In situations where more than one significant lesion appears in the same joint, combined procedures may be necessary. One of the most common is a combination of a Bankart lesion and a large Hill-Sachs lesion. If an extensive Hill-Sachs lesion is ignored, it may have a negative influence on the outcome. It is not uncommon that Bankart operations fail unexpectedly and the reason may be due to the Hill-Sachs lesion. An extensive Hill-Sachs lesion may prove to be such a problem that even the Latarjet operation may not neutralize the engaging phenomenon. Therefore, a number of combinations of operations may be utilized to achieve the goal: a stable, functional shoulder joint.
Postoperative treatment of labral tissue repairs
The postoperative treatment of labral tissue repairs is similar to most of the reconstructive shoulder operations. The patient wears a sling for four weeks and is permitted to do light rotatory movements and passively lift his/her arm depending on the severity of the pain. The patient can write, use a computer, make coffee, eat, etc. However, the patient must be extremely careful not to harm the reconstruction. The sling is removed after four weeks and active rehabilitation may begin 4–6 weeks after surgery. Taking care not to damage the reconstruction by using the arm too early is crucial. The patient may engage in heavy labor 3 months and sports 4–6 months after surgery.