ArticleArthroscopy, sports medicine, and rehabilitation2025
Both Single- and Double-anchor Remplissage Techniques Restore Native Stability in a Cadaveric Model of Hill-Sachs Lesions in Anterior Shoulder Instability.
Article in Arthroscopy, sports medicine, and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
- Arthroscopic Rotator Cuff Remplissage Technique to Limit Soft Tissue Interposition.Arthroscopy techniques · 2026Article
- Arthroscopy-Assisted Percutaneous Hill-Sachs Remplissage Repair.Arthroscopy techniques · 2025Article
- Simplified Double-Pulley Remplissage With Knotless All-Suture Anchor Fixation Using a Digital Subdeltoid Retrieval Method.Arthroscopy techniques · 2025Article
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7 authors.
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Abstract
Purpose: To determine the most effective number and location of fixation points for remplissage of Hill-Sachs lesions (HSL) in a cadaveric model of anterior shoulder instability. Methods: Eleven fresh-frozen cadaveric shoulder specimens were tested. A robot device tested resistance to anterior translation of the humeral head. Eleven shoulder conditions were tested: (1) intact, (2) 15% HSL, (3) 15% HSL with 1 central, (4) 15% HSL with 2 central, (5) 15% HSL with 1 medial, (6) 15% HSL with 2 medial, (7) 30% HSL, (8) 30% HSL with 1 central, (9) 30% HSL with 2 central, (10) 30% HSL with 1 medial, and (11) 30% HSL with 2 medial. Results: All remplissage techniques tested restored peak resistance to at least equal that of the intact shoulder condition. In the small Hill-Sachs condition, the mean peak resistance for 1 central, 2 central, 1 medial, and 2 medial fixation was 41.5, 52.3, 45.1, and 54.8, respectively. In the large Hill-Sachs condition, the mean peak resistance was 41.7, 59.9, 42.6, and 64.43, respectively. Two fixation points provided more resistance than one in both the medial ( Conclusions: All remplissage techniques were able to successfully restore mean peak resistance to anterior translation to the native condition in this cadaveric model. There was not a difference in resistance force between medial wall and central placement for either the single- or double-fixation configurations. Clinical Relevance: This study suggests that one anchor placed either medially or centrally will restore native stability in remplissage for anterior shoulder instability.
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