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Anterior Stabilisation (Bankart Repair)
Indications for operation:
Traumatic anterior instability

Anaesthetic:
General Anaesthetic with an interscalene block (Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type:
Arthroscopic or open

Incisions:
If the operation is arthroscopic: 3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.

If the operation is "open" arthroscopy may be performed first. The incision for the open operation is a 6cm deltopectoral incision (over the front of the shoulder).

Procedure:
With either type of operation the procedure is essentially the same. The gleno-humeral (shoulder) joint will be inspected first followed by the subacromial bursa and the rotator cuff. The area where the labrum has become detached will be freshened up and the labrum re-attached to the glenoid using 2 or 3 sutures secured to the bone using "suture anchors"
Orthopaedics Surgeon India | Anterior Stabilisation | Shoulder replacement surgery Indi Orthopaedics Surgeon India | Anterior Stabilisation | Shoulder replacement surgery Indi
Wound Closure:
Small butterfly paper stitches will be used to close the wounds. If the open operation has been performed a dissolving stitch under the skin will also be used.

Dressings:
Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of this.

Immediate aftercare:
An immobilser sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.

Anterior Stabilisation with Capsular shift +/- Bankart repair
Indications for operation:
Recurrent traumatic or atraumatic anterior instability with capsular redundancy

Anaesthetic:
General Anaesthetic with an interscalene block(Fully asleep with a local anaesthetic injection into the side of the neck will numb the nerves to the shoulder for post-operative pain relief)

Operation type:
Arthroscopic or open

Incisions:
  • 3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.
  • A delto-perctoral incision. This is a 5 cm incision in the front of the shoulder running from just below the clavicle (collarbone) towards the axilla (armpit)

If the operation is "open" arthroscopy may be performed first. The incision for the open operation is a 6cm deltopectoral incision (over the front of the shoulder).

Procedure:
The gleno-humeral (shoulder) joint will be inspected first arthroscopically followed by the subacromial bursa and the rotator cuff. After the incision has been made the joint is exposed using the delto-pectoral incision. If there is a Bankart lesion the area where the labrum has become detached will be freshened up and the labrum reattached to the glenoid using 2 or 3 sutures secured to the bone using "suture anchors". The excess shoulder joint capsule will be tightened and secured with sutures.

Wound Closure:
Small butterfly paper stitches will be used to close the small wounds. The larger wound will be closed with a single dissolving stitch running under the skin and paper stitches will be used over the top.

Dressings:
Elastoplast dressings will be placed over the top of the paper stitches and an adhesive bandage over the top of all of the wounds.

Immediate aftercare:
An immobiliser sling will be placed on the arm and it may feel numb for the rest of the day. You can go home when you feel comfortable and will be given instructions on what to do next.
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