gms | German Medical Science

Objectives: The posterolateral humeral head defects can be large and engaging on the anterior glenoid and usually contribute to anterior shoulder instability in 40 to 90% of cases. The purpose of this study is to evaluate the results of the largest series of patients who underwent arthroscopic remplissage with Bankart repair for recurrent anterior shoulder instability due to associated bankart lesion with large and engaging (>25% involvement) humeral Hill-Sachs defects.

Patients and Methods:

51 patients underwent arthroscopic Bankart repair with remplissage technique for the treatment of recurrent anterior glenohumeral instability with large and medial Hill-Sachs defects. Preoperative imaging in all patients identified Bankart lesion with an associated Hill-Sachs defect that involved greater than 25% of the humeral head. Rowe score was used to clinically assess the patients

Results: Forty six patients were male. The mean age of the patients was 28.7 years. The mean follow-up period was 31 months (range,20-39 months). At final follow-up, 3 patients reported recurrence of instability ( 2 dislocations and 1 sublaxation). The mean Rowe score improved to 95.4 points (function, 45.5 of 50; stability, 26.4 of 30; Motion, 8 of 10; pain, 8 of 10).

Conclusion: Arthroscopic remplissage technique and bankart repair offered satisfactory results and still considered to be an effective, safe and reliable procedure for treatment of glenohumeral instability in cases with large and medial Hill-Sachs defects.