Long-term outcomes of arthroscopic Bankart repair and Hill-Sachs remplissage for bipolar bone defects

Martínez-Catalán, Natalia; Kazum, Efi; Zampeli, Frantzeska; Cartaya, Marco; Cerlier, Alexandre; Valenti, Philippe

doi:10.1007/s00590-022-03237-8

Cited by 12 publications

(5 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All 4 studies involve patients with engaging Hill-Sachs lesions and subcritical glenoid bone loss (<25%). Martinez-Catalan et al 22 reported on 43 patients with a mean age of 29 years and a mean follow-up of 7.3 years (4-11 years). They reported that the rates of redislocation and revision surgery were 9.3% and 13.9%, respectively.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial

Woodmass,

McRae,

Lapner

et al. 2024

Am J Sports Med

View full text Add to dashboard Cite

Background: A multicenter, double-blinded randomized controlled trial comparing isolated Bankart repair (NO REMP) to Bankart repair with remplissage (REMP) reported benefits of remplissage in reducing recurrent instability at 2 years postoperative. The ongoing benefits beyond this time point are yet to be explored. Purpose: To (1) compare medium-term (3 to 9 years) outcomes of these previously randomized patients undergoing isolated Bankart repair (NO REMP) or Bankart repair with remplissage (REMP) to manage recurrent anterior glenohumeral instability; (2) examine the failure rate, overall recurrent instability, and reoperation rate. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: Recruitment and randomization for the original randomized trial occurred between 2011 and 2017. Patients ≥14 years diagnosed with recurrent traumatic anterior shoulder instability with an engaging Hill-Sachs defect of any size were included. Those with a glenoid defect >15% were excluded. In 2020, participants were contacted by telephone and asked standardized questions regarding ensuing instances of subluxation, dislocation, or reoperation on their study shoulder. “Failure” was defined as a redislocation, and “overall recurrent instability” was described as a redislocation or ≥2 subluxations. Descriptive statistics, relative risk, and Kaplan-Meier survival curve analyses were performed. Results: A total of 108 participants were randomized, of whom 50 in the NO REMP group and 52 in the REMP group were included in the analyses in the original study. The mean number of months from surgery to the final follow-up was 49.3 and 53.8 months for the NO REMP and REMP groups, respectively. Failure rates were 22% (11/50) in the NO REMP group versus 8% (4/52) in the REMP group. Rates of overall recurrent instability were 30% (15/50) in the NO REMP group versus 10% (5/52) in the REMP group. Survival curves were significantly different, favoring REMP in both scenarios. Conclusion: For the treatment of traumatic recurrent anterior shoulder instability with a Hill-Sachs lesion and subcritical glenoid bone loss (<15%), a significantly lower rate of overall postoperative recurrent instability was observed with arthroscopic Bankart repair and remplissage than with isolated Bankart repair at a medium-term follow-up (mean of 4 years). Patients who did not receive a remplissage experienced a failure (redislocated) earlier and had a higher rate of revision/reoperation than those who received a concomitant remplissage. Registration: NCT01324531 (ClinicalTrials.gov identifier).

show abstract

Section: Discussionmentioning

confidence: 99%

Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial

Woodmass,

McRae,

Lapner

et al. 2024

Am J Sports Med

View full text Add to dashboard Cite

show abstract

“…Recent studies have shown that bipolar lesions with an anterior glenoid defect less than 25% and an off-track Hill-Sachs lesion may be addressed with capsulolabral reconstruction in addition to the remplissage procedure, with satisfactory results regarding recurrence rate, return to sports, and improvement in pain and shoulder function. 14 , 15 , 19 , 20 , 21 , 22 Similarly, Bankart repair with concomitant remplissage has been compared with the Latarjet procedure for the treatment of bipolar lesions with subcritical glenoid bone loss, with no statistically significant differences found. 23 Furthermore, Horinek et al.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic All-Inside Remplissage Technique With Knotless Tape Bridge for Hill-Sachs Lesions

Hachem,

Molina-Creixell,

Rondanelli S.

et al. 2023

Arthroscopy Techniques

View full text Add to dashboard Cite

“…Numerous studies have explored the clinical outcomes of the remplissage in patients with anterior shoulder instability. Martinez-Catalan et al [ 43 ] described 43 patients treated with arthroscopic Bankart repair and remplissage for bipolar glenoid bone defects with <20% glenoid bone loss. At a minimum 4-year follow-up, the mean Walch-Duplay score was 87.9 and the mean Rowe score was 93.7.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Arthroscopic remplissage: history, indications, and clinical outcomes

Fares,

Daher,

Boufadel

et al. 2024

Clin Shoulder Elb

View full text Add to dashboard Cite

Several surgical procedures have been proposed to address anterior glenohumeral instability, which is one of the most common complaints in the general population. The remplissage, first described in early 2000s, is a procedure performed simultaneously with the arthroscopic Bankart repair to correct large, engaging Hill-Sachs lesions (HSLs). This procedure stabilizes the joint by tenodesing the infraspinatus tendon into the HSL to fill and disengage the defect. This procedure gained popularity because it has relatively low risk and is able to improve shoulder stability while being less invasive than other bone-blocking procedures. The remplissage has become a valuable add-on technique that can substantially improve outcomes in unstable patients undergoing arthroscopic Bankart repair. Nevertheless, several studies in the literature have raised concerns regarding its efficacy in critically unstable patients and the potential range of motion limitations that can arise postoperatively. Additional comparative studies and trials should be conducted to appropriately establish the role of remplissage in treating anterior instability, especially in patients with critical bone loss.

show abstract

Long-term outcomes of arthroscopic Bankart repair and Hill-Sachs remplissage for bipolar bone defects

Cited by 12 publications

References 26 publications

Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial

Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial

Arthroscopic All-Inside Remplissage Technique With Knotless Tape Bridge for Hill-Sachs Lesions

Arthroscopic remplissage: history, indications, and clinical outcomes

Contact Info

Product

Resources

About