AOSSM Specialty Day 2023 with ISAKOS with CME-6. AOSSM-ISAKOS - Shoulder Instability

6. AOSSM-ISAKOS - Shoulder Instability - Hettrich

Video Transcription

Video Summary

In this video, Carolyn Hetrick discusses arthroscopic labral repair with remplissage indications in 2023. Remplissage is a procedure that involves capsulotinodesis to prevent engagement into the glenoid rim. It can be used for engaging Hill-Sachs lesions. The indications for remplissage have evolved over time, and recent studies have shown its effectiveness in reducing dislocation rates compared to Bankart alone. The amount of glenoid bone loss and patient factors also play a role in deciding the suitability of remplissage. The surgical technique involves standard diagnostic arthroscopy, anchor placement, and securing the sutures in the subacromial space. Proper anchor placement is important to avoid complications in overhead athletes.

Keywords

arthroscopic labral repair

remplissage indications

capsulotinodesis

Hill-Sachs lesions

dislocation rates