Remplissage: An Arthroscopic Technique for Management of The Engaging Hill-Sachs Lesion

Following a traumatic anterior shoulder dislocation, the treating physician is challenged not only with management of this injury extremely but also with the goal of preventing recurrent instability episodes. Although arthroscopic Bankart repair has been shown to significantly decrease the prevalence of recurrent instability, some patients remain significantly at risk for failed operative management owing to the presence of anterior glenoid and posterior humeral head bony loss that may remain unrecognized or unaddressed at the time of surgical intervention. In patients with these posterior-lateral humeral head defects (Hill-Sachs lesions), arthroscopic posterior capsulotenodesis, or remplissage, is an arthroscopic procedure that can be used to supplement arthroscopic Bankart repair. The remplissage procedure offers an effective and valuable technique for some patients with Hill-Sachs lesions and has been demonstrated to reduce the risk of recurrent instability.