Don’t forget the open Bankart—Look at the evidence

Despite the progressive use of modern arthroscopic Bankart repair techniques, there are concerning findings that this approach offers inferior outcomes regarding recurrent instability, recurrent dislocation/subluxation, reoperation rates, and persistent capsular laxity. Patients that participate in contact sports, have physically demanding activities or work, aged less than 25 years, or suffering from bone loss or hyperlaxity experience additional risk. We will examine the evidence for the use of the open Bankart today, describe our surgical technique and offer clinical pearls in this chapter.