Bankart repair with remplissage may yield improved outcomes vs. Bankart repair alone
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Key takeaways:
- Bankart repair with remplissage was associated with improved instability outcomes vs. isolated Bankart repair.
- Repair with remplissage may be warranted for recurrent anterior glenohumeral instability.
Published results showed patients who underwent arthroscopic Bankart repair with remplissage had decreased rates of recurrent instability, dislocations and failures compared with patients who underwent isolated Bankart repair.
Jarret M. Woodmass, MD, FRCS(C), orthopedic surgeon at the Pan Am Clinic in Winnipeg, Canada, and colleagues performed a multicenter, double-blinded randomized controlled trial of patients with recurrent glenohumeral instability who underwent arthroscopic Bankart repair either alone (n = 50) or with remplissage (n = 52). According to the study, outcomes included overall failure rates, defined by redislocations, and overall recurrent instability, defined by redislocation of two or more subluxations.
Overall, patients who underwent repair with remplissage had a 7.7% failure rate (n = 4) at a mean final follow-up of 53.8 months, while patients who underwent isolated repair had a 22% failure rate (n = 11) at a mean final follow-up of 49.3 months. Woodmass and colleagues found overall rates of recurrent instability were 9.6% (n = 5) for patients who underwent repair with remplissage and 30% (n = 15) for patients who underwent isolated repair.
Woodmass and colleagues also noted patients who underwent isolated repair failed earlier and had increased rates of revisions and reoperations vs. those who underwent repair with remplissage.
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