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Updated: Apr 8, 2026

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Arthroscopic Anterior Labral Repair with Concurrent Remplissage.

Sachin Allahabadi1,2, Benjamin Kerzner1, Johnathon R McCormick1

  • 1Department of Orthopaedic Surgery, Rush University Medical Center, 1611 West Harrison Street, Suite 300, Chicago, Illinois, USA.

Video Journal of Sports Medicine
|April 7, 2026
PubMed
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Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association·2026

Arthroscopic labral repair with remplissage effectively treats shoulder instability and subcritical bone loss, reducing recurrent dislocation risk without compromising shoulder range of motion.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Arthroscopy

Background:

  • Shoulder instability with subcritical bone loss increases recurrent dislocation risk.
  • Bony augmentation suits critical bone loss, while arthroscopic labral repair with remplissage benefits subcritical bone loss.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic anterior labral repair with remplissage for shoulder instability.
  • To assess outcomes in patients with subcritical bone loss and high recurrence risk.

Main Methods:

  • The technique involves arthroscopic visualization, Hill-Sachs lesion preparation, and suture passage using knotless anchors.
  • Remplissage is performed via a double mattress, staple-like configuration, with final tightening after labral repair.
  • Standard arthroscopic labral repair is conducted using knotless anchors and capsulolabral tissue advancement.
Keywords:
Bankartarthroscopyinstabilitylabrumremplissageshoulder

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Main Results:

  • Outcomes are comparable to labral repair alone, with significantly lower rates of recurrent dislocation.
  • No significant loss of shoulder range of motion, including external rotation, was observed with additive remplissage.

Conclusions:

  • Arthroscopic anterior labral repair with remplissage is a valuable technique for high-risk shoulder instability patients.
  • This procedure offers reduced dislocation rates without compromising shoulder mobility.