Specialized Toolkit Series: Shoulder Instability-Bankart & Remplissage

Video Transcription

Video Summary

The video discusses treating shoulder instability by converting off-track lesions to on-track lesions. It compares bony procedures like the Latergie, which has notable complications, to the soft tissue Remplissage technique that fills the Hill-Sachs defect with infraspinatus tendon. The speaker demonstrates a double-pulley Remplissage method, emphasizing safety and effectiveness, especially in borderline cases with bone loss. Clinical results show low recurrence and minimal motion loss. Studies, including a meta-analysis and comparisons with Latergie, highlight Remplissage’s superior outcomes, fewer complications, and higher return-to-sport rates, making it a reliable option for young athletes and active patients.

Asset Caption

Paul C. Brady, M.D.

Keywords

shoulder instability

Remplissage technique

Hill-Sachs defect

double-pulley Remplissage

bony procedures complications