Arthroscopic Bankart Repair
The torn labrum that holds the shoulder in its socket is reattached using suture anchors through keyhole surgery — the definitive procedure for recurrent anterior shoulder dislocations and established instability.
What is Arthroscopic Bankart Repair?
A Bankart lesion is a detachment of the anteroinferior labrum from the glenoid rim — the fibrocartilaginous lip that deepens the shoulder socket and prevents the humeral head from slipping forward. It is the defining injury of anterior shoulder dislocation and rarely heals without surgical intervention. Arthroscopic Bankart repair passes sutures through the detached labrum and secures it back to the glenoid using anchors, rebuilding the soft tissue barrier against recurrent dislocation. Dr. Sai Kishan performs arthroscopic Bankart repair at Lux Hospitals, achieving consistently excellent stability outcomes particularly in younger, active patients with anterior instability.
Indicated for patients with recurrent anterior shoulder dislocations or subluxations, a confirmed Bankart lesion on MRI or CT arthrogram, minimal glenoid bone loss (under 20%), and a clear intent to return to sport or physically demanding activity requiring a stable shoulder.
How the Procedure Works
Anaesthesia & Positioning
General or interscalene block; beach-chair or lateral decubitus position for arthroscopic shoulder access.
Joint Assessment & Bankart Confirmation
Arthroscopy confirms the labral detachment, characterises bone loss, and evaluates tissue quality and the extent of capsular laxity.
Labral Mobilisation & Glenoid Preparation
The detached labrum is mobilised off the glenoid neck; the bony surface is prepared with a burr to promote biological healing of the repair.
Anchor Placement & Suture Passage
Three to four suture anchors are placed along the anterior glenoid rim; sutures are passed through the labrum to reduce it back to the bone.
Suture Tying & Portal Closure
Sutures are tied securely to hold the labrum firmly against the glenoid; portals are closed and a sling is applied.
Outcomes
Who Needs This Treatment?
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Reconstructs the labral bumper that prevents the shoulder slipping from the socket
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Over 90% of appropriately selected patients remain dislocation-free after surgery
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Arthroscopic day-case procedure — minimal incisions and same-day discharge
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Associated biceps or capsular pathology treated in the same operative session
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Fully preserves native glenohumeral anatomy without requiring bone transfer
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Reliable return to contact and overhead sport with appropriate rehabilitation
Bankart repair done well gives a young athlete their shoulder back completely. The right patient, the right technique, and thorough rehabilitation — those three things together produce consistently excellent results.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Arthroscopic Bankart Repair Cost in Hyderabad
The cost of arthroscopic Bankart repair in Hyderabad generally ranges from ₹1,20,000 to ₹2,40,000, with an average estimated cost of ₹1,80,000. The overall expense depends on the severity of shoulder instability, extent of labral damage, number of anchors required, surgical complexity, anesthesia, investigations, hospital stay and postoperative rehabilitation.
| Procedure | Approximate Cost Range |
|---|---|
| Recurrent anterior instability | ₹1,20,000 ₹2,40,000 |
The above figures are approximate estimates and the final cost may vary according to the patient's shoulder condition and treatment requirements. The total expense may include consultation, imaging, preoperative investigations, surgeon and anesthesia charges, arthroscopic equipment, implants or suture anchors, hospital stay, medicines and physiotherapy. Additional procedures required for associated bone or soft-tissue injuries may involve separate charges.
Factors Affecting the Cost of Arthroscopic Bankart Repair
The cost of arthroscopic Bankart repair depends on the extent of shoulder instability, labral damage, implant requirements, surgical complexity, diagnostic investigations, hospital stay and postoperative rehabilitation. Associated shoulder injuries or the need for additional procedures may also increase the overall treatment cost.
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Severity of shoulder instability: Recurrent or longstanding dislocations may involve more extensive damage to the stabilizing structures of the shoulder.
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Labral damage: The size and location of the Bankart lesion can affect the complexity of the repair.
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Suture anchors: The number and type of anchors required for fixation can influence implant-related costs.
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Associated injuries: Bone defects, Hill-Sachs lesions or other soft-tissue injuries may require additional treatment.
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Surgical complexity: More extensive instability or difficult anatomy may increase operating time and surgical requirements.
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Diagnostic investigations: X-rays, MRI and other assessments may be required for accurate treatment planning.
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Anesthesia: Anesthesia charges can vary depending on the procedure duration and patient's medical condition.
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Hospital stay: Admission duration and postoperative monitoring can affect the overall expense.
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Physiotherapy: Rehabilitation after surgery is an important part of recovery and may add to the overall treatment cost.
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Previous surgery: Revision procedures after an earlier stabilization surgery can be more complex and may have additional costs.
Insurance Coverage for Arthroscopic Bankart Repair
Arthroscopic Bankart repair may be covered by health insurance when medically necessary, subject to the terms and conditions of the individual policy. Coverage can vary based on implant limits, policy exclusions, waiting periods, room-rent limits and pre-authorization requirements. Patients should confirm their insurance benefits with the provider before undergoing surgery.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala is a Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, with expertise in orthopedic surgery, arthroscopy, sports medicine and joint replacement. Patients experiencing recurrent shoulder dislocations or instability can consult him for evaluation and treatment planning. During the consultation, the doctor may assess: History and frequency of shoulder dislocations Shoulder stability and range of motion Labral and soft-tissue injuries X-ray and MRI findings Associated bone defects such as Hill-Sachs lesions Previous shoulder surgeries or treatments Suitability for arthroscopic Bankart repair Expected recovery and rehabilitation requirements Based on the clinical examination and imaging findings, the appropriate treatment approach can be planned according to the patient's individual shoulder condition.
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