The Archives of Bone and Joint Surgery

The Archives of Bone and Joint Surgery

Arthroscopic Allograft Bone Block Procedure with Remplissage For Bipolar Lesions

Document Type : TECHNICAL NOTE

Authors
Sahib D. Memon 1
Richard A. C. Dimock 1
Jaymin Shah 2
Sam Ajami 3
Mohamed Imam 4
A. Ali Narvani 1
1 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK
2 University College London, UK
3 University of Manchester, UK
4 1 The Rowley Bristow Unit, Ashford & St. Peter’s NHS Trust, Chertsey, UK- 4 Smart Health Unit, University of East London, London, UK
10.22038/abjs.2022.64126.3085
Abstract
Anterior shoulder instability with bone loss is a challenging condition. The two most performed procedures, Bankart
repair & Latarjet, are not without issues. We describe a technique where arthroscopic free bone grafting was performed
in conjunction with remplissage. We feel that this combined arthroscopic procedure offers advantages that include
reduced risk of conventional Latarjet complications, including neurological deficits and metal hardware complications
while preserving subscapularis and coracoid. Furthermore, these advantages may not come at the cost of compromised
outcomes, particularly recurrence rate, as the remplissage may compensate for the possible lack of “sling effect” with
free bone graft reconstruction.
Level of evidence: V
Keywords
Bipolar lesions
Bone block
Hill Sachs lesions
Instability
Remplissage
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The Archives of Bone and Joint Surgery
Volume 10, Issue 10
October 2022
Pages 899-910

  • Receive Date 18 March 2022
  • Revise Date 31 July 2022
  • Accept Date 13 August 2022