{"id":26676,"date":"2025-08-05T14:04:00","date_gmt":"2025-08-05T11:04:00","guid":{"rendered":"https:\/\/www.utkuerdemozer.com\/?p=26676"},"modified":"2025-09-12T15:49:35","modified_gmt":"2025-09-12T12:49:35","slug":"arthroscopic-bankart-repair","status":"publish","type":"post","link":"https:\/\/www.utkuerdemozer.com\/en\/arthroscopic-bankart-repair\/","title":{"rendered":"Arthroscopic Bankart Repair"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">Recurrent shoulder dislocations<\/a>, especially in young and active individuals, can destabilize the shoulder joint and severely limit daily life and sports activities.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The underlying cause is usually the separation of the <a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">labrum<\/a> (a cartilage-like ring around the glenoid) from the bone due to repeated dislocations. This injury is called a Bankart lesion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A Bankart lesion means that one of the key stabilizing structures of the shoulder is damaged, and if left untreated, it predisposes the shoulder to further dislocations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.utkuerdemozer.com\/en\/shoulder-arthroscopy\/\">Arthroscopic<\/a> Bankart repair is a minimally invasive surgery that reattaches the torn labrum to the glenoid with special anchors (suture anchors) placed inside the joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This procedure restores joint stability while preserving range of motion, allowing the patient to regain shoulder function.<\/p>\n\n\n\n<iframe title=\"Arthroscopic Bankart Repair\" frameborder=\"0\" width=\"220\" src=\"https:\/\/www.ypo.education\/c-MjQ3MzA4OA==\/orthopaedics\/shoulder\/arthroscopic-bankart-repair-t121\/video\/?embed=1\" allow=\"autoplay; fullscreen\" allowfullscreen><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\">What Is a Bankart Lesion?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A Bankart lesion is a specific soft tissue injury that occurs after shoulder dislocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The labrum, a ring-like structure that helps keep the humeral head centered in the glenoid socket, separates from the anteroinferior edge of the glenoid during anterior dislocations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When this structure is torn, the shoulder becomes more prone to redislocation. Each subsequent dislocation weakens the labrum further.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Therefore, identifying and treating Bankart lesions is crucial in patients with recurrent shoulder instability.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Is a Bony Bankart Lesion?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A <a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">bony Bankart lesion<\/a> occurs when not only the labrum but also a fragment of the anteroinferior glenoid bone detaches during dislocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This type of injury alters the shape of the socket and reduces its surface area.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If the bone fragment involves more than 20\u201330% of the glenoid surface, shoulder stability is significantly compromised, and surgical treatment becomes necessary.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">With arthroscopic fixation, the glenoid bone anatomy can be restored and the tendency of the shoulder to redislocate can be corrected.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Is Bankart Repair?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bankart repair is a surgical procedure to fix the Bankart lesion responsible for recurrent anterior shoulder dislocations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is to reattach the torn labrum to the glenoid bone.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Using suture anchors, the labrum is re-fixed to its original position.<\/li>\n\n\n\n<li>The surgery is usually performed with an arthroscopic (minimally invasive) approach.<\/li>\n\n\n\n<li>This procedure decreases the risk of future dislocations, restores stability, and allows patients to regain shoulder function.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Who Is a Candidate for Bankart Repair?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_687c09871ce145ffa806d9558d21f669mv2-18.png\" alt=\"Bankart Tamiri ve Remplissage Ameliyat\u0131 Birlikte Uygulanabilir\" style=\"width:441px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Arthroscopic Bankart repair is recommended for patients with recurrent anterior shoulder instability.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Each dislocation causes progressive damage, making the shoulder more unstable.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Indications include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Two or more anterior shoulder dislocations,<\/li>\n\n\n\n<li>First dislocation with MRI evidence of a Bankart lesion or bone loss,<\/li>\n\n\n\n<li>Patients under 20 years of age with a Bankart lesion after the first dislocation (high recurrence risk),<\/li>\n\n\n\n<li><a href=\"https:\/\/www.utkuerdemozer.com\/en\/sport-surgery-and-arthroscopy\/\">Athletes in contact sports<\/a> or those using the shoulder intensively,<\/li>\n\n\n\n<li>Persistent feelings of instability or subluxation despite <a href=\"https:\/\/www.utkuerdemozer.com\/en\/treatment-areas\/\">physiotherapy<\/a>,<\/li>\n\n\n\n<li>MRI or arthroscopic confirmation of anteroinferior labral tear (Bankart lesion),<\/li>\n\n\n\n<li>Shoulder hyperlaxity with recurrent dislocations.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">In the correct patient group, Bankart repair prevents redislocation, restores stability, and provides excellent functional outcomes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bankart Repair Combined with Remplissage<\/h2>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/utkuerdemozer.com\/wp-content\/uploads\/2025\/06\/f7cce4_24bbb23bcebb4bfe9cc707f83d8765ebmv2-8.jpg\" alt=\"Bankart Tamiri Nedir?\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Arthroscopic Bankart repair is the standard surgical technique for recurrent anterior shoulder dislocation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, in some cases, when there is a large <a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">Hill-Sachs lesion<\/a> (a defect on the humeral head) engaging with the glenoid, Bankart repair alone may not be sufficient.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In such cases, an additional procedure called <a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">remplissage<\/a> is performed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Remplissage involves filling the Hill-Sachs defect with the posterior capsule and infraspinatus tendon.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This creates a mechanical block against anterior translation of the humeral head.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In patients with medium-to-large Hill-Sachs lesions, Bankart repair combined with remplissage significantly reduces the risk of recurrence.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Recovery After Bankart Repair<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Recovery after arthroscopic Bankart repair is a structured process aimed at both tissue healing and regaining shoulder function.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The success of treatment largely depends on postoperative care and rehabilitation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Phase 1: First 6 Weeks \u2013 Protection and Passive Movements<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The shoulder is immobilized with a sling.<\/li>\n\n\n\n<li>The goal is to allow the labrum to heal securely to the bone.<\/li>\n\n\n\n<li>Passive exercises are performed with the help of a physiotherapist.<\/li>\n\n\n\n<li>Elbow, hand, and wrist movements remain free.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Phase 2: Weeks 6\u201312 \u2013 Range of Motion and Muscle Control<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The sling is removed, and active shoulder exercises begin.<\/li>\n\n\n\n<li>Range of motion is gradually increased.<\/li>\n\n\n\n<li>Isometric and isotonic strengthening exercises are introduced.<\/li>\n\n\n\n<li>Daily activities can resume, but stress-loading movements are avoided.