This article is more than 5 years old. Information may no longer be current.
High rate of return to sports seen after remplissage
Click Here to Manage Email Alerts
At an average of 5 years, the redislocation rate following remplissage among athletes in this study was 11.8%. Investigators also found 95.5% of patients were able to return to full sports participation at an average of 7 months postoperatively, according to recently published results.
Researchers performed a retrospective review for 50 patients who underwent remplissage procedures from 2007 to 2013. Preoperative MRI performed on all patients showed Hill-Sachs lesions according to Rowe criteria and glenoid bone loss. Patient follow-ups were at 2 weeks, 3 months, 6 months, 12 months and 24 months, with an average follow-up of 60.7 months.
Grant H. Garcia
At the final follow-up, patients were given an outcome survey which included the Western Ontario Shoulder Instability Index (WOSI), the American Shoulder and Elbow Surgeons (ASES) score, and questions about sports, employment, physical activities and dislocation events. An assistant measured patients’ range of motion with a goniometer.
Results showed 20% of patients underwent surgery on their shoulders prior to the remplissage procedure. Investigators noted the average WOSI score was 79.5% and the average ASES score was 89.3. Postoperatively, six shoulders had dislocations. Of these, three were traumatic and three were atraumatic.
Researchers found a greater risk for postoperative dislocation in cases with more preoperative dislocations. Patients who underwent revision surgery showed a trend toward higher postoperative dislocation rates. Investigators found the average loss of external rotation was 5.26°. At an average of 7 months postoperatively, 95.5% of patients returned to one sport. Investigators found 81% of patients returned to their previous sport intensity and level.
Overall, 65.5% of patients who played a throwing sport reported problems with throwing and 58.6% reported they could not wind up normally when throwing the ball. For overhead sports, the direct return rates were 100% for volleyball; 69% for basketball; 50% for baseball and 50% for football, according to researchers. ‒ by Monica Jaramillo
Disclosure: The researchers report no relevant financial disclosures.
Click Here to Manage Email Alerts