Remplissage: Expand the Arthroscopic Repair Spectrum

被引:1
作者
Cable, Brian [1 ]
Kelly, Ann Marie [1 ]
Mintz, Elizabeth [1 ]
Kelly, John D. [1 ]
机构
[1] Univ Penn, Perelman Sch Med, 235 S 33rd St, Philadelphia, PA 19104 USA
关键词
Remplissage; safe zone; anterior shoulder instability; Hill-Sachs; humeral head defect; ANTERIOR SHOULDER INSTABILITY; HILL-SACHS LESION; HUMERAL HEAD; GLENOHUMERAL INSTABILITY; ARTICULAR-CARTILAGE; LATARJET PROCEDURE; BANKART REPAIR; BONE DEFECTS; RANGE; MOTION;
D O I
10.1053/j.otsm.2019.01.006
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Humeral head defects (Hill-Sachs lesions) are common sequelae of glenohumeral instability and potentiate recurrence. Engaging Hill-Sachs lesions clearly increase risk of recurrent instability when not addressed surgically. Arthroscopic remplissage, in conjunction with Bankart repair, has proven to be a safe and effective means to treat anterior gelnohumeral instability. Remplissage, when executed properly, favorably alters the "glenoid track" and thus lessens the risk of glenohumeral engagement in abduction external rotation. Remplissage is a biologic tissue transfer that confers much less morbidity than glenoid bone grafting procedures (Latarjet), while demonstrating comparable efficacy. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码:35 / 41
页数:7
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