Arthroscopic Bankart Repair With Knotless Anchors in the Lateral Decubitus Position

Arthroscopic stabilization of the glenohumeral joint has become the treatment of choice for the management of anteroinferior instability of the glenohumeral joint. Arthroscopic treatment affords improved visualization of primary pathology and associated lesions, decreased scarring, improved postoperative motion, as well as decreased postoperative pain. The addition of knotless anchors to a surgeon's armory provides stable fixation of the pathologic labrocapsular complex to the glenoid rim without the technical difficulties associated with arthroscopic knot tying and may further avoid complications from the presence of intraarticular knots that may irritate the articular surface. The key to successful surgery remains the identification and treatment of all associated pathology. Accurate portal placement and careful anchor placement are keys to the anatomical restoration of the labrum. Simple as well as more complex suture configurations allow a surgeon to restore the labral height and position.