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Remplissage with Bankart repair of Hills-Sachs defects helps reduce recurrence rates
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Patients undergoing arthroscopic Bankart repair and remplissage techniques to treat engaging Hills-Sachs lesions showed good results at the 2-year follow-up, according to recent research.
“Remplissage is a safe, relatively short procedure that allows the surgeon to address large humeral defects with a low postoperative recurrence rate,” Francesco Franceschi, MD, and colleagues stated in the study abstract. “Humeral head large defects predispose to recurrent instability of the shoulder and deserve surgical management,” they wrote.
Twenty-five patients received Bankart repair alone, while 25 additional patients were treated with both Bankart and remplissage techniques, according to the abstract. Franceschi and colleagues recorded the UCLA, Constant and Rowe scores of the patients and used a goniometer to measure their range of motion.
Two years after surgery, patients showed improved scores and active forward elevation, and external and internal rotation were significantly improved compared with the preoperative assessment, according to the abstract. Among the 50 patients studied, 5 patients in the group treated only with Bankart repairs reported a new post-traumatic dislocation.
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