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Blind-Tie Remplissage: Technique and Sequence.

Weston B Gentry1, Larry D Field1

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|February 24, 2025
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Summary
This summary is machine-generated.

This study details an arthroscopic "blind-tie" remplissage technique for shoulder instability with Hill-Sachs lesions. This method effectively fills the bony defect using the infraspinatus and posterior capsule without direct visualization.

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Area of Science:

  • Orthopaedic Surgery
  • Arthroscopic Shoulder Surgery

Background:

  • Recurrent anterior shoulder instability often presents with a Hill-Sachs lesion.
  • Managing this bony defect is crucial for successful treatment.

Purpose of the Study:

  • To describe a specific arthroscopic "blind-tie" remplissage technique.
  • To outline the sequence for this surgical procedure.

Main Methods:

  • Arthroscopic remplissage procedure.
  • Utilizing suture anchors within the Hill-Sachs defect.
  • Blind-tying sutures over the infraspinatus fascia without subacromial visualization.

Main Results:

  • The described technique allows for effective filling of the Hill-Sachs lesion.
  • Successful management of bony defects associated with shoulder instability.

Conclusions:

  • The arthroscopic "blind-tie" remplissage is a viable technique for addressing Hill-Sachs lesions.
  • This method offers an alternative approach for surgeons managing recurrent anterior shoulder instability.