title: RESULTS FROM FILLING "REMPLISSAGE" ARTHROSCOPIC TECHNIQUE FOR RECURRENT ANTERIOR SHOULDER DISLOCATION.
abstract: OBJECTIVE
  To evaluate the clinical result from the filling ("remplissage") technique in association with Bankart lesion repair for treating recurrent anterior shoulder dislocation.
  
  
  METHODS
  Nine patients (10 shoulders), with a mean follow-up of 13.7 months, presented traumatic recurrent anterior shoulder dislocation. All of them had a Bankart lesion, associated with a Hill-Sachs lesion showing the "engaging" sign. The Hill-Sachs lesion defect was measured and showed an average bone loss of 17.3% (7.7% to 26.7%) in relation to the diameter of the humeral head. All the cases underwent arthroscopic repair of the Bankart lesion, together with filling of the Hill-Sachs lesion by means of tenodesis of the infraspinatus.
  
  
  RESULTS
  The Rowe score ranged from 22.5 (10 to 45) before the operation to 80.5 (5 to 100) after the operation (p > 0.001). The UCLA score ranged from 18.0 (8 to 29) to 31.1 (21 to 31) (p > 0.001). The measurements of external and internal rotation at abduction of 90° after the operation were 63.5° (45° to 90°) and 73° (50° to 92°) respectively. Two patients presented recurrence (one with dislocation and the other with subluxation). None of the patients presented pain in the region of the infraspinatus tendon after the operation.
  
  
  CONCLUSIONS
  Over the short term, the filling ("remplissage") arthroscopic technique produced improvements in functional scores and a low complication rate when used for treating glenohumeral instability associated with Hill-Sachs lesions.
authors.affiliation: Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Mauro Emilio Conforto
authors.initials: ME
authors.lastname: Gracitelli
authors.affiliation: Resident Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Camilo Partezani
authors.initials: CP
authors.lastname: Helito
authors.affiliation: Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Eduardo Angeli
authors.initials: EA
authors.lastname: Malavolta
authors.affiliation: Assistant Physician and Head of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Arnaldo Amado Ferreira
authors.initials: AA
authors.lastname: Neto
authors.affiliation: Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Eduardo
authors.initials: E
authors.lastname: Benegas
authors.affiliation: Assistant Physician of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Flávia de Santis
authors.initials: Fde S
authors.lastname: Prada
authors.affiliation: Orthopedist in Training of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Augusto Tadeu Barros
authors.initials: AT
authors.lastname: de Sousa
authors.affiliation: Orthopedists and Preceptors of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Jorge Henrique
authors.initials: JH
authors.lastname: Assunção
authors.affiliation: Orthopedists and Preceptors of the Shoulder and Elbow Group of the Institute of Orthopedics and Traumatology of HC/FMUSP - São Paulo, SP.
authors.forename: Edwin Eiji
authors.initials: EE
authors.lastname: Sunada
keywords: Arthroscopy; Joint Instability; Recurrence; Shoulder Dislocation/epidemiology; Shoulder Dislocation/surgery