Editorial Commentary: If You Want Your Arthroscopic Bankart Repairs to Be Durable for 10 Years Consider Treating the Hill-Sachs Lesion With Remplissage

Arthroscopy. 2019 May;35(5):1368-1369. doi: 10.1016/j.arthro.2019.02.020.


Shoulder remplissage (capsulotenodesis) fills the Hill-Sachs lesion on the humeral head with the infraspinatus and posterior capsule to prevent engagement of the lesion with the anterior glenoid rim. Remplissage is particularly effective when combined with a Bankart repair for the scenario of minimal to no glenoid bone loss and the presence of a significant Hill-Sachs lesion. Anyone performing shoulder instability surgery should be familiar with the technique of the remplissage procedure and consider using it liberally it when the situation dictates.

Publication types

  • Editorial
  • Comment

MeSH terms

  • Bankart Lesions*
  • Humans
  • Joint Instability*
  • Range of Motion, Articular
  • Shoulder
  • Shoulder Dislocation*
  • Shoulder Joint*