Effectiveness of Arthroscopic Bankart Repair and Remplissage in Treating Shoulder Instability with Hill-Sachs Lesions
Abstract: Introduction: Glenohumeral joint instability is one of the commonest disorders of the shoulder as it has a great range of motion on the expense of stability as referred to the bony configuration of the joint. Instability may be traumatic or atraumatic and uni-directional or multi-directional with wide range of patient complaints from mild pain in micro-instability to obvious dislocation.The most commonly used arthroscopic procedure include filling the humeral head defect by capsulo-tenodesis of the infraspinatus tendon and posterior capsule (Remplissage). Aim: To present our results of Bankart repair and Reimplissage in management of recurrent shoulder instability with Hill-Sachs lesions. Method: 20 young, middle age and fit patients with recurrent anterior shoulder dislocation with combined Bankart lesion and Hill-Sachs lesion. All Hill-Sachs lesions were large or engaging (Calandra grade 3 at time of arthroscopy) and all were managed by arthroscopic Bankart repair combined with Remplissage. Results: When compared to pre-operative ROM, a statistically significant difference was found in the mean increase of anterior elevation by 2?, external rotation (ER) side by 4? and 5? for ER at 90? abduction at final follow-up (p value
Keywords: Shoulder Instability, Remplissage, Hill-Sachs, Bankart
How to Cite?: Dr. Subhada Pattnaik, "Effectiveness of Arthroscopic Bankart Repair and Remplissage in Treating Shoulder Instability with Hill-Sachs Lesions", Volume 14 Issue 2, February 2025, International Journal of Science and Research (IJSR), Pages: 582-587, https://www.ijsr.net/getabstract.php?paperid=SR25209214404, DOI: https://dx.doi.org/10.21275/SR25209214404