Acta Ortopédica Mexicana

Díaz‑Rodríguez B, Martín Guerrero‑Rubio T
Treatment of anterior shoulder instability with remplissage for Hill-Sachs injuries and Bankart injury compared to pure Bankart injuries
Acta Ortop Mex 2019; 33 (3)

Language: Español
References: 11
Page: 162-165
PDF: 95.04 Kb.

[Fulltext - PDF]

ABSTRACT

Background: Anterior shoulder dislocation occurs in more than 90% of the time, the main cause is traumatic, describing two main lesions in this pathology: Bankart’s and Hill-Sachs’s injury, the recurrence rate is not similar in open repair and with a possible advantage of arthroscopic surgery with less loss of movement range, lower risk of subscapular muscle damage, faster return to daily activities and increased patient satisfaction. Objective: Assessing functionality, mobility and stability of the shoulder in patients treated: arthroscopic Bankart repair versus arthroscopic Bankart repair + remplissage. Methods: Clinical records of patients with shoulder instability were reviewed Hill-Sachs and Bankart lesions were doumented; 21 post-surgical patients and were physically examined to evaluate the range of motion, Rowe functional scales and Western Ontario Shoulder Instability Index were used. 13 months of follow up as an average. Results: There was no recurrence of dislocation with either technique, greater satisfaction was observed in the remplissage group; however, the limitation of the motion arc is greater. Conclusion: Both groups reduce instability, control pain and mostly satisfy patients in the 13-month follow-up.


Key words: Remplissage, Hill-Sachs, Bankart, shoulder instability, surgery.


REFERENCES

  1. Frank R, Romeo A. Arthroscopic soft tissue reconstruction in anterior shoulder instability. Orthopade. 2018; 47(2): 121-8.

  2. Ko SH, Cha JR, Lee CC, Hwang IY, Choe CG, Kim MS. The influence of arthroscopic remplissage for engaging Hill-Sachs lesions combined with Bankart repair on redislocation and shoulder function compared with Bankart repair alone. Clin Orthop Surg. 2016; 8(4): 428-36.

  3. Brown M, Wallace A, Lachlan A, Alexander S. Arthroscopic soft tissue procedures for anterior shoulder instability. Open Orthop J. 2017; 11: 979-88.

  4. Park MJ, Tjoumakaris FP, Garcia G, Patel A, Kelly JD. Arthroscopic remplissage with Bankart repair for the treatment of glenohumeral instability with Hill-Sachs lesion. Arthroscopy. 2011; 27(9): 1187-94.

  5. Morsy MG. Arthroscopic remplissage: is it still an option. EFFORT Open Rev. 2017; 2(12): 478-83.

  6. Miyamoto R, Yamamoto A, Shitara H, Ichinose T, Shimoyama D, Sasaki T, et al. Clinical outcome of arthroscopic remplissage as augmentation during arthroscopic Bankart repair for recurrent anterior shoulder instability. Open Orthop J. 2017; 11: 1268-76.

  7. Park I, Lee JH, Hyun HS, Lee TK, Shin SJ. Minimal clinically important differences in Rowe and western Ontario shoulder instability index scores after arthroscopic repair of anterior shoulder instability. J Shoulder Elbow Surg. 2017; 27(4): 579-84.

  8. Vascellari A, Venturin D, Ramponi C, Ben G, Poser A, Rossi A, et al. Psychometric properties of three different scales for subjective evaluation of shoulder pain and dysfunction in Italian patients after shoulder surgery for anterior instability. J Shoulder Elbow Surg. 2018; 27(8): 1497-1504.

  9. Sood M, Ghai A. Functional outcome after arthroscopic management of traumatic recurrent dislocation shoulder using Bankart repair and remplissage techniques. Med J Armed Forces India. 2018; 74(1): 51-6.

  10. García-Germán-Vázquez D, Menéndez-Martínez P, Guijarro-Valtueña A, Viloria-Recio F, García-Rodríguez D, Canillas-del Rey F. Arthroscopic treatment of Hill-Sachs lesions in glenohumeral instability. “remplissage” technique. Acta Ortop Mex. 2014; 28(6): 382-8.

  11. Saliken D, Lavoue V, Trojani C, Gonzalez JF, Boileau P. Combined all-arthroscopic Hill-Sachs remplissage, Latarjet, and Bankart repair in patients with bipolar glenohumeral bone loss. Arthrosc Tech. 2017; 6(5): e2031-7.