23455 Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)

Name of the Procedure:

Capsulorrhaphy, anterior with labral repair (e.g., Bankart procedure)

Summary

The Bankart procedure is a surgical intervention to repair a torn labrum in the shoulder. It aims to restore stability to the joint by reattaching the labrum to the shoulder socket and tightening the surrounding ligaments.

Purpose

This procedure addresses shoulder instability and dislocation issues, particularly when the labrum has been damaged. The goal is to prevent recurrent shoulder dislocations and improve joint function.

Indications

• Recurrent shoulder dislocations
• Diagnosed labral tear (typically confirmed through imaging, such as MRI)
• Shoulder instability that hasn't improved with non-surgical treatments
• Active individuals or athletes who need stable shoulder function

Preparation

• Patients may be instructed to fast for several hours before surgery.
• Medication adjustments might be necessary, particularly blood thinners.
• Diagnostic tests like X-rays or MRI scans to assess the extent of the injury.

Procedure Description

1. The patient is placed under general anesthesia.
2. Small incisions are made around the shoulder.
3. An arthroscope (a small camera) is inserted to provide visual guidance.
4. Specialized instruments are used to reattach the labrum to the shoulder socket using anchors or sutures.
5. The shoulder capsule is tightened to enhance stability.
6. Incisions are closed, and the shoulder is bandaged.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

It is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technologists

Risks and Complications

• Infection
• Bleeding
• Nerve or blood vessel damage
• Stiffness or reduced range of motion
• Recurrence of instability or dislocation
• Pain

Benefits

• Enhanced shoulder stability
• Reduced risk of future dislocations
• Improved shoulder function and strength Benefits typically become noticeable within a few months as the shoulder heals.

Recovery

• Patients may need to wear a sling for several weeks post-surgery.
• Physical therapy is crucial for recovery and starts soon after the procedure.
• Full recovery and return to sports or heavy activities may take 4-6 months.
• Follow-up appointments are essential to monitor progress.

Alternatives

• Non-surgical treatments like physical therapy and bracing
• Other surgical options, such as Latarjet procedure
• Each alternative has its own set of pros and cons, largely depending on the patient's specific situation and activity level.

Patient Experience

• During the procedure, the patient is under general anesthesia and will not feel pain.
• Post-procedure, some pain and discomfort are expected, managed with pain medications and ice packs.
• Physical therapy plays a significant role in regaining strength and function.
• Patients should expect to gradually resume normal activities following a structured rehabilitation plan.