Editorial Commentary: We Can Do it Better! Technology and Technique Can Improve Bankart Repair Biomechanical Characteristics.

Abstract

Arthroscopic Bankart repair remains a popular treatment option for anterior shoulder instability, but the high reported recurrence rates have led to significant interest in identifying risk factors for failure and refining techniques and implants to improve outcomes. Recently, there has been significant interest in remplissage as an adjunct to Bankart repair, with less focus on repair technique, anchor placement, and anchor type. The use of retensionable anchors and the addition of a posteroinferior anchor have been previously described, but not evaluated in combination, and are simple changes a surgeon can make to their technique and anchor selection to improve biomechanical stability of their repair construct.