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- W4366979431 abstract "The aim of this study was to compare the medium-term outcomes of patients randomized to arthroscopic Bankart repair with (REMP) and without remplissage (NO REMP) for the treatment of traumatic recurrent shoulder instability with Hill-Sachs lesions. At 2-year postoperative, those without remplissage were found to be at greater risk of recurrent instability. In the current study, these rates are reexamined at a mean 4-years postoperative. This was a double-blinded trial with patients randomized to REMP or NO REMP between 2011 and 2017. Patients were contacted in Spring 2020 by telephone and asked standardized questions regarding subluxation, dislocation and/or reoperation that occurred on their study shoulder. “Failure” was defined as the occurrence of a dislocation and recurrent instability” was defined as the occurrence of a dislocation or two or more subluxations. One-hundred and eight participants were randomized of which 50 in the NO REMP group and 52 in the REMP group were included. The mean number of months from surgery to final follow-up was 49.3 for NO REMP and 53.8 for REMP. The rate of failure was 8% (4/52) in REMP at an average of 23.8 months post-operative and 22% (11/50) in NO REMP at an average of 16.5 months post-operative (p=0.036) (Figure 1). The rate of recurrent instability was 10% (5/52) in REMP at an average of 24 months post-operative versus 30% (15/50) in NO REMP at an average of 19.5 months post-operative (p=0.008). Survival curves were significantly different favoring REMP in both scenarios. There is less risk of postoperative recurrent instability and dislocation in patients who undergo remplissage in conjunction with an arthroscopic Bankart repair compared to those who undergo arthroscopic repair alone at medium-term follow-up." @default.
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- W4366979431 date "2023-06-01" @default.
- W4366979431 modified "2023-10-18" @default.
- W4366979431 title "Podium Presentation Title: Remplissage Reduces Risk of Recurrent Instability vs. Bankart Repair Alone at Medium-Term Follow-Up" @default.
- W4366979431 doi "https://doi.org/10.1016/j.arthro.2023.01.026" @default.
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