2021 AANA/ASES Specialty Session-To Fill? My Indications for Remplissage With Anterior Shoulder Instability

To Fill? My Indications for Remplissage With Anterior Shoulder Instability

Video Transcription

Video Summary

Dr. Mike O'Brien discusses indications for remplissage in anterior shoulder instability, focusing on recurrent instability with glenoid bone loss under 20% and Hill-Sachs defects under 30%. He supports its use as a primary surgery in both on-track and off-track lesions, especially in collision athletes, though cautions with throwers due to potential loss of external rotation. Remplissage lowers recurrence rates compared to Bankart repair alone and has fewer complications than Latarjet. However, Latarjet may be better with glenoid bone loss over 20%, larger Hill-Sachs defects, or revision cases. Proper surgical technique and patient selection are crucial for optimal outcomes.

Asset Caption

Michael J. O’Brien, M.D.

Keywords

remplissage

anterior shoulder instability

glenoid bone loss

Hill-Sachs defect

Bankart repair