A retrospective cohort analysis of arthroscopic Bankart repair with or without remplissage in patients with off-track Hill- Sachs lesion evaluated for functional outcomes, recurrent instability, and range of motion

Pandey, Vivek and Gangadharaiah, Lohith and Madi, Sandesh and Acharya, Kiran and Nayak, Shalini and Karegowda, Lakshmikanth Halegubbi (2020) A retrospective cohort analysis of arthroscopic Bankart repair with or without remplissage in patients with off-track Hill- Sachs lesion evaluated for functional outcomes, recurrent instability, and range of motion. Journal of Shoulder and Elbow Surgery, 29 (2). pp. 1-9. ISSN 1058-2746

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Abstract

Background: Lone Bankart repair is associated with high rates of recurrence, especially in off-track Hill-Sachs (HS) lesion. The objective of the study was to assess the impact of remplissage in offtrack HS lesion influencing the rate of redislocation and range of motion (ROM) of the shoulder.Material and method: We retrospectively reviewed 136 patients for arthroscopic Bankart repair without remplissage (group 1, n ¼ 77) or with remplissage (group 2, n ¼ 59) for recurrent anterior dislocation of the shoulder with glenoid bone loss of <25%. Further subgroups of on- and off-track HS lesion were based on computed tomographic assessment. At a minimum follow-up of 2 years; patients were evaluated for functional scores (Rowe, Constant-Murley, Western Ontario Shoulder Instability Index), redislocations,and ROM.Results: At a mean follow-up of 54 and 44 months in group 1 and 2, respectively, there was no difference in postoperative functional scores. There were significantly more dislocations in patients with Bankart repair with off-track lesion than in patients with Bankart repair with on-track lesion (P ¼ .02). There were significantly fewer redislocations in patients with off-track lesion who underwent Bankart repair and remplissage than in those who did not undergo remplissage (P ¼ .0007). Compared with group 1 patients, those in group 2 revealed a statistically significant loss of ROM.Conclusions: Although a nonremplissaged off-track HS lesion remains an important risk factor for recurrent instability, remplissage also results in significant loss of shoulder ROM compared with those who do not undergo remplissage

Item Type: Article
Uncontrolled Keywords: Bankart; Bipolar; Glenoid track; Off-track; On-track; Remplissage; Recurrence; Range of motion
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Medicine > KMC Manipal > Orthopaedics
Medicine > KMC Manipal > Radiology
Depositing User: KMC Library
Date Deposited: 22 Sep 2020 05:42
Last Modified: 22 Sep 2020 05:42
URI: http://eprints.manipal.edu/id/eprint/155671

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