Remplissage

 

HSShoulder Post Remplissage

 

Concept

 

Indications

 

Engaging / Large Hill Sachs lesion

 

Engaging Hill SachsEngaging Hill Sachs

 

Engaging Hill Sachs 1Engaging Hill Sachs 2

 

Technique

 

Vumedi remplissage video

 

Timing

- typically before labral repair

 

Technique

- sublux humeral head anteriorly

- view from anterior portal

- posterior cannula over Hill Sachs lesion

- debrided base of Hill Sachs to bleeding bone

- insert anchors at medial aspect of defect

- suture passer / birds beak to take bite of capsule

- tie down into defect

- can tie blind or put camera into subacromial space

 

Hill Sachs DebridementRemplissage Anchors 1

 

Remplissage Anchor 2Remplissage Anchors

 

Remplissage Double PulleyRemplissage Subacromial Knots

 

HSShoulder Post Remplissage