Single- and Double-Row Arthroscopic Bony Bankart Repair

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Anterior glenoid bone injury (bony Bankart lesion) accompanies anterior instability and capsulolabral tears.
• Untreated bony Bankart lesions compromise the glenoid track, increasing recurrent instability risk.

Purpose of the Study:

• To describe arthroscopic single- and double-row repair techniques for bony Bankart lesions.
• To outline indications for each repair method in managing anterior shoulder instability.

Main Methods:

• Video technique demonstrating arthroscopic repair of bony Bankart lesions.
• Placement of suture anchors and restoration of the capsulolabral complex.
• Application of single-row or double-row fixation based on lesion size.

Main Results:

• Both single- and double-row techniques achieved adequate fracture reduction, stability, and alignment.
• Patients experienced good functional outcomes and returned to pre-injury activities.

Conclusions:

• Arthroscopic repair of bony Bankart lesions is successful for anterior shoulder instability.
• Double-row repair may provide superior biomechanical stability for medium-to-large fragments compared to single-row repair.