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. 2018 Jan;74(1):51-56.
doi: 10.1016/j.mjafi.2017.05.004. Epub 2017 Jun 17.

Functional outcome after arthroscopic management of traumatic recurrent dislocation shoulder using Bankart repair and Remplissage techniques

Munish Sood  1 , Amresh Ghai  2
Affiliations

Functional outcome after arthroscopic management of traumatic recurrent dislocation shoulder using Bankart repair and Remplissage techniques

Munish Sood et al. Med J Armed Forces India. 2018 Jan.

Abstract

Background: Recurrent dislocation shoulder is one of the common shoulder injuries encountered by the orthopedic surgeon in clinical practice. Bankart repair using the arthroscopic method has become one of the standard techniques in the management of recurrent dislocation shoulder. Remplissage technique can be used as adjunct to Bankart repair in certain conditions.

Method: In this case series, we have assessed the functional outcome and return to activity at midterm follow-up after arthroscopic management.

Results: 51 patients with traumatic shoulder dislocation were operated using the shoulder arthroscopic technique. Rowe score improved significantly at the latest follow-up. No major complication was noticed in our case series.

Conclusion: The shoulder arthroscopy procedure requires special instrumentation and expertise. We believe that this is a less invasive and safe procedure and provides an additional tool in the management of instabilities including in cases of complex recurrent dislocation of the shoulder.

Keywords: Bankart lesion; Hill–Sach lesion; Recurrent shoulder dislocation; Remplissage.

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Figures

Fig. 1
Fig. 1
Flow chart showing details of the study.
Fig. 2
Fig. 2
Arthroscopic picture showing Bankart lesion.
Fig. 3
Fig. 3
Preparation of glenoid and Repair of Bankart lesion.
Fig. 4
Fig. 4
Engaging Hill–Sach lesion with 5.5-mm suture anchor in place.
Fig. 5
Fig. 5
Remplissage procedure (Infraspinatus tenodesis).
Fig. 6
Fig. 6
Radiograph showing postoperative status after Bankart repair and Remplissage.
Fig. 7
Fig. 7
Clinical photographs at final follow-up with good functional results.
Fig. 8
Fig. 8
Preop and final outcome on the basis of Rowe score.
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References

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