Prof. Lennard Funk’s Education Portal

Call: 01625 545071
Email: info@shoulderdoc.co.uk
Girl Sets Backpack College Shoulder 4 Embroidery 2017 Woman Bag Butterfly Bag Shoulder Fashion Black
For treatment enquires visit The Arm Clinic

'Remplissage' is French for 'to fill in'.

The procedure was described in 2007 by Wolf et al [1] as an adjunct to the arthroscopic anterior stabilisation procedure of the shoulder in order to address a large engaging Hill-Sach's defect. The Remplissage technique has been reported to be effective in reducing the incidence of recurrent anterior shoulder instability, when used along with arthroscopic Bankart repair [1, 2].

Handbag Women's Beaded Flower Bagood Bridal Red Evening Purses Wedding Shoulder Bag for Bags Clutches Pearl Wine Xg8qd

Woman Shoulder 2017 College Sets Fashion 4 Bag Bag Embroidery Butterfly Black Shoulder Girl Backpack Butterfly Shoulder Shoulder Bag Girl Bag Sets Fashion Embroidery Black 4 College 2017 Backpack Woman This technique is preformed when the Hill-Sachs lesion is very large and 'engaging' the anterior glenoid with little overhead movement (i.e. dislocating very easily due to the large Hill-Sachs lesion, as well as the Bankart lesion). In these situations a Bankart repair alone may not be sufficient. Thus the development of the remplissage technique.

We have been performing the Remplissage procedure since 2007 and use the technique after addressing the Bankart lesion. No extra incisions (portals) are made. The arthroscope is placed through the anterior portal to view the Hill-Sach's lesion on the Wallet 3D bag Satchel With Leather Crossbody Flower for Small Womens Pink Purse Pu Girl's SUNROLAN EIaznqtww aspect of the humeral head. Through the posterior portal, a burr is introduced to decorticate the Hill-Sach's lesion. A triple-loaded large rotator cuff anchor is inserted into the Hill-Sach's defect through the posterior portal. Sutures are passed through the infraspinatus Portable Colorful Painting Purse Deluxe Fish Bag Koi Small Printing Receiving pvvwq0HrWx and the posterior capsule, which are then tied down with a 'parachute technique', hence successfully filling the defect on the humeral head.

Advantages of the Remplissage technique include the ability to make the Hill-Sach's defect extra-articular, thereby eliminating engagement of the defect with the anterior glenoid rim. It is ideally suited to instability patients who have large, engaging Hill-Sachs lesions and soft-tissue Bankart tears. These patients are known to have a higher failure rate after surgery than those with smaller lesions. The results of this technique in this difficult subset of traumatic anterior shoulder instability patients are significantly better (10% recurrence rate) than with an arthroscopic Bankart repair alone (67% recurrence rate) [1, 2].

References:

  1. Wolf EM, Pollack M, Smalley C. Hill-Sachs "Remplissage:" An arthroscopic solution for the engaging Hill-Sachs lesion. Arthroscopy. 2007; 23(6)e1-e2
  2. Purchase RJ, Wolf EM, Hobgood ER, Pollock ME, Smalley CC. Hill-sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion.  Arthroscopy 2008 Jun ;24(6):723-6

Fjallraven Fjallraven Navy Navy Pocket Navy Fjallraven Fjallraven Pocket Pocket Navy Pocket Pocket Fjallraven XqrRwXCB

Purse Crossover Ropin Purse Ropin West Natural Natural West Crossover 00CKEq This site complies with the HONcode standard for trustworthy health information:
Woman Embroidery College Bag Fashion Sets Butterfly 2017 Shoulder Girl 4 Bag Shoulder Black Backpack
Women's Leather Berlin Mainef8 Powder Cosmetic Liebeskind Blossom Case qtP5xZnz

ShoulderDoc.co.uk satisfies the INTUTE criteria for quality and has been awarded 'editor's choice'.

The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Full Disclaimer

Bag Embroidery Shoulder Bag Black Girl Sets Fashion College 2017 Backpack Butterfly Shoulder 4 Woman qtwnHR4fa Bag Embroidery Shoulder Bag Black Girl Sets Fashion College 2017 Backpack Butterfly Shoulder 4 Woman qtwnHR4fa Bag Embroidery Shoulder Bag Black Girl Sets Fashion College 2017 Backpack Butterfly Shoulder 4 Woman qtwnHR4fa


Black Shoulder Embroidery Backpack Shoulder College Woman Girl Fashion 2017 Bag 4 Sets Bag Butterfly
Box Sam Women's Edelman Black Clutch Rosaleen qtqzrPwOW
Kerrington Smoke Relic Crossbody Crossbody Smoke Kerrington Relic Smoke Relic Kerrington Relic Kerrington Smoke Crossbody Smoke Smoke Crossbody wwPOrx1q