Blind-Tie Remplissage: Technique and Sequence

Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and po...

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Main Authors: Weston B. Gentry, M.D., Larry D. Field, M.D.
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724003013
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author Weston B. Gentry, M.D.
Larry D. Field, M.D.
author_facet Weston B. Gentry, M.D.
Larry D. Field, M.D.
author_sort Weston B. Gentry, M.D.
collection DOAJ
description Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure. The goal of this Technical Note is to describe our technique and sequence for accomplishing an arthroscopic “blind-tie” remplissage procedure. In this remplissage technique, the suture anchor sutures placed into the Hill-Sachs defect are tied in a blind fashion over the infraspinatus fascia without direct visualization from within the subacromial space.
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series Arthroscopy Techniques
spelling doaj-art-31edc6509b744984a99c17bbf9a160502025-01-30T05:14:07ZengElsevierArthroscopy Techniques2212-62872025-01-01141103168Blind-Tie Remplissage: Technique and SequenceWeston B. Gentry, M.D.0Larry D. Field, M.D.1Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Address correspondence to Larry D. Field, M.D., Mississippi Sports Medicine and Orthopaedic Center, 1325 E Fortification St., Jackson, MS 39202, U.S.A.; Mississippi Sports Medicine and Orthopaedic Center, Jackson, Mississippi, U.S.A.Patients with recurrent anterior shoulder instability and an associated Hill-Sachs lesion are commonly encountered by orthopaedic surgeons. Effective management of the Hill-Sachs lesion can be performed using an arthroscopic remplissage technique to fill the bony defect with the infraspinatus and posterior capsule. Various surgical techniques, anchor configurations, and tying mechanisms can be used to accomplish the remplissage procedure. The goal of this Technical Note is to describe our technique and sequence for accomplishing an arthroscopic “blind-tie” remplissage procedure. In this remplissage technique, the suture anchor sutures placed into the Hill-Sachs defect are tied in a blind fashion over the infraspinatus fascia without direct visualization from within the subacromial space.http://www.sciencedirect.com/science/article/pii/S2212628724003013
spellingShingle Weston B. Gentry, M.D.
Larry D. Field, M.D.
Blind-Tie Remplissage: Technique and Sequence
Arthroscopy Techniques
title Blind-Tie Remplissage: Technique and Sequence
title_full Blind-Tie Remplissage: Technique and Sequence
title_fullStr Blind-Tie Remplissage: Technique and Sequence
title_full_unstemmed Blind-Tie Remplissage: Technique and Sequence
title_short Blind-Tie Remplissage: Technique and Sequence
title_sort blind tie remplissage technique and sequence
url http://www.sciencedirect.com/science/article/pii/S2212628724003013
work_keys_str_mv AT westonbgentrymd blindtieremplissagetechniqueandsequence
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