AANA Shoulder Arthroscopy - August 2024-Remplissage Procedure

Remplissage Procedure_ Technical Tricks to Make it Simple

Video Transcription

Video Summary

This presentation discusses the Remplissage procedure as a technical supplement to arthroscopic Bankart repair for shoulder instability involving Hill-Sachs lesions (compression fractures on the humeral head). Hill-Sachs lesions are common in recurrent shoulder dislocations and often coincide with glenoid bone loss. Remplissage involves advancing the posterior capsule and infraspinatus tendon into the lesion defect to prevent engagement and instability. Clinical studies show it lowers recurrence rates, causes minimal motion loss, and has low complications. It’s indicated mainly for engaging Hill-Sachs lesions with minimal glenoid bone loss and is considered a reliable, less invasive alternative to more complex procedures.

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Larry Field, MD

Keywords

Remplissage procedure

arthroscopic Bankart repair

shoulder instability

Hill-Sachs lesions

glenoid bone loss