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
. 2025 Jul;19(2):99-107.
doi: 10.5704/MOJ.2507.013.

Clinical Outcome of Arthroscopic Bankart Repair and Remplissage in Recurrent Anterior Shoulder Dislocation in Manual Workers

D K Sharma  1 , P Shetty  1 , N Kumar  1 , A Kankane  1 , K Anant  1 , R Jamwal  1
Affiliations

Clinical Outcome of Arthroscopic Bankart Repair and Remplissage in Recurrent Anterior Shoulder Dislocation in Manual Workers

D K Sharma et al. Malays Orthop J. 2025 Jul.

Abstract

Introduction: Recurrent anterior shoulder dislocation is particularly more common among occupations involving the frequent use of the upper limb above shoulder height such as manual labour. The present study aims to investigate outcomes of arthroscopic Bankart repair and Remplissage in manual workers as few studies have been undertaken in this specific subgroup. The arthroscopic Bankart repair and Remplissage in treatment of recurrent anterior shoulder dislocation in manual workers has reduced recurrence rates and improved patient satisfaction.

Materials and methods: A total of 36 patients underwent arthroscopic Bankart with Remplissage for recurrent anterior shoulder dislocation, enrolled between February 2022 to December 2023 considering various inclusion and exclusion criteria. Patients were evaluated in post op period for range of motion, oxford shoulder instability score and visual analogue score for pain at intervals of 6 and 12 months.

Results: All patients enrolled had soft tissue with bony Bankart lesion with mean of glenoid bone loss (%) was 11.75% (±3.15%) and all participants had engaging Hill-Sachs lesion. The mean pre-operative OSIS was 19.56 (±2.17) and mean VAS was 5.53 (±0.56). In the post op evaluation, there was no clinically significant decrease in range of motion with mean loss of external rotation of 3.86 (±1.44) at 12 months. The mean OSIS increased to 41.0 and mean VAS decreased to 2.36 at 12 months follow-up which was statistically significant. There was no incidence of dislocation in post op period of 12 months.

Conclusion: Arthroscopic Bankart repair and Remplissage in recurrent anterior shoulder dislocation in manual workers demonstrates significant improvements in functional outcomes, minimal post-operative range of motion restrictions, and stable shoulders at the 12-month follow-up, highlighting the efficacy and safety of the procedure.

Keywords: Remplissage; arthroscopic Bankart repair; engaging Hill-Sachs lesion; manual labour; recurrent shoulder dislocation.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1:
Fig. 1:
Operative set up showing standard posterior with two anterior portals.
Fig. 2:
Fig. 2:
(a) Arthroscopic view showing anteroinferior labral tear. (b) Arthroscopic view of engaging “off-track” Hill-Sachs lesion over posterosuperolateral humeral head.
Fig. 3:
Fig. 3:
(a) A 5mm Wedge Anchor II with no.2 force fibre was placed over centre of Hill-Sachs lesion through posterior portal. (b) Placement of 3mm Wedge Anchor with no. 2 Force Fibre over anteroinferior Labrum.
Fig. 4:
Fig. 4:
(a) Repair of anteroinferior Labrum and creation of Bumper effect. (b) View showing Infraspinatus tendon tenodesis to create Remplissage.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Varacallo MA, Musto MA, Mair SD. Anterior Shoulder Instability. 2023 Aug 4. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. - PubMed
    1. Sofu H, Gursu S, Kockara N, Oner A, Issin A, Camurcu Y. Recurrent anterior shoulder instability: Review of the literature and current concepts. World J Clin Cases. 2014;2(11):676–82. doi: 10.12998/wjcc.v2.i11.676. doi: - DOI - PMC - PubMed
    1. Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am. 1996;78(11):1677–84. doi: 10.2106/00004623-199611000-00006. doi: - DOI - PubMed
    1. Miyamoto R, Yamamoto A, Shitara H, Ichinose T, Shimoyama D, Sasaki T et al. Clinical Outcome of Arthroscopic Remplissage as Augmentation During Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability. Open Orthop J. 2017;11:1268–76. doi: 10.2174/1874325001711011268. doi: - DOI - PMC - PubMed
    1. Robinson CM, Howes J, Murdoch H, Will E, Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am. 2006;88(11):2326–36. doi: 10.2106/JBJS.E.01327. doi: - DOI - PubMed

LinkOut - more resources