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The Arthroscopic Hill-Sachs Remplissage: A Technique Using a PASTA Repair Kit
Bryan Hsi Ming Tan1, V Prem Kumar2
1Department of Orthopaedic Surgery, University Orthopaedics, Hand & Reconstructive Microsurgery Cluster, National University Hospital, National University Health System, Singapore.
Arthroscopy Techniques
|September 23, 2016
Summary
The arthroscopic remplissage procedure effectively treats large engaging Hill-Sachs lesions. This technique simplifies the procedure for surgeons using a PASTA repair kit.
Area of Science:
- Orthopedic Surgery
- Arthroscopy
- Shoulder Reconstruction
Background:
- Large engaging Hill-Sachs lesions pose challenges in shoulder instability surgery.
- The arthroscopic remplissage procedure is increasingly favored for these lesions.
- Surgeons unfamiliar with the technique may face difficulties during arthroscopic remplissage.
Purpose of the Study:
- To present a simplified technique for arthroscopic remplissage.
- To demonstrate the utility of a commercially available PASTA repair kit for this procedure.
Main Methods:
- Arthroscopic remplissage procedure.
- Utilization of a PASTA (partial articular supraspinatus tendon avulsion) repair kit.
- Step-by-step description of the modified technique.
Main Results:
- The presented technique aims to mitigate common difficulties encountered during arthroscopic remplissage.
- The use of the PASTA kit provides a standardized approach.
- Facilitates a potentially safer and more reproducible procedure.
Conclusions:
- The described technique offers a practical solution for surgeons performing arthroscopic remplissage.
- Employing a PASTA repair kit can enhance the ease and safety of treating large engaging Hill-Sachs lesions.
- This method may improve surgeon confidence and patient outcomes.
