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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.
The type of sport also is important, since contact sports have a greater chance of injuring the labrum repair. However, a vast majority of patients have full function of the shoulder after labrum repair, and most patients can return to their previous level of sports with no or few restrictions. [3] repair of the capsular ligaments (Bankart repair)
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 failure rate following arthroscopic Bankart repair has been shown to dramatically increase from 4% to 67% in patients with significant bone loss. [5] The same authors subsequently reported much improved results when the Latarjet operation was used in patients with bone loss. [ 6 ]
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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.
Previous repair procedures, however, always generated fibrocartilage or, at best, a combination of hyaline and fibrocartilage repair tissue. Autologous chondrocyte implantation (ACI) procedures are cell-based repairs that aim to achieve a repair consisting of healthy articular cartilage. [14]
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.