Open Bankart Repair for Anterior Shoulder Instability

Abstract

Anterior shoulder instability is the most common pattern of shoulder instability, with anterior dislocations accounting for over 90% of all dislocations. Open Bankart repair has been shown to have a low complication rate and remains an excellent surgical option for a select group of patients with risk factors for failure following arthroscopic stabilization which include: history of recurrent instability and/or ligamentous laxity, concomitant glenoid and humeral head osseous defects, male sex, young age, and contact athletes. This is particularly true for patients that are not candidates for bony glenoid augmentation procedures. Here we detail the patient indications, surgical technique, and patient outcomes following open Bankart repair.