Publication:
Do Techniques for Hill-Sachs Remplissage Matter in Terms of Functional and Radiological Outcomes?

dc.contributor.authorPulatkan, Anil
dc.contributor.authorKAPICIOĞLU, Mehmet
dc.contributor.authorUÇAN, VAHDET
dc.contributor.authorMasai, Mustafa Ngeiywo
dc.contributor.authorOzdemir, Bulent
dc.contributor.authorAkpinar, Sercan
dc.contributor.authorBilsel, Kerem
dc.contributor.institutionauthorKAPICIOĞLU, MEHMET
dc.contributor.institutionauthorUÇAN, VAHDET
dc.contributor.institutionauthorBİLSEL, İSMAIL KEREM
dc.date.accessioned2021-09-07T20:59:10Z
dc.date.available2021-09-07T20:59:10Z
dc.date.issued2021-06-01T00:00:00Z
dc.description.abstractBackground: Different techniques are used for the remplissage procedure, including the double-pulley and mattress suture techniques. Both techniques have shown good results; however, it is unclear if one technique is superior. Hypothesis: The remplissage procedure using the double-pulley technique with 2 anchors would have superior functional and radiological outcomes compared with the mattress suture technique with a single anchor. Study Design: Cohort study; Level of evidence, 3. Methods: This study included patients with anterior shoulder instability who were treated using arthroscopic Bankart repair combined with remplissage between 2012 and 2017. A structured questionnaire was used to gather information on the following metrics: Instability Severity Index Score, hyperlaxity, Sugaya index, presence of a Hill-Sachs defect, number of dislocations before surgery, sports participation, radiological measurement of the Hill-Sachs lesion, postoperative range of motion in both shoulders, Rowe score, Walch-Duplay score, American Shoulder and Elbow Surgeons score, and Filling Index Score of Remplissage grade according to magnetic resonance imaging scans at the last follow-up. Results: There were 41 patients included with a mean age of 30 +/- 7 years who underwent the Hill-Sachs remplissage procedure using the double-pulley technique with 2 anchors (n = 21; group DA) or the mattress suture technique with a single anchor (n = 20; group SA). At the final follow-up, there were no significant differences between the groups regarding the Instability Severity Index Score (P = .134), the Sugaya index (P = .538), sports participation (P = .41), the radiological measurement of the Hill-Sachs lesion (P = .803), or the Rowe score (P = .182). However, there were significant differences between the groups in the Walch-Duplay score (P = .012), American Shoulder and Elbow Surgeons score (P = .005), and Filling Index Score of Remplissage grade (P = .015), favoring group DA, as well as differences in external rotation in a neutral position (external rotation loss: 9 degrees +/- 3 degrees [group SA] vs 12 degrees +/- 3 degrees [group DA]; P = .003) and at 90 degrees of abduction (external rotation loss: 8 degrees +/- 3 degrees [group SA] vs 11 degrees +/- 3 degrees [group DA]; P = .006), favoring group SA. Conclusion: In the remplissage procedure, the double-pulley technique provided better filling of the lesion and improvement in functional scores, but external rotation was limited compared with the mattress suture technique.
dc.identifier.doi10.1177/23259671211008152
dc.identifier.pubmed34262976
dc.identifier.scopus85108796115
dc.identifier.urihttp://hdl.handle.net/20.500.12645/29412
dc.identifier.wosWOS:000691345100001
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectHill-Sachs
dc.subjectdouble pulley
dc.subjectinstability
dc.subjectmattress suture
dc.subjectremplissage
dc.subjecttechnique
dc.titleDo Techniques for Hill-Sachs Remplissage Matter in Terms of Functional and Radiological Outcomes?
dc.typeArticle
dspace.entity.typePublication
local.avesis.id45b48c77-b582-464d-b18d-fd29de8eb81e
local.publication.isinternational1
relation.isAuthorOfPublication33bea6eb-2819-4537-8544-beab26dc66f0
relation.isAuthorOfPublication4540a88e-e631-4f1b-8c96-1ec7ae719878
relation.isAuthorOfPublicationdb1859ad-a3b3-4299-8b42-89a62b377d7d
relation.isAuthorOfPublication.latestForDiscoverydb1859ad-a3b3-4299-8b42-89a62b377d7d
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