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ORIGINAL ARTICLE
Year : 2016  |  Volume : 51  |  Issue : 4  |  Page : 372-376

Arthroscopic remplissage: is it still an option? A report of 51 cases


Department of Orthopedic Surgery, El-Hadara Orthopaedic and Traumatology University Hospital, Alexandria University, Alexandria, Egypt

Correspondence Address:
Mohamed G Morsy
Department of Orthopedic Surgery, El-Hadara Orthopaedic and Traumatology University Hospital, Alexandria University, Alexandria, 21411
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1148.209008

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Introduction The posterolateral humeral head defects can be large and engaging on the anterior glenoid and usually contribute to anterior shoulder instability in 40–90% of cases. The purpose of this study is to evaluate the results of the largest series of patients who underwent arthroscopic remplissage with Bankart repair for recurrent anterior shoulder instability due to associated Bankart lesion with large and engaging (>25% involvement) humeral Hill–Sachs defects (HSDs). Patients and methods In all, 51 patients underwent arthroscopic Bankart repair with remplissage technique for the treatment of recurrent anterior glenohumeral instability with large and medial HSDs. Preoperative imaging in all patients identified Bankart lesion with an associated HSD that involved greater than 25% of the humeral head. Rowe score was used to clinically assess the patients. Results Forty-six patients were male. The mean age of the patients was 28.7 years. The mean follow-up period was 31 months (range: 20–39 months). At the final follow-up, three patients reported recurrence of instability (two dislocations and one sublaxation). The mean Rowe score improved to 95.4 points (function, 45.5 of 50; stability, 26.4 of 30; motion, 8 of 10; pain, 8 of 10). Conclusion Bankart repair with remplissage technique offered satisfactory results and is still considered to be an effective, safe, and reliable procedure for the treatment of glenohumeral instability in cases with large and medial HSDs.


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