Arthroscopic Stabilization Using Remplissage Technique In Recurrent Shoulder Instability with Large Hill-Sachs Lesion: Minimum Six Months Follow-Up Results.
- Author:
Sang Hun KO
1
;
Kwang Hwan JUNG
;
Hyung Min JEON
;
Han Chang PARK
Author Information
1. Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. jkh2007@uuh.ulsan.kr
- Publication Type:Original Article
- Keywords:
Shoulder;
Recurrent instability;
Hill-Sachs lesion;
Posterior capsulodesis;
Infraspinatus tenodesis
- MeSH:
Follow-Up Studies;
Humans;
Range of Motion, Articular;
Shoulder;
Tenodesis
- From:Journal of the Korean Shoulder and Elbow Society
2010;13(1):47-52
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate shoulder stability, clinical, and functional results more than 6 months after utilizing the 'Remplissage' technique, consisting of an arthroscopic posterior capsulodesis and infraspinatus tenodesis, to fill Hill-Sachs lesions. MATERIALS AND METHODS: Seven patients were followed-up more than 6 months after the 'Remplissage' procedures performed in our hospital from August 2008 to August 2009. The mean age of the patients was 28.6 years and the mean follow-up time was 10 months. Evaluations included ROM, ASES score, KSSI score, ROWE score, and postoperative MRI. RESULTS: In a functional evaluation of the patients with an average postoperative time of 10 months, the ASES score improved from 51.4 preoperatively to 76.8 postoperatively, the KSSI score improved from 46.5 preoperatively to 76 postoperatively, and the ROWE score improved from 43.5 preoperatively to 76.3 postoperatively. After an average postoperative time of 10 months, the range of motion was nearly normal (>170 degrees in further flexion, and >45 degrees in external rotation). CONCLUSION: In recurrent shoulder instabilities with large Hill-Sachs lesions, the 'Remplissage' technique resulted in good outcomes in terms of shoulder stability, clinical, and functional results after postoperative times of more than 6 months.
