Arthroscopic Revision Bankart Repair

Arthroscopic revision Bankart repair in Chennai is a surgical procedure that is done to treat recurrent shoulder instability. Patients who have undergone a primary Bankart repair may experience recurrent dislocations, instability, and pain. This may occur due to failed primary surgery, post-operative trauma, or other factors.

Before the revision Bankart repair procedure, the patient will undergo a thorough physical examination and imaging studies, such as MRI, CT scans, and X-rays. These tests help the surgeon identify the extent of the injury, determine the appropriate surgical approach, and plan the rehabilitation program.

For arthroscopic revision Bankart repair in Chennai, the pre-operative preparations mirror those of a primary Bankart repair. The patient will be guided to discontinue specific medications, including blood thinners, minimizing the risk of bleeding during the procedure. Additionally, they will receive instructions to abstain from food or drink for several hours before the surgery to ensure a safe and effective revision process.

Additionally, the patient may need to undergo physical therapy to improve shoulder strength and mobility before the procedure. This can help speed up the post-operative recovery process and improve the overall outcome of the surgery.

Arthroscopic revision Bankart repair in Chennai is a surgical procedure that aims to repair a recurrent dislocation of the shoulder joint after a failed previous Bankart repair. The procedure is performed under general anesthesia, and the patient is positioned in the beach chair or lateral decubitus position.

Arthroscopic revision Bankart repair in Chennai involves several steps. The surgeon makes small incisions around the shoulder joint and inserts an arthroscope, a small camera, to visualize the joint. The surgeon then removes any scar tissue or adhesions that may have formed since the previous surgery. The surgeon also examines the previous repair and identifies any defects or abnormalities that may have contributed to the failure of the previous repair.

The next step is to repair the torn or damaged ligaments that stabilize the shoulder joint. The surgeon may use suture anchors, screws, or other devices to reattach the ligaments to the bone. The surgeon may also use a capsular shift procedure to tighten the joint capsule and improve joint stability.

After the repair is complete, the incisions are closed, and the shoulder is immobilized in a sling. The patient will usually spend one or two nights in the hospital and will need to follow a rehabilitation program to regain strength and mobility in the shoulder joint.

Post-op for Arthroscopic Revision Bankart Repair in Chennai

After undergoing arthroscopic revision Bankart repair in Chennai, the patient is taken to the recovery room, where they are closely monitored for several hours. Pain medications and anti-inflammatory drugs are administered to manage pain and swelling effectively. Additionally, the patient’s arm is carefully placed in a sling to provide support to the shoulder and prevent any abrupt movements that could potentially compromise the integrity of the repaired tissues.

The surgeon will provide specific instructions for postoperative care, including when to start moving the arm, when to remove the sling, and how to perform gentle exercises to prevent stiffness and improve the range of motion. Physical therapy may be recommended to assist in recovery and help restore shoulder function.

The patient should avoid any activities that could strain the shoulder for several weeks following the surgery, including lifting heavy objects or participating in contact sports. The length of the recovery period will depend on the extent of the surgery and the patient’s overall health.

It is important for the patient to attend all follow-up appointments with the surgeon to monitor progress and make any necessary adjustments to the rehabilitation plan. In some cases, additional imaging tests may be ordered to ensure the repair has healed properly.

Rehabilitation following arthroscopic revision Bankart repair involves a progressive program of exercises to help restore shoulder strength, range of motion, and stability. The rehabilitation process is typically divided into several phases.

In the early postoperative phase, the goal is to reduce pain and inflammation and promote healing. Patients are usually advised to keep their arms in a sling for several weeks and avoid any activities that could stress the repaired tissue. Gentle range-of-motion exercises may be started to prevent stiffness and maintain flexibility.

In the second phase, which typically starts at around 4-6 weeks post-surgery, physical therapy exercises are introduced to help regain shoulder strength and improve mobility. These may include scapular stabilization exercises, rotator cuff strengthening exercises, and active range-of-motion exercises.

In the third phase, which usually starts around 8-12 weeks post-surgery, more advanced exercises may be introduced to improve shoulder strength and stability. Patients may also start to work on activities that mimic their normal daily activities, such as throwing or lifting.

The final phase of rehabilitation, which can last up to six months or longer, focuses on returning to full activity and preventing future injury. During this phase, patients continue to work on shoulder strength, stability, and flexibility and gradually return to their previous level of activity under the guidance of their physical therapist.