Remplissage technique

Abstract

The engaging Hill-Sachs lesion has been an issue for decades. Over the years, it has been proven that the lesion contributes to the instability of glenohumeral joint, especially when combined with anterior glenoid rim bone loss (Brzóska et al., Knee Surg Sports Traumatol Arthrosc 27(12):3897-3904, 2019). When the loss exceeds 20-25%, appearing during arthroscopy most often as a straight line, the method of choice should be Latarjet procedure. On the contrary, in cases where lesser bony Bankart or Bankart lesion coexists with moderate-to-medium Hill-Sachs lesion, we should take into consideration using simultaneously Bankart repair (or modified Bankart repair-the so-called BLS) along with Remplissage (Wolf and Pollack, Arthroscopy 20:e14-e15, 2004) procedure. The remplissage procedure has proven to be a safe and reliable tool with minor complication rate.