Arthroscopic Bankart repair with extracapsular and extra-articular knot using the Mitek suture anchor

The recurrence of instability after arthroscopic stabilization has been significantly higher than after open repair. One of the reasons for the high failure rate is the inability of arthroscopic repairs to address the plastic deformity of the capsule that occurs in the glenohumeral ligament-labrum complex. The arthroscopic technique is used to repair the torn labrum to the glenoid, but without adequate tightening of the anterior capsule, which is successfully accomplished with an open technique. This report describes the new technique of arthroscopic Bankart repair with extracapsular and extra-articular knot using suture anchors that allows tightening of the anterior capsule sufficiently as with an open Bankart procedure.