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Arthroscopic Bankart repair is a minimally invasive shoulder surgery performed to restore stability in patients who experience repeated shoulder dislocations due to a torn labrum. The shoulder is a ball-and-socket joint with a naturally shallow socket, which relies on the labrum—a rim of cartilage around the socket—for stability. When the shoulder dislocates, particularly in younger or active individuals, the labrum can tear at the front of the socket, creating what is known as a Bankart lesion. This injury significantly increases the risk of ongoing instability and recurrent dislocations. Before surgery, patients typically undergo a detailed clinical evaluation that includes a physical examination and imaging such as X-rays or an MRI to confirm the presence and extent of the labral tear. Conservative treatment, including rest, sling immobilization, and physical therapy, is often tried first. Surgery is recommended when instability persists or repeated dislocations occur despite non-surgical care. The procedure itself is performed arthroscopically, meaning the surgeon uses small incisions rather than a large open cut. On the day of surgery, patients are usually admitted as an outpatient or may stay overnight. Through a few tiny incisions around the shoulder, the surgeon inserts an arthroscope—a small camera that allows visualization of the joint on a monitor. Specialized instruments are used to clean and prepare the torn labrum and the edge of the shoulder socket. Small suture anchors are then placed into the bone, and stitches from these anchors are used to securely reattach the labrum to its original position. In many cases, the joint capsule is also tightened to further improve stability. The incisions are closed with small bandages, resulting in minimal scarring and less disruption to surrounding muscles compared to open surgery. After surgery, patients spend a short time in recovery before returning home. The arm is placed in a sling, typically for about three weeks, to protect the repair. Physical therapy usually begins soon after surgery, starting with gentle movements to restore range of motion while avoiding stress on the healing tissue. Daily activities can gradually resume, but lifting is restricted early on, and heavy lifting or contact sports are avoided for several months. Over the following weeks and months, physical therapy progresses to strengthening and stabilization exercises. Most patients can return to light activities within a couple of months, while full return to demanding or contact sports may take four to five months or longer. Arthroscopic Bankart repair has strong outcomes, with low recurrence rates of dislocation and significant improvements in shoulder stability, function, and confidence in everyday and athletic activities.
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