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Off-track Hill-Sachs lesions do not increase postoperative recurrent instability after arthroscopic Bankart repair with selective Remplissage procedure
- Title
- Off-track Hill-Sachs lesions do not increase postoperative recurrent instability after arthroscopic Bankart repair with selective Remplissage procedure
- Authors
- Park, In; Kang, Jun-Seok; Jo, Yoon-Geol; Kim, Sang-Woo; Shin, Sang-Jin
- Ewha Authors
- 신상진; 박인
- SCOPUS Author ID
- 신상진
- Issue Date
- 2019
- Journal Title
- KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
- ISSN
- 0942-2056
1433-7347
- Citation
- KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY vol. 27, no. 12, pp. 3864 - 3870
- Keywords
- Shoulder; Recurrent instability; Glenoid track; Bipolar; Bone defect; Arthroscopy
- Publisher
- SPRINGER
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Purpose This study aimed to compare clinical outcomes and recurrence rates after arthroscopic Bankart repair with selective Remplissage procedure, between patients with off-track and on-track Hill-Sachs lesions. Methods Patients who underwent arthroscopic Bankart repair with selective Remplissage procedure for recurrent anterior shoulder instability and were followed up for at least 2 years were included. Patients with a glenoid defect greater than 25% were excluded. According to the glenoid track concept, patients were divided into group I (off-track lesions) and group II (on-track lesions). After Bankart repair, an additional Remplissage procedure was performed selectively in patients who sustained engagement of the humeral head. The clinical outcomes and recurrence rates were evaluated. Results A total of 193 patients (23 in group I and 170 in group II) were enrolled. No significant differences were found in clinical outcomes (n.s.) or recurrence rates (n.s.) between the two groups, despite larger glenoid defects in group I (group I:17.1 +/- 6.1%, and group II:13.0 +/- 6.4%, P = 0.003). In all patients, the incidence of off-track lesions was not significantly different according to the occurrence of postoperative recurrence (n.s.), whereas the glenoid defect size showed a significant difference (with recurrence: 17.9 +/- 3.9%, and without recurrence: 13.2 +/- 6.5%, P = 0.002). Conclusions The presence of an off-track lesion did not alter the clinical outcomes and recurrence rates after arthroscopic Bankart repair with selective Remplissage procedure. The glenoid defect size rather than the presence of an off-track lesion can more reliably predict postoperative recurrence. Arthroscopic Bankart repair with selective Remplissage procedure is considered one surgical option for the treatment of off-track lesions.
- DOI
- 10.1007/s00167-019-05441-2
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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