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Remplissage Procedure for Management of Hill-Sachs Lesions

March 01, 2019

Contributors: Stephen F Brockmeier, MD; Vandan Patel, MD; Anthony P. Trenga, BA; Anthony P. Trenga, BA

Hill-Sachs lesions occur in as many as 70% of patients who sustain a primary anterior shoulder dislocation and are present in as many as 90% of patients who sustain a recurrent shoulder dislocation. Engagement of the defect with the glenoid rim in abduction and external rotation is associated with increased instability and recurrent dislocation and may negatively affect the outcomes of Bankart repair. The use of arthroscopic remplissage for the management of recurrent anterior shoulder instability, which is associated with a return to sports activity rate as high as 90% to 100%, has recently increased in popularity. This video demonstrates the technique for, postoperative management for, and technical pearls of arthroscopic remplissage for the management of Hill-Sachs lesions and recurrent shoulder instability.

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