Arthroscopic Bankart Repair With Remplissage in Anterior Shoulder Instability Results in Fewer Redislocations Than Bankart Repair Alone at Medium-term Follow-up of a Randomized Controlled Trial.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2024;12(21):39 Am J Sports Med. 2024 01-Jul;():. 10.1177/03635465241254063What this means for my practice?
Bankart repair with remplissage significantly reduces redislocation and recurrent instability rates compared to Bankart repair alone in patients with engaging Hill-Sachs lesions, supporting its use for improved medium-term outcomes in shoulder instability. However the study’s reliance on self-reported outcomes and variable follow-up times are limitations.
Study Summary
One hundred and eight patients with recurrent anterior shoulder instability and an engaging Hill-Sachs lesion were randomized to receive either arthroscopic Bankart repair with remplissage (REMP, n=52) or isolated Bankart repair (NO REMP, n=50). The primary outcome was failure, defined as a redislocation, and overall recurrent instability (redislocation or ≥2 subluxations) was also assessed. Outcomes were measured at a mean follow-up of four years. Overall, the study found that the REMP group had significantly lower rates of redislocation and recurrent instability compared to the NO REMP group.
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