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Phase 3: Months 3\u20136 \u2013 Functional Return<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shoulder function is largely restored.<\/li>\n\n\n\n<li>Return to non-contact sports may be possible from the 3rd month.<\/li>\n\n\n\n<li>Contact sports are usually allowed between 4\u20136 months, after careful assessment.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Who Is Not a Candidate for Bankart Repair Surgery?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Not every patient with a shoulder dislocation benefits from Bankart repair. In some situations, labrum repair alone is insufficient or not feasible. In such cases, other surgical methods (such as the <a href=\"https:\/\/www.utkuerdemozer.com\/en\/dislocated-shoulder-and-surgery\/\">Latarjet procedure<\/a>) may be required.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bankart repair alone is generally not suitable for the following patient groups:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with significant glenoid bone loss<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(If more than 20% of the glenoid rim is missing, stability cannot be restored with soft tissue repair alone.)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with a large Hill-Sachs lesion on the humeral head<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(If the defect causes engagement with the glenoid and anterior translation, additional support is required.)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with multiple tissue injuries from high-energy trauma<\/li>\n\n\n\n<li>Patients with marked hyperlaxity or connective tissue disorders<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(In these cases, labral repair may not provide sufficient stability.)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients with failed previous Bankart repair and recurrent dislocations<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(Revision surgeries usually require different procedures.)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chronic cases where the labrum has completely degenerated or disappeared<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(There may be no viable tissue left to reattach with sutures.)<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients unable to comply with postoperative rehabilitation<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">(Structured physiotherapy is essential for proper recovery.)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Each patient must be evaluated individually, considering age, activity level, bone quality, soft tissue condition, and sports background. The most appropriate surgical method should be decided by an <a href=\"https:\/\/www.utkuerdemozer.com\/en\/about\/\">orthopedic specialist<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About Arthroscopic Bankart Repair<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">What is arthroscopic Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>It is a minimally invasive surgery to repair the torn labrum responsible for recurrent shoulder dislocation. The labrum is fixed back to the glenoid with special suture anchors.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-2\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">What does a Bankart lesion mean?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>A Bankart lesion refers to the separation of the anteroinferior labrum from the glenoid during a shoulder dislocation. This tear predisposes the shoulder to future dislocations.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-3\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Can the shoulder dislocate again after Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>With proper patient selection and surgical technique, the risk of recurrence is quite low. However, a new traumatic event may still cause dislocation.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-4\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">When is Bankart repair surgery necessary?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>It is recommended in patients with two or more dislocations, MRI evidence of a Bankart lesion, or even after the first dislocation in patients under 20 years of age if a labral tear is detected.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-5\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Is Bankart repair performed with open or closed surgery?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>It is most commonly performed arthroscopically (closed method). This technique uses small incisions and generally allows for a faster, more comfortable recovery compared to open surgery.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-6\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">How long is the arm kept in a sling after Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>The arm is usually immobilized in a sling for 4\u20136 weeks, during which only passive exercises are allowed.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-7\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Is physical therapy necessary after Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Yes. Physiotherapy is essential for successful recovery. It restores range of motion, muscle strength, and functional capacity.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-8\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Who is not suitable for Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Patients with severe glenoid bone loss, large Hill-Sachs lesions, or those with failed previous shoulder surgeries may not be candidates for isolated Bankart repair.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-9\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">When can I return to sports after Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>Return to non-contact sports is usually possible after 3 months. Contact sports are generally allowed between 4\u20136 months with physician and physiotherapist approval.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-10\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question \">Will shoulder function be fully restored after Bankart repair?<\/h3>\n<div class=\"rank-math-answer \">\n\n<p>With proper rehabilitation, stability is restored, and shoulder function is significantly regained in most patients.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Recurrent shoulder dislocations, if left untreated, can severely affect both daily life and athletic performance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One of the main causes, the Bankart lesion, can be successfully treated with arthroscopic Bankart repair.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This minimally invasive surgery restores stability while preserving functional range of motion.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When performed at the right time and in the right patient group, it provides long-term successful outcomes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The decision for surgery should be made by an orthopedic specialist after considering the patient\u2019s age, activity level, number of dislocations, and imaging findings.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Recurrent shoulder dislocations, especially in young and active individuals, can destabilize the shoulder joint and [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":23283,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-26676","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-shoulder-surgery"],"_links":{"self":[{"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/posts\/26676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/comments?post=26676"}],"version-history":[{"count":3,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/posts\/26676\/revisions"}],"predecessor-version":[{"id":26775,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/posts\/26676\/revisions\/26775"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/media\/23283"}],"wp:attachment":[{"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/media?parent=26676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/categories?post=26676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.utkuerdemozer.com\/en\/wp-json\/wp\/v2\/tags?post=26676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}