Journal ArticleDOI
Remplissage Repair—New Frontiers in the Prevention of Recurrent Shoulder Instability A 2-Year Follow-up Comparative Study
Francesco Franceschi,Rocco Papalia,Giacomo Rizzello,Edoardo Franceschetti,Angelo Del Buono,Manlio Panascì,Nicola Maffulli,Vincenzo Denaro +7 more
TLDR
Remplissage is a safe, relatively short procedure that allows the surgeon to address large humeral defects with a low postoperative recurrence rate when Bankart lesions are associated with engaging Hill-Sachs defects.Abstract:
Background:An engaging Hill-Sachs lesion is a defect of the humeral head, large enough to cause locking of the humeral head against the anterior corner of the glenoid rim when the arm is at 90° of abduction and more than 30° of external rotation.Hypothesis:When Bankart lesions are associated with engaging Hill-Sachs defects, simultaneous Bankart repair and remplissage provide lower recurrence rates than does Bankart repair alone.Study Design:Cohort study; Level of evidence, 3.Methods:Fifty patients (36 men, 14 women) with combined engaging Hill-Sachs and Bankart lesions were evaluated, before and after arthroscopic management, at a minimum follow-up of 2 years. After imaging and arthroscopic assessment, 25 patients underwent remplissage and Bankart repair, and 25 patients received Bankart repair alone. Patients were evaluated using the UCLA, Constant, and Rowe scores, and range of motion was measured using a goniometer. Postoperatively, all patients underwent magnetic resonance imaging to assess the statu...read more
Citations
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Journal ArticleDOI
Effect of three remplissage techniques on tendon coverage and shoulder kinematics: a navigated robotic biomechanical study
Chung Hui James Tan,Tim Saier,Constantin von Deimling,Frank Martetschläger,Philipp Minzlaff,Matthias J. Feucht,Horazio Martinez,Sepp Braun,Andreas B. Imhoff,Rainer Burgkart +9 more
TL;DR: Long-term success of the remplissage procedure can possibly be enhanced by increasing the interface area of tendon coverage over the Hill-Sachs defect.
Journal ArticleDOI
Hill-Sachs remplissage, an arthroscopic solution for the engaging Hill-Sachs lesion: 2- to 10-year follow-up and incidence of recurrence
Eugene M. Wolf,Afshin Arianjam +1 more
TL;DR: This procedure provides an effective arthroscopic approach in those cases of anterior shoulder instability that present with the combination of glenoid bone loss (grade IIIA) and a Hill-Sachs lesion.
Journal ArticleDOI
Outcomes of the Remplissage Procedure and Its Effects on Return to Sports: Average Five-Year Follow Up
TL;DR: The results of this retrospective review of patients treated with the remplissage procedure from 2007 to 2013 determine the long-term rate of return to specific sports postoperatively and should be considered preoperatively in candidates for remplISSage who are engaged in throwing sports.
Journal ArticleDOI
Arthroscopic Hill-Sachs remplissage: a systematic review.
TL;DR: Postoperative clinical outcome scores were generally good to excellent following arthroscopic remplissage, further supporting the use of this technique along with Bankart repair in the treatment of glenohumeral instability with a concurrent osseous defect of the humeral head.
Journal ArticleDOI
Remplissage, Humeral Osteochondral Grafts, Weber Osteotomy, and Shoulder Arthroplasty for the Management of Humeral Bone Defects in Shoulder Instability: Systematic Review and Quantitative Synthesis of the Literature
Umile Giuseppe Longo,Mattia Loppini,Giacomo Rizzello,Mauro Ciuffreda,Alessandra Berton,Nicola Maffulli,Vincenzo Denaro +6 more
TL;DR: Arthroscopic remplissage is the safest technique for the management of patients with shoulder instability with humeral bone loss and is associated with a lower rate of recurrence when compared with Bankart repair alone.
References
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Journal ArticleDOI
Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion.
TL;DR: Arthroscopic Bankart repairs give results equal to open Bankart repair if there are no significant structural bone deficits (engaging Hill-Sachs or inverted-pear Bankart lesions).
Journal ArticleDOI
The Bankart procedure: a long-term end-result study.
C R Rowe,D Patel,W W Southmayd +2 more
TL;DR: With the meticulous technique of the Bankart repair as described, postoperative immobilization is not necessary, early return of motion and function can be expected, and resumption of athletic activities with no limitation of shoulder motion is possible for most patients.
Journal ArticleDOI
Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair.
TL;DR: It is found that patients with bone loss or with shoulder hyperlaxity are at risk for recurrent instability after arthroscopic Bankart repair, and at least four anchor points should be used to obtain secure shoulder stabilization.
Journal ArticleDOI
Long-Term Results of the Latarjet Procedure for the Treatment of Anterior Instability of the Shoulder*
TL;DR: The purpose of the study was to determine the prevalence of glenohumeral osteoarthrosis and the factors related to its development after the Latarjet procedure and to review the clinical and radiographic results for fifty-six patients who had been followed for an average of 14.3 years.
Journal ArticleDOI
Results of Modified Latarjet Reconstruction in Patients With Anteroinferior Instability and Significant Bone Loss
Stephen S. Burkhart,Joe F. de Beer,Johannes Barth,Tim Criswell,C.P. Roberts,David P. Richards +5 more
TL;DR: The results of this study show the efficacy of the modified Latarjet procedure in the extremely challenging category of patients who present with such dramatic bone loss that soft-tissue reconstruction, either open or arthroscopic, is not a reasonable option.