Arthroscopic Labral Repair (Bankart’s Procedure)

What is Arthroscopic Labral Repair (Bankart’s Procedure)?

Arthroscopic Labral Repair, also known as Bankart’s procedure, is a minimally invasive surgery used to fix a torn labrum in the shoulder. The labrum is a ring of cartilage that helps stabilize the shoulder joint. During the procedure, a small camera called an arthroscope and tiny surgical instruments are used to reattach the torn labrum to the bone. This method allows for precise repairs with minimal tissue damage, resulting in a quicker recovery compared to traditional open surgery.

What are the indications for Arthroscopic Labral Repair?

Arthroscopic labral repair is recommended for individuals experiencing significant shoulder issues due to a labral tear. Key indications for this procedure include:

– Chronic Shoulder Pain: Persistent pain that affects daily activities and does not respond to conservative treatments such as rest, physical therapy, or medications.

– Shoulder Instability: Recurrent episodes of the shoulder feeling loose or dislocating, which can significantly impair function and quality of life.

– Impaired Function: Difficulty performing overhead activities, lifting, or engaging in sports, particularly for athletes and physically active individuals.

– Confirmed Labral Tear: Diagnostic imaging, such as MRI or CT scans, showing a labral tear that matches the patient’s symptoms.

– Associated Conditions: Concurrent shoulder conditions like SLAP (Superior Labrum Anterior and Posterior) lesions, which often require surgical intervention to restore shoulder stability.

– Failed Conservative Treatment: Ineffectiveness of non-surgical interventions, including physical therapy, anti-inflammatory medications, and corticosteroid injections.

– Acute Trauma: Recent traumatic injury leading to a labral tear, especially in younger, active patients who desire to return to high levels of activity.

What are the common symptoms of a Labral Tear?

A labral tear can manifest through various symptoms, including:

– Persistent shoulder pain, especially during overhead activities.

– A sensation of the shoulder feeling loose or slipping out of place.

– Clicking, popping, or grinding sounds when moving the shoulder.

– Reduced range of motion and shoulder strength.

– Discomfort that interferes with sleep, particularly when lying on the affected shoulder.

How do you prepare for Bankart Repair Surgery?

Preparation for Bankart Repair Surgery involves several key steps:

– Medical Assessment: Your orthopedic surgeon will conduct a thorough evaluation, which may include imaging tests like MRIs to assess the extent of the tear.

– Preoperative Instructions: You’ll receive guidelines on fasting before surgery, medication adjustments, and what to expect on the day of the procedure.

– Pre-Surgical Exercises: Your surgeon may recommend exercises to strengthen the shoulder and improve flexibility prior to surgery.

What happens during an Arthroscopic Labral Repair Procedure?

During an arthroscopic labral repair procedure, you will receive either general or regional anesthesia to ensure comfort. The surgeon will make small incisions around the shoulder to insert an arthroscope, a tiny camera that provides a clear view of the shoulder joint on a monitor. Specialized surgical instruments are then used to reattach the torn labrum to the bone using sutures and anchors. Once the repair is complete, the incisions are closed with stitches or surgical tape, and a sterile bandage is applied. This minimally invasive approach allows for precise repair with minimal tissue damage.

What should you expect immediately after Bankart Repair Surgery?

Immediately after Bankart repair surgery, you will be taken to a recovery room where you will be closely monitored as the effects of the anesthesia wear off. Pain management is a critical part of the initial recovery, and you will be given medications to help manage any pain and discomfort. Your shoulder will be immobilized in a sling to protect the repaired labrum and facilitate healing. Before discharge, you will receive comprehensive instructions on how to care for your wound, a schedule for taking prescribed medications, and guidelines on activity restrictions to ensure a smooth and safe recovery process.

What are the advantages of Arthroscopic Labral Repair?

The benefits of opting for an arthroscopic approach include:

– Minimally Invasive Technique: Smaller incisions lead to less tissue damage and scarring.

– Quicker Recovery Time: Patients typically experience faster recovery compared to open surgery.

– Reduced Pain: Less postoperative pain due to minimal tissue disruption.

– Improved Shoulder Stability: Restores shoulder strength and reduces the risk of future dislocations.

– Lower Risk of Infection: Smaller incisions reduce the likelihood of infection.

What risks and complications should you consider?

While generally safe, arthroscopic labral repair does have potential risks, such as:

– Infection

– Bleeding

– Stiffness or reduced range of motion

– Nerve damage

– Recurrence of shoulder instability or dislocation

How long is the recovery period after Labral Repair Surgery?

The recovery timeline generally includes:

– Immediate Healing: Initial weeks focus on pain management and immobilization with a sling.

– Physical Therapy: Begins a few weeks post-surgery, starting with passive movements and gradually progressing to active exercises.

– Full Recovery: This can take several months, with most patients returning to daily activities within 4-6 months, although complete healing may take up to a year.

When can you return to normal activities and sports?

Returning to normal activities and sports after arthroscopic labral repair largely depends on the individual’s recovery process. Generally, light daily activities can be resumed within a few weeks post-surgery. The timeline for returning to work varies based on the nature of the job; those with desk jobs may be able to return within a few weeks, while individuals with physically demanding jobs may need several months. For athletes or those involved in strenuous activities, a gradual return to sports typically begins around 4 to 6 months after surgery, with full participation expected between 6 to 12 months, contingent upon individual progress and adherence to rehabilitation protocols.

To ensure the best outcome for your shoulder surgery, schedule your appointment with Dr. Ponnanna, one of the best orthopedic surgeons specializing in shoulder repairs.