Results of arthroscopic Bankart repair with Hill-Sachs remplissage for anterior shoulder instability

Bonnevialle, Nicolas; Azoulay, Vadim; Faraud, Amélie; Elia, Fanny; Swider, Pascal; Mansat, Pierre

doi:10.1007/s00264-017-3491-5

Cited by 25 publications

(10 citation statements)

References 27 publications

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“…20,21,35,38,51,83 e Arthroscopic soft tissue and remplissage. 9,10,12,25,34,54,58 f Open soft tissue. 3,11,44,59,72,74,77 g Hardware problems: problems involving screw or anchor breaking; screw removal, exchange, or malposition; and coracoid drilling or fixing problems. …”

Section: Resultsmentioning

confidence: 99%

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It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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Background: The surgical treatment of recurrent shoulder instability has evolved in recent years to include a variety of soft tissue and bone block procedures, undertaken with either an open or arthroscopic approach. Although the utilization of such techniques has rapidly expanded, the associated risk of complications remains poorly defined. This information is vital for clinical decision making and patient counseling. Purpose: To quantify the complication rate associated with all types of surgery for anterior glenohumeral joint dislocation. Study Design: Systematic review. Methods: A systematic search was undertaken of studies reporting complications from anterior shoulder stabilization surgery. Inclusion criteria were studies published in English between 2000 and 2017 with a minimum 2-year follow-up. Methodological quality of the included studies was assessed with the Methodological Index for Non-Randomized Studies criteria. Complication rates for all undesirable events contributing to the patient outcome were extracted and cumulative rates calculated. Results: Out of 1942 references, 56 studies were included, totaling 4362 procedures among 4336 patients. Arthroscopic soft tissue repair had a complication rate of 1.6% (n = 2805). When repair was combined with arthroscopic remplissage, the rate was 0.5% (n = 219). Open soft tissue repair had a complication rate of 6.2% (n = 219) and open labral repair with remplissage, a rate of 2.3% (n = 79). An open bone block procedure had a complication rate of 7.2% (n = 573) and an arthroscopic bone block procedure, a rate of 13.6% (n = 163). Conclusion: This large systematic review demonstrates the overall complication rates (not purely recurrence rates) in modern shoulder stabilization surgery. With the growing interest in bone block stabilization procedures, including those performed arthroscopically, surgeons should be aware of the 10-fold increase in complications for these procedures over soft tissue arthroscopic surgery and counsel their patients accordingly.

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Section: Resultsmentioning

confidence: 99%

“…Following quality assessment with the MINORS criteria, 71 the noncomparative studies had a mean score of 12.2 (range, [8][9][10][11][12][13][14] and comparative studies, 18.5 (range, 7-24). Table 1 provides a breakdown of these scores for each surgical procedure.…”

Section: Resultsmentioning

confidence: 99%

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

et al. 2018

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“…Considering the studies, the association of Bankart and Hill-Sachs lesions is common (3,16,17). In their study, Widjaja et al (3) showed a significant correlation between the incidence of Bankart and Hill-Sachs lesions and that the incidence of one lesion increased the incidence of the other 2.67 times.…”

Section: Discussionmentioning

confidence: 99%

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Güven

Saracalıoğlu²

2022

Med Sci Discov

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Objective: Anterior dislocations are common large joint dislocations due to the anatomical structure and mobility of the shoulder joint and are seen in 1-2% of the population. The most common form is a traumatic anterior shoulder dislocation, approximately 90-95%. The lesions accompanying traumatic anterior shoulder dislocation are mostly Bankart and Hill-Sachs lesions, rotator cuff tear, tuberculum major fracture, and neurological injury. This study evaluates osseous, neurological, and soft tissue lesions in traumatic anterior shoulder dislocations. Material and Methods: Eighty-four patients (male:62, female:22) who applied to our center due to traumatic shoulder dislocation between January 2014 and January 2021 were evaluated. Demographic data of the patients and accompanying shoulder circumference lesions were detected. The types of lesions were grouped as isolated and combined. The lesions were diagnosed clinically and radiologically (shoulder radiographs and magnetic resonance imaging (MRI)). Results: The mean age of the patients was 33.4 (18-81) years, 62 were male, and 22 were female. Dislocation-related lesions were detected in 61.1% of the patients. The lesions were seen as isolated and combined. While rotator cuff tears were the most common isolated lesions, Bankart + Hill-Sachs lesions were the most common combined lesions. Conclusion: Isolated or combined lesions accompanying traumatic anterior shoulder dislocations are common and cause shoulder instability when not treated. It is detected by clinical examination and MRI after a dislocation to diagnose associated lesions. We recommend performing a shoulder MRI to detect associated lesions after shoulder dislocation.

