
Ryan Gow
Ryan Gao is an orthopaedic shoulder and elbow surgeon at Axis Sports Medicine and Health New Zealand | Waitematā in Auckland, and a guest on The Spin from Axis podcast.
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Sep 23, 2026
Ep. 07 - Shoulder Instability: How Do We Reduce the Risk of Recurrence
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8:47
8:53
9:03
13:08

Mark FulcherHOST
So first up, there are different options, right? So can you tell us about the different options that are available for surgery? And then maybe we'll move on to how you might choose the right operation.

Ryan GowGUEST
I think, you know, Mark, we mentioned at the beginning, we talked about how fortunate we are to practice evidence-based medicine in New Zealand.

Ryan GowGUEST
So I'm all about getting patients better with or without surgery, ideally without surgery.

Ryan GowGUEST
One of my mentors overseas, who's a very prominent shoulder surgeon, taught me that you may not need to operate after the first dislocation, but you should always operate before the second one.

Mark FulcherHOST
So maybe I'll just get you to give us a high-level summary of when you might choose the band cap repair versus when you might choose the leather jacket.