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All-Inside Knotless Remplissage Technique.

Jonathan J Callegari1, Cameron J Phillips1, Patrick J Denard1,2

  • 1Oregon Shoulder Institute, Medford, Oregon, U.S.A.

Arthroscopy Techniques
|July 14, 2021
PubMed
Summary

Knotless remplissage, a technique for shoulder instability, reduces recurrence risk. This all-inside method improves surgical efficiency by avoiding subacromial space access and knot tying.

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Changes in Rate and Indications for Remplissage When Performing Arthroscopic Bankart Repair for Anterior Shoulder Instability.

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Area of Science:

  • Orthopedic Surgery
  • Arthroscopy
  • Sports Medicine

Background:

  • Recurrent anterior instability is a common shoulder problem.
  • Arthroscopic stabilization is a standard treatment.
  • Remplissage is an adjunct procedure that decreases recurrence risk.

Purpose of the Study:

  • To describe a novel all-inside, knotless remplissage technique.
  • To improve the efficiency and reduce the morbidity of the remplissage procedure.

Main Methods:

  • An all-inside technique using two interconnected anchors was developed.
  • This technique avoids traditional subacromial space access and knot tying.

Main Results:

  • The described technique streamlines the remplissage procedure.

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  • It potentially reduces operative time and associated morbidity.

    • Conclusions:

    • The all-inside, knotless remplissage technique offers an efficient alternative for arthroscopic stabilization.
    • This method may enhance outcomes for patients with recurrent anterior shoulder instability.