Arthroscopic Repair of the Bankart Lesion Using Dual-Row Labral Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Arthroscopy

Background:

• Single-row labral repair is the standard Bankart repair technique.
• Dual-row techniques, like the "bony Bankart bridge," are gaining interest.
• This study focuses on an all-suture, knotless anchor approach for dual-row fixation.

Purpose of the Study:

• To report a novel double-row, all-suture labral fixation technique for Bankart repair.
• To utilize knotless anchors for enhanced glenoid labral repair.
• To describe a technique that maximizes compression and contact for healing.

Main Methods:

• The technique involves glenohumeral debridement and preparation of the glenoid labrum.
• Multiple portals are used for anchor insertion at specific glenoid clock positions (e.g., 5:30, 4:00, 3:00).
• All-suture, knotless anchors are employed, with sutures tied in a mattress configuration to create a suture bridge.

Main Results:

• The described dual-row technique facilitates maximum compression and contact between the labral fragment and the glenoid bed.
• This approach promotes healing over a broader contact area, not just the rim.
• The use of curved tip anchors aids in navigating challenging glenoid rim areas.

Conclusions:

• This double-row, all-suture technique with knotless anchors offers an alternative for Bankart repair.
• It enhances glenoid labral repair by promoting robust healing through increased compression.
• The technique is particularly advantageous for addressing complex Bankart lesions.