Reconsidering the Arthroscopic Bankhart

Dr. Charles J. Gatt, Jr. re-evaluates the use of arthroscopic Bankart repair for anterior shoulder instability. The video addresses who the ideal candidate is for this procedure: someone with a first-time dislocation, a non-contact athlete, and no signs of hyperlaxity or significant glenoid bone loss. Dr. Gatt contrasts arthroscopic repair with non-operative treatment, citing studies that show a significant reduction in recurrent instability with surgery. He also introduces the Instability Severity Index Score (ISIS) as a tool to help determine the best surgical approach, noting that a score greater than 6 is associated with a 70% recurrence rate, making the Latarjet procedure a more suitable recommendation in those cases.

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