Specialized Toolkit Series: Shoulder Instability-Remplissage Reduces Recurrent Instability in High-Risk Patients With “On-Track” Hill-Sachs Lesions

Remplissage Reduces Recurrent Instability in High-Risk Patients With “On-Track” Hill-Sachs Lesions

Video Transcription

Video Summary

Dr. Aaron Barrow's study examined whether adding remplissage to arthroscopic labral repair reduces recurrent instability in patients with on-track Hill-Sachs lesions. Analyzing 12-50-year-olds, the study found significantly fewer dislocations in the remplissage group, despite greater bone loss severity. Subgroup analysis revealed contact athletes and "near-track" lesions (small distance to dislocation) benefited most, with recurrence dropping from 67% to 4% in contact athletes with near-track lesions. Although overall patient outcomes did not differ, those high-risk groups showed improved scores with remplissage. The study suggests remplissage may expand its role beyond off-track lesions to selected high-risk on-track cases.

Asset Caption

Aaron E. Barrow, M.D.

Keywords

remplissage

arthroscopic labral repair

on-track Hill-Sachs lesions

recurrent shoulder instability

contact athletes