AANA/ISAKOS Knee and Shoulder Arthroscopy Course-Online Didactics (April 2024)-Remplissage Procedure

Remplissage Procedure_ Technical Tricks to Make it Simple

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Video Summary

The Remplissage procedure addresses engaging Hill-Sachs lesions in recurrent anterior shoulder instability by advancing the posterior capsule and infraspinatus tendon into the defect, supplementing arthroscopic Bankart repair. Studies show it significantly reduces recurrence rates with minimal motion loss and low complications. Proper identification of Hill-Sachs lesions via imaging is crucial, especially when glenoid bone loss is minimal. Remplissage is ideal for engaging lesions without substantial glenoid damage and has comparable outcomes to other procedures like Latarjet but with fewer complications. Performing Remplissage before Bankart repair optimizes joint stability and surgical efficacy.

Keywords

Remplissage procedure

Hill-Sachs lesions

anterior shoulder instability

arthroscopic Bankart repair

glenoid bone loss