Arthroscopic All-Inside Remplissage Technique With Knotless Tape Bridge for Hill-Sachs Lesions.

Hachem, Abdul-Ilah; Molina-Creixell, Andres; Rondanelli S, Rafael; Valero-Cifuentes, Gregorio; Campagnoli, Alex; Hermida, Miguel; Rius, Xavier · Arthrosc Tech · 2023

case_report · Level V

Where this comes from

Abstract

The arthroscopic remplissage procedure has been described to successfully treat engaging Hill-Sachs lesions and improve shoulder stability. Several variations of this technique have been described, including remplissage with 1 or 2 knotted or knotless anchors, remplissage with double or triple bridging pulleys, and remplissage with or without a subacromial view. However, most techniques use anchors in combination with round sutures. This article describes an all-arthroscopic articular knotless remplissage technique using a strong, flat, double-strand suture tape bridge fixed with 2 small anchors under direct joint visualization and reduction of the capsule and infraspinatus without requiring a subacromial view.