Modern concepts in arthroscopic Bankart repair

The purpose of this report is to review recent advances in Bankart repair t hat allow it to be performed arthroscopically. Metallic implants in the for m of staples, screws, or rivets were used initially, but problems with loos ening of implants has prompted development of alternative devices and techn iques. A modified form of the transglenoid suturing technique used in open Bankart repair has been used successfully but is associated with an increas ed risk of soft tissue complications. The use of absorbable tacks avoids so me of the complications associated with this approach, but the ability to a dvance the capsule to reduce the volume is limited. Recently, the use of su ture anchors has been described for arthroscopic Bankart lesion repair. How ever, the ability of these anchoring systems to advance and reduce the caps ular volume is Limited, and the arthroscopic techniques are technically dem anding. One particularly innovative suture anchor system uses a bioabsorbab le suture anchor with an integrated suture passing system. This self-contai ned implant allows multiple passes with suture through the capsule, followe d by attachment to the glenoid with the bioabsorbable anchor. This procedur e allows the capsule to be advanced by passing suture through before it is anchored to the glenoid, thereby reducing capsular volume to help restore s houlder stability.