Outcomes of the Remplissage Procedure and Its Effects on Return to Sports: Average Five-Year Follow Up

Garcia, Grant H.; Wu, Hao-Hua; Liu, Joseph K.; Huffman, George J.; Kelly, John

doi:10.1016/j.arthro.2016.03.033

Cited by 29 publications

(71 citation statements)

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“…Non-engaging lesions are considered "on-track" if they fall within the contact zone between the glenoid and humeral head, which results in no engagement with the glenoid rim. 17 To address engaging lesions, several treatment options have been reported including remplissage, [18][19][20][21] reconstruction through use of a humeral head allograft, 22 hemiarthroplasty, and arthroplasty. 15 Furthermore, bony allografts, derived from other joints, have been described as treatment options, including femoral head allografts.…”

Section: Discussionmentioning

confidence: 99%

Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

Provencher

Sánchez

Schantz

et al. 2017

Arthroscopy Techniques

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The treatment of recurrent glenohumeral instability, especially with a concomitant bony lesion, remains challenging. This is especially true in the case of posterior instability given its less common incidence. Moreover, the presence of an engaging reverse Hill-Sachs lesion in combination with posterior instability will result in the need for a more aggressive treatment option. In comparison with a Hill-Sachs lesion, a reverse Hill-Sachs lesion features greater chondral deficiency that must be addressed during treatment. We propose the talus allograft as a potential allograft for treatment of an engaging reverse Hill-Sachs lesion. The superior articular surface of the talus may be used to reconstruct the articular surface of the humeral head. In this technical note, we describe our preferred primary technique for treatment of an engaging reverse Hill-Sachs lesion with recurrent glenohumeral instability through use of a fresh osteochondral talus allograft, as well as discuss the advantages and disadvantages of this allograft option.

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Section: Discussionmentioning

confidence: 99%

Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

Provencher

Sánchez

Schantz

et al. 2017

Arthroscopy Techniques

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“…Wolf et al [23] found only 4% of recurrence at two to tenyear follow-up, even in case of critical glenoid bone defect. More recently, Garcia et al [11] reported a rate of 12% at an average of five year follow-up. Revision surgery and increased preoperative number of dislocations were identified as predictive factors of failure.…”

Section: Discussionmentioning

confidence: 96%

Results of arthroscopic Bankart repair with Hill-Sachs remplissage for anterior shoulder instability

Bonnevialle

Azoulay

Faraud

et al. 2017

International Orthopaedics (SICOT)

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“…Then, in addition to labrum repair, they should consider the options of anterior glenoid reconstruction by means of coracoid transfer (i.e. the Bristow and Latarjet procedures) 31 or iliac bone grafting 32 as well as humeral head reconstruction using the remplissage procedure 33 or by transplantation. 34 The number of complications that patients experience could be used in evaluating the safety of a method.…”

Section: Discussionmentioning

confidence: 99%

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

Uchiyama

Handa

Shimpuku

et al. 2017

Journal of Orthopaedic Surgery

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Purpose: Arthroscopic treatment of shoulder instability has some advantages (including short surgical time, less morbidity, less postoperative pain, reduced hospitalization time, and decreased risk of complications) compared with open procedures. We performed a prospective study comparing open repair with arthroscopic repair for recurrent anterior shoulder instability. The aim was to clarify the relative effectiveness of open Bankart repair plus inferior capsular shift (OBRICS) and arthroscopic Bankart (AB) repair without augmentations with approximately 5 years of follow-up. Methods: We investigated 32 shoulders of 30 patients (24 men and 6 women) undergoing OBRICS (15 shoulders of 17 patients; two patients were bilateral) and AB (15 shoulders of 15 patients). The average follow-up was 5 years and 2.5 months (range: 60-66 months). The clinical evaluation included recurrent instability rate, range of motion, and postoperative rehabilitation. All patients were assessed using the scoring systems of Rowe and the University of California at Los Angeles (UCLA) preoperatively and during the final evaluation. Results: Recurrent instability rates were significantly different between the OBRICS (0%) and AB (26.6%) groups (p ¼ 0.022). There were fewer limitations of external rotation (ER), ER at 90 abduction, and horizontal extension for AB than for OBRICS postoperatively (p < 0.05). The mean Rowe and UCLA scores for both methods were not significantly different at final follow-up. Conclusion: Our data suggest that OBRICS leads to a lower rate of recurrent instability. However, those with AB had fewer ER and horizontal extension limitations.

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Outcomes of the Remplissage Procedure and Its Effects on Return to Sports: Average Five-Year Follow Up

Cited by 29 publications

References 0 publications

Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

Anatomic Humeral Head Reconstruction With Fresh Osteochondral Talus Allograft for Recurrent Glenohumeral Instability With Reverse Hill-Sachs Lesion

Results of arthroscopic Bankart repair with Hill-Sachs remplissage for anterior shoulder instability

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

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