Bankart Repair (Open)

Question 1

What is the purpose of this procedure?

Answer 1

To reattach the antero-inferior labrum to the glenoid

Question 2

Who is this procedure for?

Answer 2

• Those with a tear to the antero-inferior labrum

- Those with repeated anterior shoulder dislocations

Question 3

Where is the incision?

Answer 3

Deltopectoral incision

Question 4

Briefly describe what happens

Answer 4

• Holes are made in the glenoid and the labrum is sewn back onto the glenoid

Question 5

What are the main complications?

Answer 5

1. Neurovascular impairment

2. Recurrence of anterior instability

Question 6

Physio: Pre op

Answer 6

Teach scapular stabilization exercises

Question 7

Physio: 0-2 weeks

Answer 7

1. Patient to retain sling for 2 weeks
2. Teach how to remove sling safely for washing and dressing
3. Elbow, wrist and hand exercises
4. Isometric rotator cuff exercises

Question 8

Physio: 2-6 weeks

Answer 8

1. Start active movement exercises (check rotation with surgeon)
2. Do not stretch beyond 45* into lateral rotation
3. Remove sling if no longer needed for pain relief
4. No combined abduction and lateral rotation

Question 9

Physio: 6 weeks

Answer 9

1. Correct abnormal movement patterns
2. Rotator cuff strengthening
3. Scapular stabilization strengthening
4. Start combined abduction and lateral rotation

Question 10

Physio: 12 weeks

Answer 10

1. Full AROM exercises including rotator cuff through ROM

Question 11

Milestones

Answer 11

Week 2:
Pre op level of PROM excluding lateral rotation and abduction

Week 6:
ROM at least 75% of pre op level

Week 14:
Pre Operative ROM in lateral rotation achieved
Full AROM with power