2022 AOSSM Annual Meeting Recordings with CME-Remplissage Reduces the Risk of Postoperative Recurrent Instability versus Bankart Repair Alone: Medium-term Results from a Randomized Controlled Trial

Remplissage Reduces the Risk of Postoperative Recurrent Instability versus Bankart Repair Alone: Medium-term Results from a Randomized Controlled Trial

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Video Transcription

Video Summary

In this video, the speaker discusses the use of arthroscopic repair of the capsulolabral complex for recurrent anterior instability in the shoulder. They mention the increased risk of recurrent dislocation after repair in younger patients, those who participate in competitive sports, and those with glenoid bone loss or Hill Sachs lesions. The speaker explains the concept of engaging Hill Sachs lesion and the use of arthroscopic remplissage to prevent engagement by making the defect extra articular. They discuss the results of a randomized trial comparing remplissage to no remplissage, showing a difference in recurrent instability in favor of remplissage. The aim of the current study is to compare medium-term outcomes and rates of re-operation in these patients. The speaker presents the demographic details of the two groups and discusses the results, which show a significant difference in dislocation and recurrent instability favoring remplissage. They also note that re-operations were more common in the group that did not undergo remplissage. In summary, remplissage in conjunction with arthroscopic bankart repair leads to a lower risk of recurrent instability and dislocation compared to bankart repair alone. No credits were mentioned in the video.

Asset Caption

Sheila McRae

Keywords

arthroscopic repair

recurrent instability

remplissage

dislocation

re-operations