[Treatment of anterior shoulder instability. Arthroscopic thermal capsulorraphy and Bankart Technique]

We treated 38 shoulders with Bankart technique and thermal capsulorraphy, and evaluated clinical results at a mean of 23 months. Arthroscopy demonstrated a Bankart lesion in 28 shoulders, and anteroinferior capsular laxity, without a Bankart lesion in 10 shoulders. For the remainder inferior capsular redundancy, capsulorrhaphy was carried out in the area of the axillary recess. For anterior capsular redundancy, the applications were carried out on the anterior capsule, including the anterior band of the inferior glenohumeral ligament and the middle glenohumeral ligament. In all cases, the capsulorrhaphy was done until satisfactory glenohumeral stability was achieved. Mean follow-up was 23 months, after this period 86.5% of the patients remained asymptomatic and 83.8% recovered their previous activity level.