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A Bankart repair is an operation for habitual anterior shoulder dislocation. [1] The joint capsule is sewed to the detached glenoid labrum , without duplication of the subscapularis tendon . The procedure is named for the Bankart lesion , a common name for the condition it addresses.
While the Latarjet procedure can be used for surgical treatment of most cases of shoulder dislocations or subluxation, it is particularly indicated in cases with bone defects. [4] The failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5]
A Bankart lesion is a type of shoulder injury that occurs following a dislocated shoulder. [3] It is an injury of the anterior ( inferior ) glenoid labrum of the shoulder. [ 4 ] When this happens, a pocket at the front of the glenoid forms that allows the humeral head to dislocate into it.
The procedure is less effective in treating older patients, overweight patients, or a cartilage lesion larger than 2.5 cm. [11] Further on, chances are high that after only 1 or 2 years of the surgery symptoms start to return as the fibrocartilage wears away, forcing the patient to reengage in articular cartilage repair.
Bankart described the pathology and surgical repair of recurrent shoulder dislocation in 1923, [4] and again in 1938. [5] Although this procedure was described by Perthes in 1906, [6] Bankart is credited with popularizing the technique. [3] Thus the terms Bankart lesion and Bankart Operation remain in use.
Arthroscopic SLAP Lesion (type 2) repair. Following inspection and determination of the extent of injury, the basic labrum repair is as follows. [citation needed] The glenoid and labrum are roughened to increase contact surface area and promote re-growth. Locations for the bone anchors are selected based on number and severity of tear.
Joint replacement is a procedure of orthopedic surgery known also as arthroplasty, in which an arthritic or dysfunctional joint surface is replaced with an orthopedic prosthesis. Joint replacement is considered as a treatment when severe joint pain or dysfunction is not alleviated by less-invasive therapies.
Arthroscopic lavage is a "cleaning up" procedure of the knee joint. This short-term solution is not considered as an articular cartilage repair procedure but rather a palliative treatment to reduce pain, mechanical restriction and inflammation. Lavage focuses on removing degenerative articular cartilage flaps and fibrous tissue.