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Anterior Stabilisation (Bankart Repair) |
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Indications for operation: Traumatic anterior instability |
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Anaesthetic:
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General Anaesthetic with an interscalene block (Fully asleep with
a local anaesthetic injection into the side of the neck will numb the nerves to
the shoulder for post-operative pain relief)
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Operation type:
Arthroscopic or open
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Incisions: |
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If the operation is arthroscopic: 3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.
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If the operation is "open" arthroscopy may be performed first. The incision for
the open operation is a 6cm deltopectoral incision (over the front of the shoulder).
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Procedure:
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With either type of operation the procedure is essentially the same. The gleno-humeral
(shoulder) joint will be inspected first followed by the subacromial bursa and the
rotator cuff. The area where the labrum has become detached will be freshened up
and the labrum re-attached to the glenoid using 2 or 3 sutures secured to the bone
using "suture anchors"
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Wound Closure:
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Small butterfly paper stitches will be used to close the wounds. If the open operation
has been performed a dissolving stitch under the skin will also be used.
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Dressings:
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Elastoplast dressings will be placed over the top of the paper stitches
and an adhesive bandage over the top of this.
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Immediate aftercare: |
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An immobilser sling will be placed on the arm and it may feel numb for
the rest of the day. You can go home when you feel comfortable and will be given
instructions on what to do next.
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