Shoulder Instability

Comprehensive surgical solutions to restore shoulder stability and function.

Bankart Repair

Overview: A Bankart repair is a surgical procedure performed to treat shoulder instability caused by a Bankart lesion, which occurs when the labrum (a ring of cartilage surrounding the shoulder socket) detaches due to recurrent dislocations. This procedure focuses on reattaching the labrum to restore stability.

Indications

• Recurrent shoulder dislocations.
• Damage to the anterior labrum.
• Young and active patients with a high risk of repeated instability.

Procedure

Arthroscopic Approach: Small incisions are made, and a camera (arthroscope) is used to visualize the joint.

Reattachment: Suture anchors are inserted into the glenoid (socket), and sutures are used to reattach the labrum to the bone.

The repaired labrum reinforces the shoulder joint, preventing further dislocations.

Recovery

• Sling use for 4-6 weeks.
• Physical therapy focusing on gradual range of motion and strengthening exercises.
• Return to sports in 4-6 months.

Benefits

• Minimally invasive.
• Effective in restoring shoulder stability.

Bankart Remplissage

Overview: Bankart remplissage is an advanced technique used when a Bankart lesion coexists with a Hill-Sachs lesion (a dent or defect in the humeral head). The procedure addresses both issues to prevent recurring dislocations.

Indications

• Bankart lesion with significant Hill-Sachs defect.
• Failed primary stabilization surgeries.

Procedure

Arthroscopic Surgery: Bankart repair reattaches the labrum to the glenoid, and the remplissage technique anchors the posterior capsule and infraspinatus tendon into the Hill-Sachs defect.

Recovery

• Sling immobilization for 6 weeks.
• Gradual physical therapy emphasizing stability and shoulder mechanics.
• Full recovery in 6-9 months.

Benefits

• Dual repair addressing labral and humeral head defects.
• Reduced risk of redislocation.

Latarjet Procedure

Overview: The Latarjet procedure transfers a section of the coracoid process to the shoulder socket to enhance stability, especially in complex cases of shoulder instability.

Indications

• Significant glenoid bone loss.
• Recurrent dislocations despite prior surgeries.
• High-demand athletes with persistent instability.

Procedure

The coracoid process is detached and secured to the glenoid with screws, increasing the socket's surface area for improved stability.

Recovery

• Sling use for 4-6 weeks.
• Physical therapy focusing on mobility and strength.
• Full recovery in 6-12 months.

Benefits

• Increased glenoid stability.
• Effective for severe bone loss or high-demand athletes.

ICBG (Iliac Crest Bone Graft)

Overview: The Iliac Crest Bone Graft (ICBG) involves harvesting bone from the iliac crest (pelvic bone) to reconstruct significant bone loss in the shoulder socket, typically for severe instability cases.

Indications

• Extensive glenoid bone loss.
• Failed previous stabilization surgeries.
• Recurrent dislocations in athletes or labor-intensive workers.

Procedure

A bone graft is harvested from the pelvic region and shaped to fit the glenoid, then secured using screws.

Recovery

• Postoperative immobilization in a sling for 6-8 weeks.
• Gradual rehabilitation focusing on joint stability and function.
• Full recovery in 6-9 months.

Benefits

• Restores glenoid anatomy and stability.
• Durable solution for severe instability cases.