Knotless Suture Staple Remplissage for Hill-Sachs Lesions in the Beach Chair Position

The addition of remplissage to arthroscopic Bankart repair in the presence of a Hill-Sachs lesion can help decrease recurrence of anterior shoulder instability. The remplissage procedure often involves passage of suture from anchors in the Hill-Sachs lesion to the extra-articular side of the shoulder capsule followed by knot tying. Extra-capsular knot tying is difficult to visualize arthroscopically leading to potentially loose knot stacks. The use of knotless fixation in the proper configuration can eliminate the added complexity of this step when securing the infraspinatus tendon and capsule to the Hill-Sachs lesion while increasing surgical efficiency. A dual knotless suture staple remplissage technique with all-suture anchors in the beach chair position may provide an efficient and reproducible method for adding stability to anterior labral repair.