Dr. Devansh Goyal

Shoulder Instability (Dislocation) Surgery - Bankart Repair | Bone Block Procedure | Latarjet Surgery

Shoulder instability occurs when the shoulder joint repeatedly slips out of place due to torn ligaments, bone loss, or previous dislocations. For patients who experience frequent shoulder dislocations or persistent feelings of instability, surgical treatment offers long-term stability, reduced pain, and a safer return to sports and daily activities.

 

Bankart Repair, Bone Block Procedures, and the Latarjet Surgery are the most reliable surgical techniques for restoring shoulder stability and preventing recurrent dislocations.

Understanding Shoulder Instability

The shoulder is the most mobile—and therefore the most unstable—joint in the body. Repeated dislocations can lead to:

  • Labral tears (Bankart lesions)

  • Stretched or damaged ligaments

  • Bone loss on the glenoid (socket) or humeral head

  • Weakness and persistent fear of dislocation

When non-surgical treatments fail, surgical stabilization becomes the best option.

 
1. Bankart Repair (Arthroscopic Stabilization)

 

What It Is

A minimally invasive procedure that repairs the torn labrum and tightens the capsule to prevent the shoulder from slipping out again.

 

Ideal For

  • First-time or early recurrent dislocations

  • Soft-tissue Bankart lesions

  • Athletes with minimal bone loss

  • Young active individuals

How It Works

  • The torn labrum is reattached using suture anchors

  • Stretched ligaments are tightened

  • The normal anatomy of the shoulder is restored

Benefits

  • Minimally invasive (keyhole surgery)

  • Faster recovery and less pain

  • High success rate for soft-tissue instability

  • Maintains natural shoulder anatomy


2. Bone Block Procedure

 

What It Is

A reconstructive surgery used when the socket (glenoid) has lost bone from repeated dislocations. A bone graft is used to rebuild the lost bone, restoring stability.

Ideal For

  • Significant glenoid bone loss

  • Failed previous stabilization surgeries

  • Contact athletes with high risk of re-dislocation

How It Works

  • Bone graft (from iliac crest or distal tibia) is placed onto the deficient glenoid

  • Screws or fixation devices secure the bone block

  • Increases the size and depth of the socket

Benefits

  • Strong, reliable stabilization

  • Dramatically lower recurrence rates

  • Effective even in severe or chronic instability cases


3. Latarjet Surgery

 

What It Is

A specialized bone block procedure where a portion of the coracoid bone is transferred to the front of the shoulder socket to prevent dislocation.

Ideal For

  • High-demand athletes (rugby, kabaddi, weightlifting)

  • Recurrent dislocations with bone loss

  • Patients who failed previous Bankart repairs

  • Chronic shoulder instability

How It Works

  • The coracoid bone and attached muscles are transferred

  • Fixed to the front of the glenoid

  • Provides a triple stability effect:

    1. Bone block increases socket size

    2. Muscle sling prevents the shoulder from slipping

    3. Ligament repair adds reinforcement

Benefits

  • One of the most reliable surgeries for shoulder instability

  • Extremely low recurrence rates

  • Excellent option for contact sports and heavy activity

Signs You May Need Instability Surgery

You may need surgical stabilization if you experience:

  • Repeated shoulder dislocations

  • Feeling of shoulder slipping or “giving way”

  • Pain during throwing or overhead movement

  • Loss of strength and confidence

  • Fear of dislocation during sports

  • Failure to improve with physiotherapy

Diagnosis & Treatment Planning

1. Clinical Evaluation

Assessment of shoulder strength, laxity, dislocation direction, and stability.

 
2. Imaging
  • X-rays to assess bone defects

  • MRI to view labral tears and ligament damage

  • CT scan for accurate bone loss measurement

3. Personalized Surgical Planning

Choice of procedure depends on:

  • Age and activity level

  • Amount of bone loss

  • Type and severity of instability

  • Sport or occupational demands

  • Whether previous surgeries have failed

Benefits of Shoulder Instability Surgery

  • Prevents future dislocations

  • Restores stability and confidence

  • Reduces pain and inflammation

  • Improves strength and shoulder mechanics

  • Allows safe return to sports and physical activity

  • Protects the joint from future damage and arthritis

Rehabilitation & Recovery

After surgery, recovery includes:

  • Sling support for protection

  • Early supervised physiotherapy

  • Gradual strengthening of the rotator cuff and scapular muscles

  • Return to sports in 4–6 months depending on the procedure

A structured rehabilitation plan is essential for long-term success.

Who Benefits the Most?

  • Athletes with shoulder instability

  • Individuals with confirmed tendon or labral tears

  • People with persistent pain unresponsive to therapy

  • Patients with fractures or severe arthritis

  • Those needing improved function for work or sports

Book an Appointment

If frequent shoulder dislocations or instability are affecting your life, a specialist evaluation can help determine the best surgical solution for long-term stability.

 

Schedule your consultation with Dr. Devansh Goyal to

📞 Phone: +91 98765 43210
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