Bankart Repair With Remplissage Restores Better Shoulder Stability Than Bankart Repair Alone, and Medial or Two Remplissage Anchors Increase Stability but Decrease Range of Motion: A Finite Element Analysis

Anterior Shoulder Stabilization Using Single Needle-Assisted Outside-In Remplissage Technique and Bankart Repair

“…When the anchor for remplissage was medially placed or 2 anchors were used concurrently, it was found that the stability of the glenohumeral joint would increase but with a loss in the range of motion. 16 In addition, in a bipolar bone loss model with off-track Hill-Sachs lesions, the remplissage exhibited better capabilities to make the restoring translation and stiffness closer to the intact state. 21 Further, Callegari et al.…”

“…In patients with recurrent anterior shoulder instability, the combination of remplissage along with Bankart repair is reported to significantly reduce the recurrent shoulder dislocation and reoperation rates. 14 , 15 , 16 , 17 , 18 MacDonald et al. 15 concluded that the remplissage procedure had significantly lower rates of redislocation in high-risk patients with Hill–Sachs lesions ≥20 mm and/or ≥15% in size.…”

Arthroscopic All-Inside Remplissage Technique With Knotless Tape Bridge for Hill-Sachs Lesions

“…Published results have shown that Bankart repair plus the remplissage technique achieves greater shoulder stability than Bankart repair alone and that medially placed anchors obtain greater glenohumeral joint stability but with loss of range of motion. 33 …”

Arthroscopic remplissage: history, indications, and clinical outcomes

“…In contrast, the 10.6° difference in internal rotation at 90° of abduction may negatively affect elite athletes who require such movement [ 50 ]. Finally, a finite element analysis by Feng et al [ 51 ] in 2022 compared Bankart repair alone with Bankart repair with remplissage, considering the number and positions of the remplissage anchors. They found that a larger number of anchors and medial positioning were associated with greater shoulder stability, but at the cost of decreased ROM [ 51 ].…”