Arthroscopic Glenoid Reconstruction, Bone Blocks and Transfers in the Management of Complex Shoulder Instability With Bone Loss: Advanced Concepts and Surgical Techniques: Interactive and Case -Based (AANA22)-Remplissage_ Is There Really A Role in Bone Loss Cases

Remplissage_ Is There Really A Role in Bone Loss Cases

Video Transcription

Video Summary

Dr. Ryu discusses advancements in arthroscopic Bankart repair, emphasizing patient selection based on subcritical bone loss and proper technique to reduce failure rates. He advocates for the addition of remplissage to address Hill-Sachs lesions, improving outcomes regardless of lesion tracking. Dr. Ryu prefers double-loaded knotted anchors for secure fixation and highlights the importance of tissue mobilization and capsular shifts. The remplissage procedure, a capsulodesis of the infraspinatus tendon, effectively fills defects and limits shoulder instability with minimal complications. Ideal patients have less than 10-13.5% bone loss. Overall, meticulous technique and remplissage enhance surgical success in shoulder instability repair.

Asset Caption

Mark H. Getelman, M.D.

Keywords

arthroscopic Bankart repair

subcritical bone loss

remplissage procedure

Hill-Sachs lesions

shoulder instability