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“…However, not all studies on patients with BR with reported postoperative decreases in ROM have shown that the loss was significant compared with ROM at preoperative assessment or on the contralateral side. 2,4,20,21 A systematic review on post-BR outcomes 30 found that 5 of 9 (55.6%) articles reported significant postoperative limitations ( P < .05) in multidirectional ROM compared with ROM at preoperative assessment or on the contralateral side, with the most common loss seen in ER 0 at 9° to 14°. 1,12,18,37,59 Other reports have included 1° to 16° in ER 90 loss 1,18 and 8° to 10.8° in FF.…”

Section: Discussionmentioning

confidence: 99%

Location of the Suture Anchor in Hill-Sachs Lesion Could Influence Glenohumeral Cartilage Quality and Limit Range of Motion After Arthroscopic Bankart Repair and Remplissage

et al. 2020

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Background: No study has reported clinical evidence for cartilage change in the glenohumeral joint or the cause of loss in range of motion (ROM) after arthroscopic Bankart repair with remplissage technique (BR). Purpose: To investigate the postoperative features of glenohumeral joint cartilage, ROM, and anchor placement for remplissage at a minimum of 2 years of follow-up after BR and to analyze the correlations. Study Design: Case-control study; Level of evidence, 3. Methods: A total of 21 patients who underwent BR received follow-up for a minimum of 2 years. At both preoperative assessment and final follow-up, passive shoulder ROM, Oxford Shoulder Instability Score, Simple Shoulder Test score, and Single Assessment Numerical Evaluation score were assessed. All patients underwent 3.0-T magnetic resonance imaging (MRI) examination at final follow-up. The clinical outcomes, glenohumeral cartilage or Hill-Sachs lesion–related MRI parameters, and their potential correlations were analyzed. Results: The mean follow-up was 55.0 months (range, 24-119 months). Compared with preoperative assessment, all functional scores significantly improved ( P < .001). At the final follow-up, a significant ROM loss (>15°) of external rotation (ER) at the side (ER0) was found in 12 patients, among whom 8 patients had significant ROM loss of ER at 90° of abduction as well. Further, 12 patients with decreased ER had significantly higher signal intensity of cartilage on the anterior, middle, and posterior humeral head (anterior, P = .002; middle, P < .001; posterior, P < .001) than 9 patients with normal ER. The ratio of the width of the remplissage anchor to the diameter of the humeral head (w:d ratio) was significantly greater ( P = .031) in the decreased ER group than in the normal ER group. Correlation analysis showed that signal intensity on the posterior humeral head and ER0 loss (ΔER0) had a significantly positive correlation ( r = 0.516; P = .034), while the w:d ratio and ΔER0 had a significantly positive correlation ( r = 0.519; P = .039). Conclusion: At a minimum of 2 years of follow-up, patients who underwent BR showed significant clinical improvement compared with preoperative assessment, except for limitations in ER. The glenohumeral cartilage degeneration (higher signal intensity) after BR had a significantly positive correlation with the postoperative ER loss, which was found to be associated with a relatively medial placement of the remplissage anchor.

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Results of arthroscopic Bankart repair with Hill-Sachs remplissage for anterior shoulder instability

Abstract: Level IV.

Cited by 25 publications

References 27 publications

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

It’s Not All About Redislocation: A Systematic Review of Complications After Anterior Shoulder Stabilization Surgery

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Location of the Suture Anchor in Hill-Sachs Lesion Could Influence Glenohumeral Cartilage Quality and Limit Range of Motion After Arthroscopic Bankart Repair and Remplissage

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