular follow-up appointments with Dr McGrath to ensure optimal healing.