Sang-Hun Ko1, Seung-Myeong Shin1, Beom-Geon Jo1. 1. Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine, 290-3 Cheon-ha Dong, Dong Ku, Ulsan Metropolitan City 682-714, Republic of Korea.
Abstract
PURPOSE: We evaluated minimal 1 year follow-up results for the Remplissage technique to fill a Hill-Sachs lesion with anterior instability. METHODS: The subjects were 12 patients, who could be followed-up for more than 12 months after the "Remplissage" procedures in our hospital from August 2008 to May 2010. Their mean age was 28.6 years old and the mean follow-up was 19 months. The evaluations included the ROM, the ASES score, the KSSI score, the ROWE score and postoperative MRI. RESULTS: On the postoperative functional evaluation after an average 16 months, the ASES score improved 51.4 in preoperative to 86.6 in postoperatively, the KSSI score improved from 46.6 preoperatively to 84.9 postoperatively and the ROWE score improved from 43.6 preoperatively to 91.4 postoperatively. After an average 14 months for all the cases, the range of movement was nearly in the normal range which is 174.3 ± 5.04 (170-180) degrees in foreward flexion, and 56.4 ± 9.60 (50-60) degrees in external rotation. CONCLUSION: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique has a good outcome after more than 1 year follow-up in terms of shoulder stability, and the clinical and functional results. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
PURPOSE: We evaluated minimal 1 year follow-up results for the Remplissage technique to fill a Hill-Sachs lesion with anterior instability. METHODS: The subjects were 12 patients, who could be followed-up for more than 12 months after the "Remplissage" procedures in our hospital from August 2008 to May 2010. Their mean age was 28.6 years old and the mean follow-up was 19 months. The evaluations included the ROM, the ASES score, the KSSI score, the ROWE score and postoperative MRI. RESULTS: On the postoperative functional evaluation after an average 16 months, the ASES score improved 51.4 in preoperative to 86.6 in postoperatively, the KSSI score improved from 46.6 preoperatively to 84.9 postoperatively and the ROWE score improved from 43.6 preoperatively to 91.4 postoperatively. After an average 14 months for all the cases, the range of movement was nearly in the normal range which is 174.3 ± 5.04 (170-180) degrees in foreward flexion, and 56.4 ± 9.60 (50-60) degrees in external rotation. CONCLUSION: For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique has a good outcome after more than 1 year follow-up in terms of shoulder stability, and the clinical and functional results. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Authors: Stephen S Burkhart; Joe F De Beer; Johannes R H Barth; Tim Cresswell; Tim Criswell; Chris Roberts; David P Richards Journal: Arthroscopy Date: 2007-10 Impact factor: 4.772