Arthroscopic Shoulder Bankart Repair in Hyderabad

Has your shoulder dislocated more than once? sometimes from something as small as turning over in bed, raising your arm, or reaching for a high shelf? Recurrent shoulder dislocation is not just painful and inconvenient, it also progressively damages the joint, weakens the surrounding tissues, and increases your risk of early shoulder arthritis.

At our clinic, we offer advanced arthroscopic Bankart repair in Hyderabad, performed by Dr Karthik Rao, a fellowship-trained orthopaedic and shoulder arthroscopy specialist. Using minimally invasive (keyhole) techniques, we reattach the torn labrum and tighten the shoulder capsule to restore stability. So you can return to sport, fitness, and daily life with full confidence.

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Understanding Shoulder Stability

The shoulder is the most mobile joint in the human body, which is also why it is the most prone to dislocation. The ball of the upper arm bone (humerus) sits in a very shallow socket (glenoid), held in place by a ring of cartilage called the labrum and a strong sleeve of ligaments called the capsule.

When the shoulder dislocates, the labrum and capsule are often torn off the front of the socket. Once torn, they do not heal back on their own and the shoulder remains permanently loose, ready to dislocate again with smaller and smaller forces.

What is a Bankart Lesion?

A Bankart lesion is a specific type of injury where the front-lower (anterior-inferior) part of the labrum is torn off the socket usually after an anterior shoulder dislocation. It is the most common reason for recurrent shoulder instability and is found in the vast majority of patients with repeated dislocations.

In some cases, the injury is more extensive:

• Bony Bankart Lesion — a piece of bone is broken off along with the labrum; needs special attention.
• Hill-Sachs Lesion — a dent on the back of the humeral head from repeated impact; sometimes needs to be addressed at the same time.
• HAGL Lesion — the capsule is torn off the humerus side; needs specialised repair.

Symptoms of Shoulder Instability

• A first traumatic dislocation that needed reduction in the emergency room
• Repeated shoulder dislocations sometimes from minor movements
• Feeling that your shoulder ‘pops out’ or ‘almost comes out’
• Apprehension or fear when raising your arm overhead or behind your back
• Avoiding sport, gym, or overhead activity due to lack of confidence
• Pain or weakness during shoulder movement
• Clicking or catching sensations

If your shoulder has dislocated more than once, please come in for an evaluation. Every additional dislocation damages the joint further and reduces the long-term success of surgery.

Common Causes of Shoulder Dislocation

• Sports injuries — cricket, badminton, wrestling, kabaddi, gym workouts
• Falls onto an outstretched arm
• Road traffic accidents
• Direct impact to the shoulder
• Generalised joint laxity (some people have naturally loose joints)
• Repeated minor instability episodes that progressively damage the labrum

How We Diagnose Shoulder Instability

• Detailed history — number of dislocations, mechanism of injury, age at first dislocation
• Clinical examination — apprehension test, relocation test, sulcus sign, load-and-shift test
• X-rays to look for bony Bankart lesions and Hill-Sachs lesions
• MRI or MR arthrogram — the most accurate test to confirm labral tears
• CT scan in selected cases to assess bone loss

Do All Shoulder Dislocations Need Surgery?

No. The first dislocation in an older, less active patient may be treated successfully with physiotherapy alone. However, we usually recommend surgical stabilisation for:

• Younger patients (under 25–30) — they have the highest re-dislocation rate without surgery
• Anyone with two or more dislocations
• Athletes — especially those involved in contact, overhead, or pivoting sport
• Patients in physically demanding occupations
• Anyone with a documented Bankart lesion on imaging
• Patients with apprehension or fear of using the arm normally

What is Arthroscopic Bankart Repair?

Arthroscopic Bankart repair is a minimally invasive (keyhole) shoulder surgery in which we reattach the torn labrum back to the socket using bio-compatible suture anchors. Through 3–4 small incisions, each smaller than a button, we insert a high-definition arthroscope (a tiny camera) and specialised instruments to repair the damage from inside the joint.

