Arthroscopic All-Inside Suture Bridge for Remplissage Procedure Treating Off-Tracking Hill–Sachs Lesions in Anterior Shoulder Instability

ABSTRACT: Hill–Sachs lesions are significantly correlated with recurrent anterior shoulder instability. The remplissage procedure is designed to fill a posterosuperior humeral head defect with the infraspinatus tendon and posterosuperior capsule in patients with off-track Hill–Sachs lesions. This Technical Note describes an arthroscopic all-inside suture bridge to gain more footprint contact area and tissue compression to improve healing. Moreover, it does not have the necessity of going through the subacromial space to retrieve and tie the sutures. Thus, the procedure reduces the operative time and improves reproducibility. Technique Video Video 1 An arthroscopic all-inside suture bridge technique for remplissage procedure. After we insert the shuttled suture strands of the first anchor into the system, a knotless lateral row suture anchor is inserted superiorly. Tensioning is applied, and the locking mechanism trapped subcortically to provide secure fixation in the bone.

SUBMITTER: Tanpowpong T 

PROVIDER: S-EPMC8556669 | biostudies-literature |

REPOSITORIES: biostudies-literature