AANA19 Shoulder Access Pass-Blarney: Remplissage is Here to Stay!-Dr. Felix H. Savoie, M.D.

Video Transcription

Video Summary

In this video, the speaker discusses the concept of "remplissage," a French word meaning to fill. It refers to a surgical technique in which the infraspinatus tendon and posterior capsule are transferred into a defect in the shoulder joint, known as the Hill-Sachs defect. The speaker explains the indications for this procedure, including engaging Hill-Sachs defects and symptoms of instability. They mention that a giant Hill-Sachs defect with glenoid bone loss increases the risk of failure. The video also covers the management of the humerus, such as bone grafting or ignoring the Hill-Sachs defect. The speaker emphasizes the importance of tailoring the approach based on radiographs, CT scans, or arthroscopy. They describe the technique of performing a remplissage, including preparing the humerus, placing an anchor, and tightening the posterior capsule. The advantages of this procedure are discussed, including decreased recurrence rates and maintenance of motion. The speaker concludes by stating that remplissage is beneficial for shoulder instability in patients with mild to moderate bone loss but should be avoided in throwing athletes.

Asset Caption

General Scientific Session: Shoulder Instability 5.2.2019

Meta Tag

Concept Remplissage

Concept Hill-Sachs Lesion

Concept Glenoid Bone Loss

Concept Engaging Hill-Sachs Lesion

Concept Bipolar Bone Loss

Keywords

remplissage

French word

surgical technique

Hill-Sachs defect

shoulder joint

Remplissage

Hill-Sachs Lesion

Glenoid Bone Loss

Engaging Hill-Sachs Lesion

Bipolar Bone Loss