Results of arthroscopic Bankart repair with Hill-Sachs remplissage for anterior shoulder instability

International Orthopaedics
Nicolas BonneviallePierre Mansat

Abstract

The aim of this study was to evaluate mid-term outcomes of Bankart repair with Hill-Sachs remplissage (BHSR) and to highlight prognostic factors of failure. Thirty-four patients operated on for anterior shoulder instability with BHSR were enrolled in a prospective non-randomised study. Clinical and radiographic evaluation was performed at 1.5, three, six months and yearly thereafter. Outcome measures included Rowe and Walch-Duplay score. At mean follow-up of 35 months (24-63), the Rowe and Walch-Duplay scores reached respectively 92.7 and 88.2 points. The mean deficit in external rotation was 6° in ER1 and 1° in ER2 (p = 0.4, p = 0.9 respectively). Five patients (14.7%) had a recurrence of instability and three others had a persistent anterior apprehension. In the failure group, the Hill-Sachs lesion was deeper (26% vs 19% of the humeral diameter; p = 0.04) and range of motion at 1.5 months postoperatively was greater. Age at surgery, pre-operative instability severity index score (ISIS), hyperlaxity, type and level of sport, amount of glenoid bone loss had no correlation with failure rate. The rate of failure at mid-term follow-up of BHSR was higher than commonly reported. The premature recovery of range of motion seems to be ...Continue Reading

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Citations

Oct 11, 2017·Current Reviews in Musculoskeletal Medicine·Nathan OlszewskiXinning Li
Dec 12, 2018·The American Journal of Sports Medicine·Huw Lloyd Morgan WilliamsChristopher David Smith
Apr 8, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Miguel Angel Ruiz IbánJorge Díaz Heredia
Dec 29, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Raffaele RussoStefano Viglione

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