APEX Shoulder Mastering Surgical Techniques for Clinical Success-Remplissage Procedure: Technical Tricks to Make it Simple

Video Transcription

Video Summary

The video discusses the Remplissage procedure, specifically addressing its importance in treating heel sac lesions in recurrent shoulder dislocations. The speaker provides historical background on the understanding of heel sac lesions and their role in surgical failure. They explain that identification and quantification of these lesions is crucial and can be assisted by a careful examination, radiographs, specialty x-ray views, and CT scans. The video explores different management methods for heel sac lesions, including non-anatomic and anatomic procedures. The Remplissage procedure, which involves advancing the posterior capsule and infraspinatus into the defect and securing it with suture anchor fixation, is highlighted as an effective and low-risk method. The video emphasizes that Remplissage should be considered as a supplement to arthroscopic procedures and has shown good outcomes in reducing recurrence rates and minimizing motion loss. The indications for Remplissage are engaging heel sac lesions with no substantial glenoid bone loss. Overall, the video provides an overview of the Remplissage procedure and its benefits. No specific credits are mentioned in the video.

Asset Caption

Larry Field, MD

Keywords

Remplissage procedure

heel sac lesions

shoulder dislocations

surgical management

arthroscopic procedures