Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure. The goal of this Technical Note is to describe our technique and sequence for accomplishing an arthroscopic "blind-tie" remplissage procedure. In this remplissage technique, the suture anchor sutures placed into the Hill-Sachs defect are tied in a blind fashion over the infraspinatus fascia without direct visualization from within the subacromial space.
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http://dx.doi.org/10.1016/j.eats.2024.103168 | DOI Listing |
Orthop Clin North Am
April 2025
Department of Orthopaedic Surgery, UPMC Freddie Fu Sports Medicine Center, University of Pittsburgh, 3200 South Water Street, Pittsburgh, PA 15203, USA. Electronic address:
The most common surgical treatment options for anterior shoulder instability include the arthroscopic Bankart repair with or without adjunct procedures such as remplissage, the open Bankart repair, the Bristow-Latarjet procedure, and anterior free bone block transfers. The choice between non-operative treatment and 1 of the aforementioned procedures inherently impact the risk of recurrent instability. The purpose of this article is to discuss the timing of surgery in the in-season athlete, evaluate the evolving concept of glenoid and bipolar bone loss, and to discuss various surgical treatment options with a specific focus on minimizing recurrent instability rates following surgical stabilization.
View Article and Find Full Text PDFArthrosc Sports Med Rehabil
February 2025
Department of Orthopedics, Warren Alpert Medical School of Brown University, Providence, Rhode Island, U.S.A.
Purpose: To determine the most effective number and location of fixation points for remplissage of Hill-Sachs lesions (HSL) in a cadaveric model of anterior shoulder instability.
Methods: Eleven fresh-frozen cadaveric shoulder specimens were tested. A robot device tested resistance to anterior translation of the humeral head.
Arthrosc Tech
February 2025
Department of Orthopaedic and Trauma Surgery, UKM Marienhospital, Steinfurt, Germany.
Large Hill-Sachs lesions (HSL) are currently treated via a remplissage procedure. Although the good stabilizing properties of this surgery are apparent, there are some disadvantages in terms of the functional outcome. In the following Technical Note, we present a method of arthroscopic-controlled reduction of HSL for anatomical restoration of the humeral head without functional limitations.
View Article and Find Full Text PDFArthrosc Tech
February 2025
Department of Orthopaedic Surgery, University of California-San Francisco, San Francisco, California, U.S.A.
A common procedure for treatment of Hill-Sachs lesions in the setting of anterior shoulder instability is arthroscopic remplissage. Remplissage consists of using the posterior capsule and infraspinatus tendon to fill the Hill-Sachs lesion and convert it into an extra-articular defect. Previous versions of this technique have not specified the timing in which remplissage and Bankart repair occur and have been performed with the patient in the lateral decubitus position.
View Article and Find Full Text PDFArthrosc Tech
January 2025
Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.
Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!