ArticleJSES reviews, reports, and techniques2026
Remplissage for "on-track" shoulders yields similar overall but different short-term game participation outcomes vs. Bankart repair alone.
Article in JSES reviews, reports, and techniques, 2026. 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 impact of arthroscopic Bankart repair (ABR) alone vs. ABR with remplissage (ABR + R) on athlete return-to-play rates and number of games played after surgery is poorly understood. The objective of this study was to utilize online sports databases to compare number of games played and return-to-play rates between athletes who underwent ABR vs. ABR + R for "on-track" Hill-Sachs lesions (HSLs). We hypothesized that there would be no difference in relative games played nor return-to-play rates post-operatively between patients undergoing ABR vs. ABR + R. Methods: Patients aged 14-40 years with "on-track" HSLs who underwent either ABR or ABR + R between 2007 and 2022 for anterior shoulder instability were retrospectively reviewed. Exclusion criteria included revision surgery, <1-year follow-up, "off-track" HSLs, >20% glenoid bone loss, nonathletes, and missing data in online sports databases. Athletes were queried in online sports databases and games played were recorded the season before and 3 seasons after surgery, if available. The primary outcome was relative change in games played in the seasons after surgery compared to the season before surgery ( Results: Eighty-one patients (ABR: 60 | ABR + R: 21) were included in the analysis, with average age of 18 ± 2 years and average follow-up of 6.5 ± 3.7 years (range, 1.0-14.4 years). "Near-track" HSLs (distance-to-dislocation <10 mm) were present in 20% of the ABR group vs. 76% of the ABR + R group ( Conclusion: Among athletes with "on-track" HSLs, ABR + R resulted in similar long-term game participation and return-to-play rates and compared to isolated ABR alone. Although patients undergoing ABR + R demonstrated fewer relative games played in the first post-operative season, this difference did not persist in subsequent seasons. Remplissage augmentation may therefore have a temporary impact on early post-operative performance without compromising overall return-to-play outcomes.
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