AOSSM 2022 Annual Meeting Recordings - no 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 presenter discusses the use of arthroscopic repair of capsulolabral complex for recurrent anterior instability in the shoulder. They explain that there is an increased risk of recurrent dislocation after repair in certain patients, such as younger age, participation in competitive sports, hyperlaxity, and glenoid bone loss or Hill Sachs lesion. The presenter introduces the concept of remplissage, which fills in the Hill Sachs defect and prevents engagement phenomena. They discuss the findings of a randomized trial comparing remplissage versus no remplissage in shoulder stabilization, which showed a lower rate of recurrent instability with remplissage. The presenter presents the medium-term outcomes of the patients in the study, showing the benefits of remplissage in preventing recurrence of instability and reoperations.

Asset Caption

Sheila McRae

Keywords

arthroscopic repair

recurrent anterior instability

remplissage

Hill Sachs lesion

shoulder stabilization