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An Evidence-Based Approach to Indication for Remplissage
Nathan Graden1, Jason Ina2, Brandon Cabarcas2
1Department of Orthopedic Surgery, Mayo Clinic, 200 1st St SW, Rochester, MN, 55905, USA. Graden.Nathan@mayo.edu.
Current Reviews in Musculoskeletal Medicine
|April 24, 2025
Summary
The remplissage technique effectively reduces recurrent anterior shoulder instability (ASI) after arthroscopic labral repair. It shows no adverse effect on range of motion, though overhead athletes may have less favorable return-to-sport outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Instability Research
Background:
- Anterior shoulder instability (ASI) presents complex treatment challenges.
- Surgical decision-making for ASI involves multiple factors.
- The remplissage technique is an adjunct for arthroscopic procedures.
Purpose of the Study:
- To review the history, indications, and outcomes of the remplissage technique.
- To evaluate the efficacy of remplissage in reducing ASI recurrence.
- To assess the impact of remplissage on post-operative range of motion and return to sport.
Main Methods:
- Review of prior studies on remplissage in arthroscopic shoulder surgery.
- Analysis of outcomes comparing remplissage with standard arthroscopic labral repair.
- Evaluation of data on range of motion and return to sport rates.
Main Results:
- Remplissage significantly reduces recurrent ASI in patients with Hill-Sachs lesions.
- No significant difference in post-operative range of motion observed compared to labral repair alone.
- Return to sport rates are promising but potentially less favorable for overhead athletes.
Conclusions:
- Remplissage is a valuable adjunct for arthroscopic labral repair or glenoid reconstruction in ASI.
- Understanding indications and outcomes is crucial for optimal patient results.
- Further consideration is needed for overhead athletes undergoing the procedure.
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