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Bankart repair

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Bankart repair

Bankart repair is a surgical procedure designed to address shoulder instability caused by a Bankart lesion. A Bankart lesion is a tear or detachment of the labrum, which is a ring of cartilage surrounding the shoulder socket (glenoid). This type of injury often occurs in the setting of shoulder dislocation, where the humeral head (upper arm bone) dislodges from the glenoid socket. The Bankart repair procedure typically involves the following steps:

1. Assessment: The orthopedic surgeon assesses the extent and location of the Bankart lesion through imaging studies, such as magnetic resonance imaging (MRI) or arthroscopy.

2. Arthroscopy: The surgery is commonly performed arthroscopically, utilizing small incisions and an arthroscope (a small camera) to visualize the inside of the shoulder joint.

3. Labral Repair: The torn or detached labrum is reattached to the glenoid using sutures or anchors. The surgeon may use specialized instruments to access the damaged area and secure the labrum back into its anatomical position.

4. Capsule Repair (Capsulorrhaphy): In some cases, the joint capsule may also be tightened or repaired to enhance shoulder stability.

5. Rehabilitation: After surgery, a rehabilitation program is essential to optimize the healing of the repaired labrum and restore shoulder strength and function. Physical therapy plays a key role in this process.

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Bankart repair is commonly performed for individuals who have experienced recurrent shoulder dislocations or subluxations (partial dislocations) due to a Bankart lesion. The surgery aims to stabilize the shoulder joint, prevent further dislocations, and reduce the risk of long-term complications such as shoulder arthritis.

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Benefits of Bankart Repair:

1. Restoration of Stability: By repairing the torn labrum and stabilizing the joint, Bankart repair helps restore normal shoulder stability, reducing the risk of recurrent dislocations.

2. Prevention of Further Damage: Addressing the Bankart lesion early can prevent ongoing damage to the labrum and surrounding structures, minimizing the risk of additional complications.

3. Minimally Invasive Approach: Arthroscopic techniques are commonly used, resulting in smaller incisions, less postoperative pain, and potentially faster recovery compared to open surgery.

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The decision for Bankart repair is based on factors such as the severity of the labral tear, the patient's age, activity level, and the frequency of shoulder instability episodes. Conservative treatments, such as physical therapy, may be attempted initially, but if these are not successful in preventing recurrent dislocations, surgical intervention may be recommended. As with any surgical procedure, the specific details of the surgery and the rehabilitation plan will depend on the individual patient's condition and the surgeon's recommendations.

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FAQ

Choosing Dr. Praveen Kumar and his team for your orthopedic surgery is a decision grounded in a compelling combination of expertise, experience, and a commitment to excellence. Dr. Praveen stands out as a Consultant Orthopaedic Surgeon with a senior role in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement at Kinder Hospitals in Cochin and Cherthala. His extensive background in Orthopaedics and Trauma Care, coupled with a notable reputation as a highly-skilled arthroscopic surgeon specializing in knee and shoulder surgeries, speaks volumes about his proficiency.

Dr. Praveen's educational journey, including graduation from Thrissur Medical College and completion of MS in Orthopaedics from Mahatma Gandhi Memorial Government Medical College, Indore, reflects a solid academic foundation. Moreover, his Fellowships in Arthroscopic Surgery, Sports Medicine, and Joint Replacement, with international training at The Severance Hospital, Yonsei University, Seoul, showcase a commitment to staying at the forefront of advancements in the field.

The numerous accolades earned by Dr. Praveen, such as the S.G. Krishnan Fellowship in Arthroscopy and Sports Medicine, further attest to his dedication to excellence. His advanced training in Complex Joint Replacements and Revision Joint Replacement surgeries at Maxx Hospital, Chandigarh, and expertise honed through training in Advanced Arthroscopic Shoulder Surgery at international institutions like Prince Wales Hospital, Hong Kong, and ALPS Shoulder Institute, France, underscore his commitment to continuous learning.

Beyond his individual accomplishments, Dr. Praveen leads a team that mirrors his dedication and proficiency. The team at Kinder Hospitals is collectively focused on providing top-notch care in Orthopaedics, Arthroscopy, Sports Medicine, and Joint Replacement. Their collaborative efforts and specialization in a range of orthopedic areas make them a comprehensive choice for patients seeking excellence in musculoskeletal care.

