Técnica de remplissage para defectos humerales grandes. Un estudio a medio plazo de cohortes emparejadas

Ibán, Miguel Ángel Ruiz; Heredia, Jorge Díaz; Díaz, Raquel Ruiz; Ayestarán, Adrián Cuéllar; Mora, Maria Valencia

doi:10.1016/j.reaca.2014.12.003

Cited by 3 publications

(3 citation statements)

References 12 publications

(10 reference statements)

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“…Humeral bone defects have a clear role in the physiopathology of recurrent shoulder instability [7] and in the outcomes of surgery [5, 22]. The remplissage technique was proposed by Purchase and Wolf [20] as a way to manage large Hill‐Sachs lesions and prevent recurrence [23] when used in association with either an arthroscopic Bankart repair [29] or another glenoid bone supplementation technique [9].…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic remplissage with all-suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors

Ibán

Rodriguez

Díaz

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To evaluate with computed tomography (CT) the incidence of implant-related osteolysis after implantation of two types of all-suture anchors during remplissage for the management of Hill-Sachs lesions in shoulder instability. Methods Single-cohort, observational study with a minimum of 12 months follow-up. Twenty-ive participants (19 males and 6 females; mean age 37.4 years [SD: 11.6]) with Hill-Sachs lesions requiring remplissage were evaluated with a CT performed a mean of 14.1 [3.74] months after surgery. Fifty-ive all-suture anchors (19 2.3 mm Iconix and 36 1.7 mm Sutureix) were used. The volume of the bone defects was measured in the CT. Every anchor was classiied into one of four groups: (1) no bone defect. (2) Partial bone defect (bone defects smaller than the drill used for anchor placement). (3) Tunnel enlargement (bone defect larger than the drill volume but smaller than twice that volume). (4) Cystic lesion (bone defect larger twice the drill volume). Results No bone defect was identiied in only two anchors (3.6%, 95% CI 0.4-12.5%). A partial bone defect was found in eight anchors (14.5%, 95% CI 6.5-26.7%). In 35 anchors (63.6%, 95% CI 49.6-76.2%), there was enlargement of the bone defect that was smaller than 200% the size of the drill used. Ten anchors caused bone defects larger than twice the size of the drill used (18.2%, 95% CI 9.1-30.9%). The defect size was a mean of 89 mm 3 (SD: 49 mm 3 , minimum 0 mm 3 , maximum 230 mm 3 ). Conclusion When using all-suture anchors in arthroscopic remplissage during instability surgery, relevant bone osteolytic defects are common at 1-year-follow-up. Cystic defects larger than twice the volume of the resected bone during implantation develop in one in six anchors and signiicant tunnel widening will develop in another three out of ive anchors. This bone loss efectively increases the size and depth of the Hill-Sachs lesions but does not seem to afect short-term clinical outcomes. Level of evidence Level IV.

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Section: Introductionmentioning

confidence: 99%

Arthroscopic remplissage with all-suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors

Ibán

Rodriguez

Díaz

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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“…Ruiz Ibán et al in a paired cohort study compared a group of similar patients with large Hill-Sachs defects that underwent simple Bankart repair with a group of patients in which both procedures were performed. They also reported a decrease in dislocation rate of 17% without finding any differences in range of motion or functional outcome [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

“…Boileau et al reported a loss of external rotation of approximately 10º in their series [ 33 ]. However, when comparing final range of movement after undergoing simple Bankart repair and Bankart repair with an associated remplissage technique, a similar loss of external rotation can be expected in both groups [ 39 ]. This finding could suggest that the loss of external rotation might not be attributed only to this technique.…”

Section: Introductionmentioning

confidence: 99%

Management of Humeral Defects in Anterior Shoulder Instability

Mora¹,

Ibán²,

Heredia³

et al. 2017

Open Orthopaed. J.

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Background:A Hill Sachs lesion is a posterior-superior bony defect of the humeral head caused by a compression of the hard glenoid rim against the soft cancellous bone in the context of an anterior instability episode. The presence of these humeral defects increases with the number of dislocations and larger lesions are associated with a greater chance of development of recurrent instability and recurrence after surgery. Also its location and pattern, in particular the so-called engaging Hill-Sachs, are associated with poor prognosis.Methods:There is a lack of consensus in terms of classification and management algorithm, although lesions greater than 25% of the humeral head had been suggested to need more than a simple Bankart repair to avoid recurrence. The concept of glenoid track has turned the attention to location and shape and not only size of the humeral defect. Moreover, the glenoid bone loss is crucial when choosing a treatment option as it contributes to decrease the glenoid track as well. A thorough revision of treatment options has been performed.Results:Numerous treatment options have been proposed including remplissage, glenoid or humeral head augmentation, bone desimpaction, humeral rotational osteotomy and arthroplasty.Conclusion:Humeral defects treatment should be individualized. Determination of size and location of the defect and its relation with glenoid track is mandatory to achieve satisfactory results.

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Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage

Medélez¹,

Jacobo-Nájera²,

Téllez-Ávila³

et al. 2021

Ortho-Tips

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La dislocación del hombro puede resultar en una variedad de lesiones en donde se ven involucrados los tejidos blandos y óseos de la articulación glenohumeral. Se ha descrito que la lesión de tejido blando más común es un desprendimiento del labrum del borde glenoideo, conocida como lesión de Bankart. 1 Así como se puede presentar una fractura por compresión posterolateral de la cabeza humeral, Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage Experience in treatment of anterior shoulder instability with remplissage technique

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Técnica de remplissage para defectos humerales grandes. Un estudio a medio plazo de cohortes emparejadas

Abstract: Cómo citar este artículo: Ruiz Ibán MA, et al. Técnica de remplissage para defectos humerales grandes. Un estudio a medio plazo de cohortes emparejadas. Rev Esp Artrosc Cir Articul. 2015. http://dx.

Cited by 3 publications

References 12 publications

Arthroscopic remplissage with all-suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors

Arthroscopic remplissage with all-suture anchors causes cystic lesions in the humerus: a volumetric CT study of 55 anchors

Management of Humeral Defects in Anterior Shoulder Instability

Experiencia en el manejo de la inestabilidad anterior de hombro con técnica de remplissage

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