Off-track Hill-Sachs lesions do not increase postoperative recurrent instability after arthroscopic Bankart repair with selective Remplissage procedure

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
In ParkSang-Jin Shin

Abstract

This study aimed to compare clinical outcomes and recurrence rates after arthroscopic Bankart repair with selective Remplissage procedure, between patients with off-track and on-track Hill-Sachs lesions. Patients who underwent arthroscopic Bankart repair with selective Remplissage procedure for recurrent anterior shoulder instability and were followed up for at least 2 years were included. Patients with a glenoid defect greater than 25% were excluded. According to the glenoid track concept, patients were divided into group I (off-track lesions) and group II (on-track lesions). After Bankart repair, an additional Remplissage procedure was performed selectively in patients who sustained engagement of the humeral head. The clinical outcomes and recurrence rates were evaluated. A total of 193 patients (23 in group I and 170 in group II) were enrolled. No significant differences were found in clinical outcomes (n.s.) or recurrence rates (n.s.) between the two groups, despite larger glenoid defects in group I (group I:17.1 ± 6.1%, and group II:13.0 ± 6.4%, P = 0.003). In all patients, the incidence of off-track lesions was not significantly different according to the occurrence of postoperative recurrence (n.s.), whereas the glenoid ...Continue Reading

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Citations

Jun 21, 2019·The Journal of Bone and Joint Surgery. American Volume·In ParkSang-Jin Shin
Jul 28, 2020·Sports Health·Benjamin J LevyRobert A Arciero
Jun 4, 2020·Clinics in Orthopedic Surgery·In ParkSang-Jin Shin
Aug 3, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Felix G E DyrnaFrank Martetschläger
Oct 3, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yun-Jae LeeYong-Min Chun
Feb 7, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Matthew T Provencher, Annalise M Peebles
Apr 27, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mattia LoppiniGiacomo Delle Rose
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Hassanin AlkaduhimiMichel P J van den Bekerom

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