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. 2021 Apr;105(1):61-67.
doi: 10.1007/s12306-019-00630-1. Epub 2020 Jan 1.

Clinical and functional outcomes of the remplissage technique to repair anterior shoulder dislocation: average 7 years of follow-up

A C Bitar  1 , M C Fabiani  2 , D G Ferrari  2 , A G P Garofo  2 , B Schor  2 , F O Zorzenoni  3 , M Nico  3 , A R H Scalize  2 , W Castropil  2
Affiliations

Clinical and functional outcomes of the remplissage technique to repair anterior shoulder dislocation: average 7 years of follow-up

A C Bitar et al. Musculoskelet Surg. 2021 Apr.

Abstract

Purpose: The purpose of this work is to report mid- to long-term clinical results, recurrence rates and instability following surgery to repair anterior dislocation of the shoulder by the remplissage technique.

Methods: This was a retrospective case series at a single center with patients with anterior shoulder instability that received surgery using the remplissage technique. Rowe questionnaire, instability complaints, recurrence episodes and return to sport were analyzed.

Results: Of all patients screened, 21 (92.3%) were enrolled and only 2 patients were lost to follow-up. The mean age of the patients at the time of surgery was 27.8y.o., and the mean number of dislocations before surgery was 3.2 episodes. The follow-up average was 83.8 months (range 28-126). No case of postoperative infection was observed. Two patients (9.5%) had recurrent shoulder instability and required reintervention after 18 and 48 months. The average final Rowe score was 92.9 (range 75-100). All patients that played sports before surgery returned to the sport, and 73.7% of them returned to the same activity level.

Conclusion: The remplissage technique applied to repair anterior shoulder dislocation with humeral bone loss presents good results regarding clinical scores, shoulder stability and acceptable rates of return to sports, even in a mid- to long-term follow-up.

Level of evidence: IV.

Keywords: Arthroscopy; Recurrence; Remplissage; Shoulder; Shoulder instability; Surgery.

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