Related Experiment Video
Updated: Dec 18, 2025
04:27
Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
345
Hill-Sachs Remplissage Procedure Based on Posterosuperior Capsulomuscular Anatomy
Madis Rahu1,2, Jüri-Toomas Kartus1,3,4, Elle Põldoja2
1Sports Trauma Centre, Sports Medicine and Rehabilitation Clinic, Tartu University Hospital, Tartu, Estonia.
Arthroscopy Techniques
|July 24, 2019
Summary
The remplissage technique fills humeral head defects using the infraspinatus tendon and posterior capsule. This arthroscopic approach preserves glenohumeral joint anatomy and vascularization for engaging Hill-Sachs lesions.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Arthroscopy
Background:
- Engaging Hill-Sachs lesions are common in shoulder instability.
- The remplissage technique addresses bone defects in the humeral head.
- Previous methods may compromise joint integrity or vascularity.
Purpose of the Study:
- To describe a modified arthroscopic remplissage technique.
- To evaluate its anatomical and vascular preservation.
- To treat engaging Hill-Sachs lesions effectively.
Main Methods:
- Utilized two posterior working portals for arthroscopic access.
- Employed the infraspinatus tendon and posterior-superior capsule for defect filling.
- Focused on respecting the native anatomy of the glenohumeral joint.
Main Results:
- Successfully filled the posterosuperior humeral head defect.
- Demonstrated preservation of glenohumeral joint anatomy.
- Maintained vascularization of the posterior-superior structures.
Conclusions:
- The described arthroscopic remplissage technique is effective for engaging Hill-Sachs lesions.
- This method respects joint anatomy and preserves vascularity.
- Offers a viable surgical option for shoulder instability with bone loss.
