ArticleJournal of hand and microsurgery2025
Remplissage with Bankart repair in "on track" lesions are safe, re-assuring, and without major complications - a comparative analysis among 80 patients.
Article in Journal of hand and microsurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The current recommendation for remplissage is the 'Off Track' Hill-Sachs lesion. But it is a relatively safe procedure that might reduce the risk of redislocation even in on-track lesions. This study aims to compare and analyse the safety and functional outcomes of Bankart repair without (BR) and with remplissage (BRR) in patients with on-track Hill Sachs lesions without bone loss in the glenoid in a non-athletic population. Methods: This is a retrospective analysis of prospectively collected data in patients who underwent arthroscopic Bankart repair with and without remplissage for on-track Hill Sachs lesion. The outcome scores used were the Oxford and Rowe scores. External rotation deficit and incidence of posterior shoulder pain were noted. Redislocation and re-operation rates, and complications were analyzed. Results: We included 80 patients with a mean age of 28.8 (±7.3) years who underwent arthroscopic Bankart repair with (n = 24) and without remplissage (n = 56) for on-track Hill Sachs lesion. We found that both Oxford score (p < 0.001) and Rowe score (p < 0.001) were significantly higher in the BRR group compared to the BR group at 2-year follow-up. We noted comparable complications between the two groups. Conclusions: Routine utilization of remplissage for 'On Track' Hill Sachs lesion, along with Bankart repair, is safe and results in better functional outcomes and comparable complications. However, longer follow-up is needed to look out for any late complications associated with routine utilization.
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