ARTHROSCOPIC BANKART’S REPAIR AND REMPLISSAGE SURGERY IN TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATIONS

Abstract

The shoulder, a complex ball-and-socket joint, plays a pivotal role in facilitating a wide spectrum of upper limb movements. In a healthy shoulder joint, the intricate harmony between the rounded head (the "ball") and the shallow glenoid (the "socket") allows for this remarkable mobility. This stability is further reinforced by the glenoid labrum, a specialized ring of cartilage, and the surrounding intricate network of ligaments. However, this delicate equilibrium can be disrupted by various factors, including traumatic injuries or repetitive strain, leading to the often forceful and painful dislocation of the shoulder.^7,8 One common consequence of such dislocations is the development of a specific type of lesion, primarily affecting the anterior part of the shoulder joint, known as the "Bankart's Lesion." A Bankart's Lesion ³ is a tear in the glenoid labrum, which can result from these dislocations. This condition can compromise the shoulder's stability, impede its range of motion, and contribute to recurring instances of anterior shoulder dislocation. The treatment of Bankart's lesions is a critical endeavor aimed at restoring not only the structural integrity of the joint but also the overall function and quality of life for individuals who experience these distressing dislocations.^1,2,3When it comes to treating Bankart's lesions, clinicians and patients have the option of conservative measures, which involve non-surgical approaches, or operative methods. Among the surgical interventions, one procedure stands out as a frequently chosen and effective option: Arthroscopic Bankart repair combined with Remplissage surgery.¹

Arthroscopic Bankart's repair, a minimally invasive technique, is designed to repair the torn glenoid labrum and restore stability to the shoulder joint. This procedure involves using an arthroscope, a small camera, and specialized surgical instruments inserted through small incisions, minimizing tissue damage and speeding up recovery. Remplissage surgery complements the Bankart repair by addressing another critical aspect of shoulder stability – the engagement of the humeral head (the "ball") with the glenoid (the "socket").^1,2 This procedure focuses on the infraspinatus tendon, which is utilized to "fill in" and create a stabilizing effect, reducing the risk of recurrent dislocations Given the prevalence of Bankart's lesions and the substantial impact they have on an individual's daily life and physical activities, understanding the results of Arthroscopic Bankart's repair combined with Remplissage surgery ⁴ becomes paramount. This study aims to delve into the outcomes of this surgical approach, particularly in cases of recurrent anterior shoulder dislocations, shedding light on its effectiveness in improving shoulder stability, range of motion, and overall patient satisfaction