| Using the Arthroscopic Remplissage of Anterior Shoulder Instability with Hill-Sachs Lesion |
| Sang Hun Ko, Kwang Hwan Jung, Seung Myeong Shin, Han Chang Park |
| Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. jkh2007@uuh.ulsan.kr |
| 전방 견관절 불안정성에서 Hill-sachs 병변의 관절경적 Remplissage |
| 고상훈·정광환·신승명·박한창 |
| 울산대학교 의과대학 울산대학교병원 정형외과학교실 |
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| Abstract |
PURPOSE
We evaluated the minimal 1 year follow-up results (shoulder stability and the clinical and functional results) for the Remplissage technique to fill a Hill-Sachs lesion.
MATERIALS AND METHODS: The subjects were 12 patients who could be followed up for more than 12 months after the "Remplissage" procedures in our hospital from December 2008 to November 2009. Their mean age was 27.9 years old and the mean follow-up was 19 months. The evaluations included the ROM, the ASES score, the KSSI score, the ROWE score and postoperative MRI.
RESULTS
On the postoperative functional evaluation after an average of 16 months, the ASES score improved from 50.8 preoperatively to 78.3 postoperatively, the KSSI score improved form 44.5 preoperatively to 81.0 postoperatively and the ROWE score improved from 40.2 preoperatively to 84.3 postoperatively. After an average 14 months for all the cases, the range of movement was nearly in the normal range, which is 178.6+/-18.6 (165~180) degrees for forward flexion and 49.3+/-10 (43~60) degrees for external rotation.
CONCLUSION
For recurrent shoulder instability with a large Hill-Sachs lesion, the Remplissage technique has a good outcome after more than 1 year follow-up in terms of the shoulder stability and the clinical and functional results. |
| Key Words:
Shoulder; Recurrent instability; Hill-Sachs lesion; Posterior capsulodesis; Infraspinatus tenodesis |
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