Labral repair – Bankart/ Posterior labral repair

A tear in the capsulolabral tissue causes recurrent dislocation of the shoulder (instability) or painful shoulder. Labral repair is performed arthroscopically where the capsulolabral tissue is secured to the glenoid bone with the aid of suture anchors. The repair may involve the front of the glenoid (Bankart repair), or back of the glenoid (posterior labral repair) or both. Occasionally the labrum tears with an associated small fracture in the glenoid bone (bony bankart lesion),  the surgeon will then perform the repair of labrum with the bony Bankart lesion (Bony Bankart repair).  In a small number of cases where the defect in the humeral head is large (engaging Hill Sachs lesion), it is combined with Remplissage procedure,where one of the rotator cuff tendons (infraspinatus) is tied down to the humerus to fill the defect. Similarly, a tear in the glenohumeral ligament on the humeral side (HAGL lesion), is repaired to the bone with suture anchors (HAGL repair). Following post operative rehabilitation, you are expected to return to a pre-injury level of activity in about 3 months and be able to return to sports in 9-12 months.

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