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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.
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.
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]
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 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.
Timing is important to wound healing. Critically, the timing of wound re-epithelialization can decide the outcome of the healing. [11] If the epithelization of tissue over a denuded area is slow, a scar will form over many weeks, or months; [12] [13] If the epithelization of a wounded area is fast, the healing will result in regeneration.
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The torn ligament can either be removed from the knee (most common), or preserved (where the graft is passed inside the preserved ruptured native ligament) before reconstruction through an arthroscopic procedure. ACL repair is also a surgical option. This involves repairing the ACL by re-attaching it, instead of performing a reconstruction.