Editorial Commentary: Not Every Hill-Sachs Needs Filling: Most Do, But Selective, Cost-Conscious Remplissage Is Still Warranted.

Abstract

Recent evidence continues to support the clinical advantages of adding remplissage to most Bankart repairs, even in many cases with on-track Hill-Sachs lesions. The study by Schriener et al. strengthens the argument for broader use, while also promoting reflection on the need for judicious, patient-specific, decision-making. The presence of other risk factors, such as lesion orientation, activity level, and capsular quality all influence outcomes, and the long-term implications of remplissage remain incompletely understood. As Voltaire reminded us, "the perfect is the enemy of the good"-and in shoulder stabilization, more is not always better.