Outcomes of Arthroscopic Remplissage for Shoulder Instability
Author Information
Author(s): Haviv Barak, Mayo Lee, Biggs Daniel
Primary Institution: Hasharon Hospital, Rabin Medical Center
Hypothesis
Arthroscopic remplissage is an effective adjunct to shoulder stabilization in the presence of engaging Hill-Sachs lesions in terms of function and patient satisfaction.
Conclusion
Arthroscopic remplissage for shoulder instability is an effective soft tissue technique to seal a large engaging Hill-Sachs lesion with respect to recurrence rate, range of motion and shoulder function.
Supporting Evidence
- At the last follow-up, significant improvement was observed in both the Simple Shoulder Test and Rowe score with no recurrent dislocations.
- The mean SST improved from 6.6 to 11.
- The mean Rowe Score improved from 10.6 to 85 points.
- On average, patients regained more than 80% of shoulder external rotation.
Takeaway
Doctors can fix a specific shoulder problem called a Hill-Sachs lesion using a special technique that helps people move their shoulders better and prevents them from getting hurt again.
Methodology
This was a prospective follow-up study of patients who underwent arthroscopic surgery for recurrent shoulder instability with a large engaging Hill-Sachs lesion from 2007 to 2009, with evaluations performed pre and post operatively using the Simple Shoulder Test and Rowe score.
Potential Biases
All procedures were performed by the same surgeon, which might not reflect other people's results.
Limitations
The study had a small number of patients and a relatively short follow-up time.
Participant Demographics
All male participants with a mean age of 25.5 years.
Statistical Information
P-Value
<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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