ABSTRACT
PURPOSE: To evaluate shoulder stability, clinical, and functional results more than 6 months after utilizing the 'Remplissage' technique, consisting of an arthroscopic posterior capsulodesis and infraspinatus tenodesis, to fill Hill-Sachs lesions. MATERIALS AND METHODS: Seven patients were followed-up more than 6 months after the 'Remplissage' procedures performed in our hospital from August 2008 to August 2009. The mean age of the patients was 28.6 years and the mean follow-up time was 10 months. Evaluations included ROM, ASES score, KSSI score, ROWE score, and postoperative MRI. RESULTS: In a functional evaluation of the patients with an average postoperative time of 10 months, the ASES score improved from 51.4 preoperatively to 76.8 postoperatively, the KSSI score improved from 46.5 preoperatively to 76 postoperatively, and the ROWE score improved from 43.5 preoperatively to 76.3 postoperatively. After an average postoperative time of 10 months, the range of motion was nearly normal (>170 degrees in further flexion, and >45 degrees in external rotation). CONCLUSION: In recurrent shoulder instabilities with large Hill-Sachs lesions, the 'Remplissage' technique resulted in good outcomes in terms of shoulder stability, clinical, and functional results after postoperative times of more than 6 months.
Subject(s)
Humans , Follow-Up Studies , Range of Motion, Articular , Shoulder , TenodesisABSTRACT
The glenohumeral bone deficiency plays an important role in the failure of arthroscopic shoulder stabilization procedures. Recently, several authors have described more novel approaches to treat the engaging Hill-Sachs lesion. Presented the 'Remplissage' technique that consists of an arthroscopic posterior capsulodesis and infraspinatus tenodesis to fill the Hill-Sachs lesion in addition to an arthroscopic Bankart repair. We report an arthroscopic technique in recurrent shoulder instability with large Hill-Sachs lesion with posterior capsulodesis and infraspinatus tenodesis.