AANA19 Shoulder Access Pass-Blarney_ Remplissage is Here to Stay!-Dr. Felix H. Savoie, M.D.

Blarney_ Remplissage is Here to Stay!-Dr. Felix H. Savoie, M.D.

Video Transcription

Video Summary

Remplissage, a French term meaning "to fill," is a surgical technique for addressing engaging Hill-Sachs defects in shoulder instability, especially with less than 20% glenoid bone loss. It involves transferring the infraspinatus tendon and posterior capsule into the defect, making it extra-articular and tightening the posterior inferior glenohumeral ligament (PIGHL). This procedure reduces recurrence rates without significant motion loss by balancing the shoulder's posterior structures, particularly when the posterior capsule is stretched or damaged. While effective in most patients, it is contraindicated in throwing athletes due to potential infraspinatus impairment. Remplissage complements soft tissue repairs and improves overall shoulder stability.

Keywords

Remplissage

Hill-Sachs defect

shoulder instability

infraspinatus tendon transfer

posterior inferior glenohumeral ligament