0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p > 0.001). The measurements of external and internal rotation at abduction of 90° after the operation were 63.5° (45° to 90°) and 73° (50° to 92°) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation.CONCLUSION: Over the short term, the filling ("remplissage") arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions." />
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Gracitelli ME, Helito CP, Malavolta EA, et al. RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION. Rev Bras Ortop. 2015;46(6):684-90doi: 10.1016/S2255-4971(15)30325-6.
Gracitelli, M. E., Helito, C. P., Malavolta, E. A., Neto, A. A., Benegas, E., Prada, F. d. e. . S., de Sousa, A. T., Assunção, J. H., & Sunada, E. E. (2011). RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION. Revista brasileira de ortopedia, 46(6), 684-90. https://doi.org/10.1016/S2255-4971(15)30325-6
Gracitelli, Mauro Emilio Conforto, et al. "RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION." Revista brasileira de ortopedia vol. 46,6 (2011): 684-90. doi: https://doi.org/10.1016/S2255-4971(15)30325-6
Gracitelli ME, Helito CP, Malavolta EA, Neto AA, Benegas E, Prada Fde S, de Sousa AT, Assunção JH, Sunada EE. RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION. Rev Bras Ortop. 2015 Nov 16;46(6):684-90. doi: 10.1016/S2255-4971(15)30325-6. eCollection 2011. PMID: 27027073; PMCID: PMC4799321.
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Rev Bras Ortop. 2015 Nov 16;46(6):684-90. doi: 10.1016/S2255-4971(15)30325-6. eCollection 2011.

RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION.

Revista brasileira de ortopedia

Mauro Emilio Conforto Gracitelli, Camilo Partezani Helito, Eduardo Angeli Malavolta, Arnaldo Amado Ferreira Neto, Eduardo Benegas, Flávia de Santis Prada, Augusto Tadeu Barros de Sousa, Jorge Henrique Assunção, Edwin Eiji Sunada

Affiliations

  1. Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  2. Resident Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  3. Assistant Physician and Head of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  4. Orthopedist in Training of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
  5. Orthopedists and Preceptors of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.

PMID: 27027073 PMCID: PMC4799321 DOI: 10.1016/S2255-4971(15)30325-6

Abstract

OBJECTIVE: To evaluate the clinical result from the filling ("remplissage") technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation.

METHODS: Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior shoulder dislocation. All of them had a Bankart lesion, associated with a Hill-Sachs lesion showing the "engaging" sign. The Hill-Sachs lesion defect was measured and showed an average bone loss of 17.3% (7.7% to 26.7%) in relation to the diameter of the humeral head. All the cases underwent arthroscopic repair of the Bankart lesion, together with filling of the Hill-Sachs lesion by means of tenodesis of the infraspinatus.

RESULTS: The Rowe score ranged from 22.5 (10 to 45) before the operation to 80.5 (5 to 100) after the operation (p > 0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p > 0.001). The measurements of external and internal rotation at abduction of 90° after the operation were 63.5° (45° to 90°) and 73° (50° to 92°) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation.

CONCLUSION: Over the short term, the filling ("remplissage") arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions.

Keywords: Arthroscopy; Joint Instability; Recurrence; Shoulder Dislocation/epidemiology; Shoulder Dislocation/surgery

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