Recurrent Shoulder Dislocation Surgery

When a shoulder has dislocated more than once, the torn rim of cartilage (labrum) and stretched ligaments at the front of the socket no longer hold the ball in place. Stabilisation surgery reattaches them, or adds a block of bone when the socket edge has worn away.

It greatly reduces the chance of further dislocations and the apprehension that the shoulder will slip. Some outward rotation is usually lost, and no technique fully removes the risk in contact athletes.

What Recurrent Shoulder Dislocation Surgery involves

For an arthroscopic Bankart repair you are positioned sitting up or on your side. Through three small portals, the surgeon frees the labrum, which has usually healed in the wrong place on the neck of the socket, and roughens the bone. Three to five small suture anchors are placed along the front rim and their threads are passed through the labrum and capsule, pulling the tissue up to recreate a bumper. A large dent in the back of the ball (Hill-Sachs lesion) can be filled by stitching the tendon behind into it, called remplissage. In a Latarjet procedure, through a 5 to 7 cm incision at the front, the tip of the coracoid bone with its attached tendon is cut, passed through a split in the subscapularis muscle and fixed with two screws to the front of the socket.

Who is a good candidate for Recurrent Shoulder Dislocation Surgery?

Surgery is advised after repeated dislocations, or after a first dislocation in a young contact athlete, once scans have measured bone loss.

• Two or more dislocations or frequent partial slips
• Age under 25 at first dislocation, where recurrence without surgery is very likely
• Throwing, climbing or collision sport
• Work where a dislocation would be dangerous, such as at height
• Socket bone loss above roughly 15 to 20 percent, pointing towards Latarjet

It is usually not the right choice if:

• Loose jointed people who can dislocate the shoulder at will, who do better with physiotherapy
• Uncontrolled epilepsy, until seizures are managed
• Older patients whose main problem after dislocation is a rotator cuff tear
• Established arthritis of the shoulder

الخيارات التقنية

• Arthroscopic Bankart repair: Keyhole soft tissue repair when bone loss is minimal.
• Bankart with remplissage: Adds filling of the humeral head dent to stop it engaging on the socket rim.
• Latarjet procedure: Coracoid bone transfer for significant bone loss, failed repairs and collision athletes.
• Bone block from the pelvis or donor bone: Alternative when the coracoid is unsuitable or for revision.
• Posterior stabilisation: For the less common backward instability.

ماذا يحدث خلال علاجك

Surgery takes 60 to 120 minutes under general anaesthetic with an interscalene nerve block that numbs the arm for up to a day. Stay is day case or one night. You wake in a sling with the arm against your body.

الإعداد لرحلتك

Plan for 7 to 10 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

The sling stays for 3 to 6 weeks, with pendulum and elbow exercises from the start. Active movement builds from 6 weeks and strengthening from 12 weeks. Driving returns at 6 to 8 weeks. Non contact sport is possible at 3 to 4 months, contact sport and overhead lifting at 5 to 6 months.

• Back to everyday activity: 3 to 6 weeks in a sling
• When results show: Stability felt from 3 months
• How long they last: Durable in about 9 in 10 people

سياسة السلامة والمخاطر والتنقيح

Risks differ between keyhole repair and bone transfer.

• Recurrent instability, about 1 in 10 after arthroscopic repair in young athletes and lower after Latarjet
• Stiffness, especially loss of external rotation
• Nerve injury to the axillary or musculocutaneous nerve, more relevant to Latarjet
• Non-union of the bone block or screw problems
• Anchor pull out or cartilage damage from prominent anchors
• Infection
• Later arthritis, linked both to dislocations and to over tight repairs

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Recurrent Shoulder Dislocation Surgery in Türkiye

Clinic-Y does not publish a single price for Recurrent Shoulder Dislocation Surgery, because the honest figure depends on your case. What moves it:

• Arthroscopic repair versus open bone transfer
• Number of anchors or screws
• CT scan with 3D reconstruction to measure bone loss
• Sling and physiotherapy during your stay

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة