Author: University of Washington Orthopaedics and Sports Medicine Seattle, WA 2008-08-13
Shoulder instability and shoulder dislocations. treatment of the unstable shoulder:
A Bankart repair is usually successful in stabilizing a shoulder with recurring dislocations. However, sometimes surgery can fail to stabilize the shoulder, either because the repair is not strong enough or because the socket of the shoulder is compromised. In these situations, a contoured bone graft may provide the needed stability by deepening the socket.
Shoulder instability and shoulder dislocations. treatment of the unstable shoulder:
A Bankart repair is usually successful in stabilizing a shoulder with recurring dislocations. However, sometimes surgery can fail to stabilize the shoulder, either because the repair is not strong enough or because the socket of the shoulder is compromised. In these situations, a contoured bone graft may provide the needed stability by deepening the socket.
A Bankart repair is
usually successful in stabilizing a shoulder with recurring
dislocations. However, sometimes surgery can fail to stabilize the
shoulder, either because the repair is not strong enough or because the
socket of the shoulder is compromised. In these situations, a contoured
bone graft may provide the needed stability by deepening the socket.
After
performing a careful history and a clinical examination, a surgeon
experienced in complex reconstructions for instability can determine if
socket deficiency is contributing to the recurrent dislocations of the
shoulder. Patients are most likely to benefit from this surgery if they
are well motivated, in good health and have not been smoking.
The goal of the bone graft surgery is to build up the socket so that it provides more stability for the joint.
The
bone graft is harvested from the iliac crest (hip bone at the belt
line), shaped, and then screwed to the front of the socket. It is placed
outside the capsule of the shoulder so that the bone graft does not rub
directly on the cartilage of the humeral head (the ball of the shoulder
joint).
Anatomically contoured iliac crest grafting is a highly
technical procedure and is best performed by a surgical team who
performs this surgery often. Such a team can maximize the benefit and
minimize the risks. The two-hour procedure is performed under general
(or nerve block) anesthesia. If a shoulder nerve block is used,
additional anesthesia is needed for the graft donor site.
Shoulder
motion is started immediately after the procedure. Patients learn to do
their own physical therapy and are usually discharged three days after
surgery if they are comfortable and have a good range of passive motion.
The recovery of strength and function may continue for up to a year
after surgery.
Surgery for failed surgery for anterior dislocation at the University of Washington
If
you are interested in making an appointment to discuss this procedure,
you can request an appointment using our online referrals website. To
request a referral online, please click here. You can also call 206-598-7416 to make an appointment.