Document

Out come of the Influence of Remplissage Repair on Shoulder ROM

Description

INTRODUCTION
Recurrent shoulder dislocation
can predispose to Hill Sach’s lesion
Failure to address humeral
osseous defects during arthroscopic
stabilization surgery leads to an
increased rate of recurrence
This procedure is not much
studied in terms of Range of
Motion
MATERIAL AND METHODS
 A prospective study of 2 patient
populations (arthroscopic Bankart
repair alone vs Bankart and
remplissage
 Main clinical outcome was the
range of motion
 Minimum follow up was 2 years
 Total Patients in each Group 50
 In arthroscopic remplissage the
posterior capsule and infraspinatus
are sutured into the humeral head
RESULTS
 The rate of recurrence was identical in both groups
 Range of movement were significantly more in patients where remplissage repair
 When compared with Walch Duplay score we got excellent result in 45 patients where
remplissage repair was done
 Our study to have some limitation like Sample size was small.
CONCLUSION
 Remplissage technique did not significantly alter the range of motion
 Help in converting engaging Hill Sachs in to non engaging and promoting shoulder stability

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Author

Dr. Mohit Dua

Associate Professor

Pt. B.D.Sharma PGIMS, Rohtak, Haryana, India

ESSKA Continuous Professional Education Partners