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Chapter 10 Video 1: Double-pulley Remplissage for the Management of Moderate-size Hill-Sachs Lesions

May 02, 2016

Contributors: Jeffrey S Abrams, MD; Lt Col John M Tokish, MD

Humeral bone loss is increasingly recognized as a risk factor for failure after arthroscopic stabilization for anterior shoulder instability. One approach to treat the Hill-Sachs lesion is a "Remplissage" technique. This technique is an arthroscopic equivalent to a "Connolly" procedure where the infraspinatus tendon and posterior capsule is transferred into the Hill-Sachs defect to effectively exclude the defect from the joint and prevent it from engaging. In the accompanying video, we demonstrate a 2 anchor double mattress Remplissage that has the advantage of requiring no suture passing through a single lateral subacromial portal. This technique also obviates the need to place the arthroscope subacromially and results in a strong and reliable adjunct to treating anterior shoulder instability in the setting of a moderate Hill-Sachs lesion

Results for "Advanced Reconstruction: Shoulder 2"

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