Anterior Shoulder Stabilization Using Single Needle-Assisted Outside-In Remplissage Technique and Bankart Repair

Yu-Mei Wu; Yi-Fan Xiao; Hang Tang; Yi-Lin Xiong; Wei-Jie Liu; Jia-Hao Meng; Shu-Guang Gao

doi:10.1016/j.eats.2023.102904

Anterior Shoulder Stabilization Using Single Needle-Assisted Outside-In Remplissage Technique and Bankart Repair

Arthrosc Tech. 2024 Feb 1;13(4):102904. doi: 10.1016/j.eats.2023.102904. eCollection 2024 Apr.

Authors

Yu-Mei Wu¹, Yi-Fan Xiao¹, Hang Tang¹, Yi-Lin Xiong¹, Wei-Jie Liu¹, Jia-Hao Meng¹, Shu-Guang Gao^{1

2

3

4}

Affiliations

¹ Department of Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, China.
² Hunan Key Laboratory of Joint Degeneration and Injury, Changsha, Hunan, China.
³ Hunan Engineering Research Center of Osteoarthritis, Changsha, Hunan, China.
⁴ National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, China.

Abstract

Arthroscopic repair of Bankart injury is the first choice for the treatment of anterior shoulder instability. How to avoid recurring shoulder joint dislocation is a challenge, especially when combined with Hill-Sachs lesions. The arthroscopy technology allows for broader vision and less surgical trauma but is limited by a smaller operating space. At present, extensive descriptions about the surgical procedure of arthroscopic Bankart repair have been published. In this Technical Note, we describe the use of remplissage filling with Hill-Sachs lesion combined with Bankart repair to further improve the surgical accuracy and clinical efficacy. In particular, the application of single needle-assisted outside-in remplissage technique and Bankart repair is introduced in detail.