AJSM July 2024 Podcast: Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial
A multicenter, double-blinded randomized
controlled trial comparing isolated Bankart repair (NO REMP) to
Bankart repair with remplissage (REMP) reported benefits of
remplissage in reducing recurrent instability at 2 years
postoperative. The ongoing benefits beyond this time point are yet
to be explored.
In conclusion, for the treatment of traumatic
recurrent anterior shoulder instability with a Hill-Sachs lesion
and subcritical glenoid bone loss (<15%), a significantly lower
rate of overall postoperative recurrent instability was observed
with arthroscopic Bankart repair and remplissage than with isolated
Bankart repair at a medium-term follow-up (mean of 4 years).
Patients who did not receive a remplissage experienced a failure
(redislocated) earlier and had a higher rate of
revision/reoperation than those who received a concomitant
remplissage.
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