Arthroscopic Glenoid Reconstruction, Bone Blocks and Transfers in the Management of Complex Shoulder Instability With Bone Loss: Advanced Concepts and Surgical Techniques: Interactive and Case -Based (AANA22)-Remplissage: Is There Really A Role in Bone Loss Cases

Remplissage: Is There Really A Role in Bone Loss Cases

Video Transcription

Video Summary

In this video, Dr. Ryu discusses arthroscopic Bankart and REM plissage procedures for treating shoulder instability. He emphasizes the importance of patient selection, good surgical technique, and proper fixation. He prefers double loaded knotted anchors for their ability to independently address the capsule and labrum. Dr. Ryu also highlights the significance of the REM plissage technique, which involves filling the Hill-Sachs lesion and reducing engagement to prevent instability. He mentions studies that show positive outcomes and lower complication rates with REM plissage. Dr. Ryu concludes by emphasizing the importance of mobilizing tissue, utilizing proper anchors, tying good knots, and routinely incorporating REM plissage into the procedure.

Asset Caption

Mark H. Getelman, M.D.

Keywords

arthroscopic Bankart procedure

REM plissage procedure

shoulder instability

patient selection

surgical technique