Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Nov 10:11:1268-1276.
doi: 10.2174/1874325001711011268. eCollection 2017.

Clinical Outcome of Arthroscopic Remplissage as Augmentation During Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability

Ryosuke Miyamoto  1 , Atsushi Yamamoto  1 , Hitoshi Shitara  1 , Tsuyoshi Ichinose  1 , Daisuke Shimoyama  2 , Tsuyoshi Sasaki  1 , Noritaka Hamano  1 , Tsutomu Kobayashi  3 , Toshihisa Osawa  4 , Kenji Takagishi  2
Affiliations

Clinical Outcome of Arthroscopic Remplissage as Augmentation During Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability

Ryosuke Miyamoto et al. Open Orthop J. .

Abstract

Purpose: We aimed to assess functional outcomes and postoperative recurrence rate associated with the remplissage procedure used for bone augmentation with Bankart repair in patients with Hill-Sachs lesions after shoulder dislocation.

Methods: Preoperative computed tomography was performed to check for bony Bankart lesions,calculate the bone defect rate, and estimate the risk for re-dislocation. Functional and clinical scores were assessed preoperatively and at three months, six months, and one year postoperatively.

Results: Between 2011 and 2014, 18 patients (17 male; age at surgery, 29.0±10.4 years; 18 affected shoulders) underwent arthroscopic Bankart repair with arthroscopic remplissage (remplissage group), and 18 sex- and age-matched controls underwent arthroscopic Bankart repair alone (control group). The incidence of bony Bankart lesion and glenoid bone defect was significantly higher in the remplissage group. No complications, re-dislocation, or re-subluxation was noted during or after the operation. Postoperatively, the range of motion and muscular weakness alleviated with time, and the clinical scores improved significantly from the preoperative values. However, the remplissage group showed significantly restricted shoulder flexion, abduction, internal rotation and external rotation even at one year postoperatively. Compared to the control group, the remplissage group showed significantly lower Rowe scores preoperatively, and both Rowe scores and University of California-Los Angeles scale scores remained significantly lower throughout the one-year follow-up.

Conclusion: Despite some restriction of external rotation, remplissage leads to better clinical scores and no recurrence, providing a valid means of augmentation for Bankart repair in high-risk patients with engaged Hill-Sachs lesion.

Keywords: Arthroscopic repair; Bankart lesion; Bankart repair; Hill-Sachs lesion; Remplissage; Shoulder instability.

PubMed Disclaimer

References

    1. Petrera M., Patella V., Patella S., Theodoropoulos J. A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg. Sports Traumatol. Arthrosc. 2010;18(12):1742–1747. doi: 10.1007/s00167-010-1093-5. - DOI - PubMed
    1. Zhang A.L., Montgomery S.R., Ngo S.S., Hame S.L., Wang J.C., Gamradt S.C. Arthroscopic versus open shoulder stabilization: current practice patterns in the United States. Arthroscopy. 2014;30(4):436–443. doi: 10.1016/j.arthro.2013.12.013. - DOI - PubMed
    1. Widjaja A.B., Tran A., Bailey M., Proper S. Correlation between Bankart and Hill-Sachs lesions in anterior shoulder dislocation. ANZ J. Surg. 2006;76(6):436–438. doi: 10.1111/j.1445-2197.2006.03760.x. - DOI - PubMed
    1. Burkhart S.S., De Beer J.F. 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. Arthroscopy. 2000;16(7):677–694. doi: 10.1053/jars.2000.17715. - DOI - PubMed
    1. Di Giacomo G., De Vita A., Costantini A., de Gasperis N., Scarso P. Management of humeral head deficiencies and glenoid track. Curr. Rev. Musculoskelet. Med. 2014;7(1):6–11. doi: 10.1007/s12178-013-9194-7. - DOI - PMC - PubMed

LinkOut - more resources