Shoulder instability is a major concern for athletes and active individuals, particularly those who suffer from recurrent dislocations due to Hill-Sachs lesions. Arthroscopic Bankart repair (BR) is a common procedure used to address instability, but in patients with engaging Hill-Sachs defects, the risk of redislocation remains high. Recent research, written by colleagues of Dr. Okoroha, suggests that adding remplissage to BR may significantly lower this risk, improving long-term outcomes for patients.
Study Highlights
Patient Demographics:
This systematic review analyzed seven studies including 837 patients, with 558 undergoing isolated BR and 279 receiving BR with remplissage.
Follow-ups:
All studies included had a minimum follow-up of 24 months, ensuring reliable mid- to long-term outcome data.
Positive Outcomes:
Patients who underwent BR with remplissage experienced a significantly lower rate of instability recurrence compared to those with isolated BR. Additionally, the remplissage group demonstrated increased forward flexion with only a minor limitation in external rotation, while patient-reported outcome scores remained comparable between both groups.
Conclusion
For individuals with an engaging Hill-Sachs lesion, remplissage in combination with arthroscopic Bankart repair presents a compelling option to enhance shoulder stability and reduce redislocation risk. This technique not only maintains good shoulder function but also provides a significant protective effect against future instability episodes.
At Mayo Clinic, located in Minneapolis, Minnesota, we are committed to providing personalized care and innovative treatments to help athletes reach their full potential. To learn more about shoulder instability, shoulder labral tears, and shoulder labral repair, schedule a consultation with Dr. Okoroha today. Seeing patients from Minneapolis, St. Paul, Plymouth, Edina, Minnetonka, Rochester, and Minnesota ensures that athletes receive specialized care aimed at maximizing their athletic performance and long-term shoulder health.
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