Arthroscopic Remplissage Using Knotless, All-Suture Anchors.

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Shoulder Instability Research

Background:

• Glenohumeral bone loss is a primary driver of recurrent shoulder instability post-dislocation.
• The Hill-Sachs lesion, a posterior humeral head defect, frequently accompanies anterior shoulder dislocations.
• Existing surgical options for humeral bone loss include grafts, osteotomies, and replacements, with arthroscopic remplissage being common.

Purpose of the Study:

• To describe a modified arthroscopic remplissage technique utilizing knotless, all-suture anchors.
• To detail the capsulotenodesis of the posterior capsule and infraspinatus tendon into the Hill-Sachs lesion.
• To highlight the advantages of this modified technique over traditional methods.

Main Methods:

• A modified arthroscopic remplissage procedure was performed using knotless, all-suture anchors.
• Capsulotenodesis of the posterior shoulder capsule and infraspinatus tendon was executed.
• The technique focused on filling the Hill-Sachs lesion defect.

Main Results:

• The modified technique allows for capsulotenodesis using knotless, all-suture anchors.
• This approach requires a single skin incision.
• Benefits include enhanced bone preservation and simplified revision surgery facilitation.

Conclusions:

• The modified arthroscopic remplissage with knotless anchors offers a viable alternative for managing Hill-Sachs lesions.
• This technique potentially improves bone preservation and simplifies future surgical interventions.
• Further research may validate the long-term efficacy and broader applicability of this knotless anchor approach.