Evidence map›Paper›PMID 30374572›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019

Long-term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging Hill-Sachs lesions.

Emmanouil Brilakis, Grigoris Avramidis, Michael-Alexander Malahias, Apostolos Stathellis, Anastasios Deligeorgis, Ioannis Chiotis, Elias Mataragas, Efstathios Chronopoulos, Emmanouil Antonogiannakis

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In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. An Evidence-Based Approach to Indication for Remplissage.Current reviews in musculoskeletal medicine · 2025
    Review
  5. Review
  6. Article
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  10. Long-term outcomes of arthroscopic Bankart repair and Hill-Sachs remplissage for bipolar bone defects.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023
    Article
  11. Article
  12. Article
  13. Article
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  16. Article
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  19. [Research progress of surgical treatment for anterior shoulder dislocation and combined injuries].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Emmanouil Brilakis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece. Emmanuel.Brilakis@gmail.com.
Grigoris Avramidis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Michael-Alexander Malahias3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Apostolos Stathellis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Anastasios Deligeorgis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Ioannis Chiotis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Elias Mataragas3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Efstathios Chronopoulos2nd Orthopaedic Department, National and Kapodistrian University of Athens, Athens, Greece.
Emmanouil Antonogiannakis3rd Orthopaedic Department, Hygeia General Hospital, 30A Str. Aiolou, Palaio Faliro, 175 61, Athens, Greece.
Hygeia Hospital · GRNational and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe evaluation of the long-term outcome of the arthroscopic remplissage performed in addition to the classic Bankart repair for the primary management of recurrent anterior shoulder instability with engaging Hill-Sachs lesion without inverted pear appearance of the glenoid during arthroscopy.

methodsDuring a 6-year period, from 2007 to 2012, 65 patients whose average age was 30.1 ± 7.6 years were operated on in our department and satisfied the inclusion criteria of this study. They all had a positive apprehension sign preoperatively. Among them, 51 patients (82%) were available for long-term evaluation. The mean follow-up period was 8.1 ± 1.8 years (range 5.6-10.6).

resultsThree patients (5.6%) had suffered a new dislocation. The remaining patients (94.4%) were satisfied with the surgical result and returned to their previous daily activities, whereas 71% continued to participate in sports without restrictions. The ASES score increased from 72.5 (range 18-100) preoperatively to 100 (range 85-100) postoperatively (p < 0.01). The modified Rowe score increased from 40 (range 15-70) to 100 (range 70-100) (p < 0.001), and the Oxford Instability score from 29 (range 9-47) to 48 (range 36-48) (p < 0.001). No significant restriction in the shoulder range of motion was documented.

conclusionsThe combination of the arthroscopic remplissage with the classic Bankart repair was proven to be a safe and effective procedure for the treatment of "engaging" Hill-Sachs lesions without inverted pear appearance of the glenoid. This combination has long-term outcomes in terms of the recurrence rate and does not significantly influence the range of motion of the shoulder. LEVEL OF EVIDENCE: Therapeutic Study-Case series with no comparison group, Level IV.

Indexed as

AdolescentAdultArthroplastyArthroscopyBankart LesionsFemaleHumansJoint InstabilityMaleMiddle AgedRange of Motion, ArticularRecurrenceRetrospective StudiesSecondary PreventionShoulderShoulder DislocationArthroscopyEngaging Hill–Sachs lesionsRecurrent anterior shoulder instabilityRemplissageShoulder

Identifiers

PMID30374572
OpenAlexW2898839095

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.