Dr. Praveen's involvement as the consultant Orthopaedic Surgeon for the Kerala Blasters Football Club and his roles as a Sports Medicine Specialist for FFA Football Academy and RS Sports Academy demonstrate not only his expertise in surgical interventions but also his commitment to the broader field of sports medicine.

In summary, choosing Dr. Praveen Kumar and his team ensures access to a highly skilled and experienced orthopedic surgeon, backed by a dedicated team, advanced training, and a commitment to delivering exceptional care. The combination of academic prowess, international exposure, and a passion for advancing orthopedic knowledge positions Dr. Praveen and his team as a compelling choice for those seeking orthopedic surgery of the highest standard.

Bankart repair surgery is typically recommended for individuals facing recurrent shoulder dislocations or instability due to various conditions affecting the glenoid labrum. The major reasons for Bankart repair surgery include:

1. Shoulder Dislocation: The primary indication for Bankart repair is recurrent shoulder dislocation, often resulting from an initial traumatic dislocation episode. The labrum, a ring of cartilage surrounding the shoulder socket (glenoid), can tear during dislocation, leading to instability.

2. Glenoid Labrum Tears: Bankart lesions involve tears in the anterior (front) part of the glenoid labrum. These tears can compromise the stability of the shoulder joint, making it more prone to dislocations.

3. Traumatic Injuries: Bankart lesions are frequently associated with traumatic injuries, such as falls or sports-related incidents, where the shoulder undergoes forceful dislocation. These injuries can cause structural damage to the labrum.

4. Recurrent Dislocations: Individuals who experience repeated shoulder dislocations are at an increased risk of developing Bankart lesions. Repetitive dislocations can further damage the labrum, leading to ongoing shoulder instability.

5. Failed Conservative Treatment: When conservative treatments, such as physical therapy and shoulder-stabilizing exercises, fail to address the recurrent dislocations and associated symptoms, Bankart repair surgery may be considered.

It's crucial to note that the decision to undergo Bankart repair surgery is based on a thorough evaluation by a healthcare professional, considering factors such as the severity of the labral tear, the individual's age, and the overall health of the shoulder joint. Before recommending surgery, conservative treatment options are often explored, but surgery becomes a consideration when these measures prove insufficient.

The timing for discharge after Bankart repair surgery can vary based on individual factors, surgical technique, and hospital policies. Generally, patients can expect a relatively short hospital stay or may even undergo the procedure as an outpatient. Here's a general timeline:

1. Day of Surgery: After the Bankart repair surgery, you will be monitored in the recovery area before being discharged once you are stable. Initial focus will be on pain management and monitoring postoperative recovery.

2. First 24 to 48 Hours: During this period, pain management will continue, and the healthcare team will assess your ability to move and perform basic activities. Physical therapy may begin to aid in the initial stages of rehabilitation.

3. Post-Discharge Rehabilitation: Following hospital discharge, rehabilitation and recovery continue at home or through outpatient physical therapy sessions. Adherence to prescribed exercises and rehabilitation protocols is crucial for optimal recovery.

The decision to discharge a patient is based on various factors, including pain control, mobility, wound healing, and overall medical stability. Before discharge, the healthcare team will provide detailed instructions for home care, including pain management, rehabilitation exercises, and follow-up appointments. Diligent adherence to these instructions is essential for a successful recovery after Bankart repair surgery.

Embarking on the journey of recovery after Bankart Repair Surgery, envision the prospect of seamlessly reintegrating into your professional realm with renewed vigor. For those engaged in sedentary vocations, the prospect of reclaiming your workspace beckons within a conservative 4 to 6 weeks, a testament to the swift orchestration of your triumphant return. Should your professional pursuits involve moderate physicality or upper body movement, anticipate a graceful reentry within 6 to 12 weeks, where each motion resonates with the melody of progress. For individuals in physically demanding professions, the crescendo of your return may unfold over a transformative period of 3 to 6 months, marked by the meticulous sculpting of strength and resilience. As you navigate this dynamic landscape of recovery, guided by the expert choreography of healthcare professionals and the rhythm of tailored rehabilitation, envision a triumphant return to your professional stage. Let the applause be a reflection of your resilience, and the encore, a celebration of your revitalized shoulder stability.