Uploaded January 2026 | Updated September 2026, 2 weeks ago
In this surgical breakdown, we walk through a modern Knotless Bankart Repair using the 1.8‑mm Knotless FiberTak® implant system—showing you how to achieve a strong, low‑profile, and tensionable capsulolabral reconstruction for anterior shoulder instability.
Beginning with a posterior viewing portal and working cannulas, the surgeon demonstrates a targeted percutaneous 5 mm cannula approach that enables precise anchor placement at the inferior glenoid, even for hard‑to‑reach positions.
After thorough labrum mobilization (visualizing subscapular fibers to confirm adequate release), the repair begins with a curved guide and flexible drill to prepare the glenoid face. The 1.8 mm Knotless FiberTak®anchor is inserted through tight corridors, aided by color‑differentiated repair and shuttle sutures to simplify management. The video emphasizes careful suture handling—minimizing twists and abrasion—and shows how to retrieve the repair limb superiorly while leaving the shuttle limb inferiorly for efficient passage.
A key pearl is the suture shuttling and conversion step. Using a counter‑traction (traction) suture and a “floss” technique, the repair limb is converted smoothly into the anchor without tangling, allowing precise tissue capture around the capsule and labrum. Before final set, the surgeon demonstrates grabbing the tissue with a grasper to optimize reduction and contour, then tensioning to restore the capsulolabral junction and create a robust anterior bumper.
Anchor placement typically progresses from low to high—commonly at ~5 o’clock, 4 o’clock, and 3 o’clock—with four anchors used in this case (five for larger tears). Each subsequent anchor spreads load across the construct. The technique’s hallmark is sequential retensioning at the end: after all anchors are placed, the repair sutures are re‑tensioned one by one, often gaining about a millimeter of additional shift and stability across the repair. The final step is clean, centered suture cutting to avoid fraying and maintain a low‑profile repair.
Why this matters: a knotless Bankart construct can reduce knot stacks, improve glide in tight spaces, and streamline workflow—especially with tools like a percutaneous 5 mm cannula, curved guide, and flexible drill. For surgeons, these details can make the difference in tight shoulders; for patients, they support secure fixation with minimal bone resection and a tidy intra‑articular profile.
What you’ll learn in this video:
Portal strategy and percutaneous access for inferior anchor placement
Efficient suture shuttling and conversion using a traction suture
How and why to perform sequential retensioning
Anchor color management tips to avoid suture confusion
Final low‑profile, strong capsulolabral reconstruction pearls
👇 Helpful Arthrex Reference Links:
Arthrex Shoulder Instability (Bankart Repair techniques & solutions): arthrex.com/shoulder/instability
Learn more: arthrex.info/3LENHtT
👍 If this step‑by‑step was helpful, like the video
💬 Drop questions about anchor choice, portal placement, or suture management
🔔 Subscribe for more advanced shoulder repair techniques
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
In this surgical breakdown, we walk through a modern Knotless Bankart Repair using the 1.8‑mm Knotless FiberTak® implant system—showing you how to achieve a strong, low‑profile, and tensionable capsulolabral reconstruction for anterior shoulder instability.
Beginning with a posterior viewing portal and working cannulas, the surgeon demonstrates a targeted percutaneous 5 mm cannula approach that enables precise anchor placement at the inferior glenoid, even for hard‑to‑reach positions.
After thorough labrum mobilization (visualizing subscapular fibers to confirm adequate release), the repair begins with a curved guide and flexible drill to prepare the glenoid face. The 1.8 mm Knotless FiberTak®anchor is inserted through tight corridors, aided by color‑differentiated repair and shuttle sutures to simplify management. The video emphasizes careful suture handling—minimizing twists and abrasion—and shows how to retrieve the repair limb superiorly while leaving the shuttle limb inferiorly for efficient passage.
A key pearl is the suture shuttling and conversion step. Using a counter‑traction (traction) suture and a “floss” technique, the repair limb is converted smoothly into the anchor without tangling, allowing precise tissue capture around the capsule and labrum. Before final set, the surgeon demonstrates grabbing the tissue with a grasper to optimize reduction and contour, then tensioning to restore the capsulolabral junction and create a robust anterior bumper.
Anchor placement typically progresses from low to high—commonly at ~5 o’clock, 4 o’clock, and 3 o’clock—with four anchors used in this case (five for larger tears). Each subsequent anchor spreads load across the construct. The technique’s hallmark is sequential retensioning at the end: after all anchors are placed, the repair sutures are re‑tensioned one by one, often gaining about a millimeter of additional shift and stability across the repair. The final step is clean, centered suture cutting to avoid fraying and maintain a low‑profile repair.
Why this matters: a knotless Bankart construct can reduce knot stacks, improve glide in tight spaces, and streamline workflow—especially with tools like a percutaneous 5 mm cannula, curved guide, and flexible drill. For surgeons, these details can make the difference in tight shoulders; for patients, they support secure fixation with minimal bone resection and a tidy intra‑articular profile.
What you’ll learn in this video:
Portal strategy and percutaneous access for inferior anchor placement
Efficient suture shuttling and conversion using a traction suture
How and why to perform sequential retensioning
Anchor color management tips to avoid suture confusion
Final low‑profile, strong capsulolabral reconstruction pearls
👇 Helpful Arthrex Reference Links:
Arthrex Shoulder Instability (Bankart Repair techniques & solutions): arthrex.com/shoulder/instability
Learn more: arthrex.info/3LENHtT
👍 If this step‑by‑step was helpful, like the video
💬 Drop questions about anchor choice, portal placement, or suture management
🔔 Subscribe for more advanced shoulder repair techniques
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
