Outcome of the influence of remplissage repair on shoulder range of motion after arthroscopic bankart repair

Abstract

Recurrent shoulder dislocation can predispose to Hill-Sach’s lesion. Failure to address humeral osseous defects during arthroscopic stabilization surgery leads to an increased rate of recurrence. This procedure is not much studied in terms of Range of Motion. To further study it we have done a prospective study of 2 patient populations (arthroscopic Bankart repair alone vs Bankart and remplissage). Main clinical outcome was the range of motion within Minimum follow-up was 2 years while Total Patients in each Group taken was 50. In arthroscopic remplissage, the posterior capsule and infraspinatus are sutured into the humeral head. The rate of recurrence was identical in both groups (6.25%) while the range of movement were significantly more in patients where remplissage repair was done along with bankart repair. When compared with Walch-Duplay score we got excellent result in 45 patients where remplissage repair was done out of 50 patients whereas with remplissage excellent range of movement was only 42 patients out of 50 patients. Our study to have some limitation like Sample size was small. All procedures were performed by the same surgeon. Study included postoperative care and follow-up assessments; therefore, the results of this study may not reflect general surgical outcomes of the procedure. The same operative indications and consistent surgical technique were applied in all patients. The conclusion of the study was its always better to do remlissage along with bankart repair for better result in term of range of movement.