Key advantages of arthroscopic Bankart repair:

• Tiny keyhole incisions — typically 5 to 10 mm each
• Minimal damage to surrounding muscles
• Excellent visualisation of the entire shoulder joint
• Reduced post-operative pain
• Lower risk of infection
• Faster rehabilitation and recovery
• Excellent cosmetic result — barely visible scars
• Often performed as a day-care or 1-night-stay procedure

What if There is Bone Loss?

In patients with significant bone loss from repeated dislocations, a simple Bankart repair alone may not be enough. In these cases, we may recommend:

• Arthroscopic Bankart Repair with Remplissage — where the Hill-Sachs lesion is also addressed by filling it with soft tissue.
• Latarjet Procedure — a bone-block transfer using the coracoid process; recommended for significant glenoid bone loss or contact athletes.

We honestly assess the amount of bone loss and recommend the procedure most likely to give you long-term stability.

Why Choose Our Clinic for Bankart Repair in Hyderabad

• Fellowship-Trained Shoulder Arthroscopy Specialist — Dr Karthik Rao is specifically trained in arthroscopic shoulder stabilisation, including complex revision cases.
• Full Spectrum of Stabilisation Options — Bankart repair, Bankart with remplissage, Latarjet, and revision stabilisation — all under one roof.
• Honest, Patient-Centred Decision-Making — we recommend the procedure best suited to your bone loss, sport, and lifestyle.
• Modern Suture-Anchor Techniques — bio-compatible, biomechanically strong anchors for secure healing.
• Sport-Specific Rehabilitation — rehab programmes tailored to your sport, from cricket to badminton to gym training.
• Surgeon-Led Continuity of Care — Dr Karthik Rao personally evaluates, operates, and follows up — no hand-offs.
• Transparent Pricing & Insurance Support — cashless options with all major insurance providers.

Step-by-Step Surgical Procedure

Step 1: Pre-Operative Evaluation

• Detailed clinical examination by Dr Karthik Rao
• MRI or MR arthrogram to confirm the labral tear and assess bone loss
• CT scan in selected cases
• Routine blood tests and anaesthetic fitness check
• Pre-surgery counselling and rehabilitation planning

Step 2: The Surgery

• Performed under general anaesthesia with an interscalene nerve block
• 3 to 4 keyhole incisions (each ~5 mm) made around your shoulder
• Arthroscope provides a clear view of the torn labrum
• The labrum is carefully released, repositioned, and reattached to the socket with bio-compatible suture anchors
• The capsule is tightened to restore normal tension
• Any associated problems are treated in the same sitting
• Procedure duration: typically 60 to 90 minutes

Step 3: Post-Operative Care

• Most of our patients are discharged the same day or the next morning
• Your shoulder is supported in a sling for 4–6 weeks
• Pain control with oral medication and ice therapy
• Gentle elbow, wrist, and hand exercises start within the first week

Recovery & Return-to-Sport Timeline

Successful Bankart repair recovery is paced — the labrum needs time to fully reattach and heal to the bone. Following the rehabilitation programme exactly is the single most important factor in long-term stability.

• Week 0–4: Sling protection, ice therapy, pain control, gentle elbow/wrist/hand exercises.
• Week 4–6: Passive range-of-motion exercises with a physiotherapist; sling continued.
• Week 6–12: Active assisted exercises; sling removed; progressive shoulder mobility.
• Month 3–4: Strengthening exercises begin; return to office work and light driving.
• Month 4–6: Sport-specific training; return to gym and non-contact sport.
• Month 6+: Return to contact, overhead, and pivoting sport — only after passing return-to-sport tests.

Cost of Bankart Repair Surgery in Hyderabad

The cost of arthroscopic Bankart repair in Hyderabad depends on:

• Number of suture anchors required (varies with tear size)
• Whether additional procedures are needed (remplissage, biceps tenodesis, SLAP repair)
• Type of anaesthesia and length of hospital stay
• Anchor brand and quality

Estimated Cost Range: ₹95,000 to ₹2 Lakhs (indicative; Latarjet and complex cases higher).

*We share the final cost after your evaluation. Cashless insurance and EMI options are available with all major providers.