Dr. Garcia demonstrates his new technique for arthroscopic biceps tenodesis.

This video from Dr. Grant Garcia features a dedicated presentation on an updated arthroscopic Bankart (anterior labral) repair technique designed to manage recurrent anterior shoulder instability. The procedure focuses on anatomically reattaching the torn labrum to the front of the shoulder socket (glenoid) to prevent the joint from dislocating forward.

The procedure is outlined through the following key steps:

• Visualization & Debridement: Using specialized viewing portals from the back and front-top of the shoulder, Dr. Garcia assesses the displaced anterior labrum. Any loose, frayed tissue or inflamed bursa is debrided to cleanly expose the damaged joint space.
• Creating a Healing Footprint: Dr. Garcia mobilizes the scarred-down labrum away from the front of the bone. He then uses a specialized bone rasp or shaver to lightly abrade the anterior glenoid rim. This creates a raw, bleeding bone bed, which releases the bone marrow cells necessary for the tissue to biologically fuse back to the bone.
• Anchor Insertion: High-strength, low-profile suture anchors are drilled and securely implanted directly along the rim of the bone socket.
• Tissue Passing & Tensioning: Using an arthroscopic suture passer, Dr. Garcia takes precise, robust tissue bites through the detached labrum and the adjacent lower joint capsule. The suture strands are then sequentially tensioned and tightened down flush against the raw bone bed, shifting the tissue back up into its native position.

The final inspection confirms that the posterior tissue barrier is securely restored, eliminating the abnormal backward sliding of the shoulder joint while protecting the native mechanics of the arm.