Arthroscopic Stabilization With Hill-Sachs Remplissage and Bankart Repair: A Surgical Technique

Management of recurrent instability with coexisting Hill-Sachs defect is debatable. Isolated Bankart repairs do not address the bone loss sustained on the humeral side and are associated with higher recurrence risk in those with concomitant humeral bone loss. Further, bone block procedures may not be necessary to achieve stability if there is minimal glenoid bone loss and are associated with higher rate of complications. The arthroscopic remplissage allows the Hill-Sachs defect to be filled with a soft tissue structure to decrease the risk of recurrent dislocations when combined with a soft tissue Bankart repair. Key steps in performing the remplissage include achieving adequate visualization and secure fixation with suture anchors are discussed.