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Clinical and functional outcomes of the remplissage technique to repair anterior shoulder dislocation: average 7 years of follow-up

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Abstract

Purpose

The purpose of this work is to report mid- to long-term clinical results, recurrence rates and instability following surgery to repair anterior dislocation of the shoulder by the remplissage technique.

Methods

This was a retrospective case series at a single center with patients with anterior shoulder instability that received surgery using the remplissage technique. Rowe questionnaire, instability complaints, recurrence episodes and return to sport were analyzed.

Results

Of all patients screened, 21 (92.3%) were enrolled and only 2 patients were lost to follow-up. The mean age of the patients at the time of surgery was 27.8y.o., and the mean number of dislocations before surgery was 3.2 episodes. The follow-up average was 83.8 months (range 28–126). No case of postoperative infection was observed. Two patients (9.5%) had recurrent shoulder instability and required reintervention after 18 and 48 months. The average final Rowe score was 92.9 (range 75–100). All patients that played sports before surgery returned to the sport, and 73.7% of them returned to the same activity level.

Conclusion

The remplissage technique applied to repair anterior shoulder dislocation with humeral bone loss presents good results regarding clinical scores, shoulder stability and acceptable rates of return to sports, even in a mid- to long-term follow-up.

Level of evidence

IV.

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Acknowledgments

The authors want to acknowledge the assistance received from Luis Marchi, PhD, in the preparation of the manuscript and submission process.

Funding

No author has financial relations to disclose regarding this work. The Fellowship program in Instituto Vita receives financial support from DePuy Synthes; however, the study did not receive support in the form of grants, equipment or other items.

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Authors and Affiliations

  1. Department of Knee Surgery, Instituto Vita, Rua Mato Grosso, 306, 1º andar, Higienópolis, São Paulo, Brazil

    A. C. Bitar, M. C. Fabiani, D. G. Ferrari, A. G. P. Garofo, B. Schor, A. R. H. Scalize & W. Castropil

  2. Department of Musculoskeletal Radiology, Fleury, São Paulo, Brazil

    F. O. Zorzenoni & M. Nico

Authors
  1. A. C. Bitar
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  2. M. C. Fabiani
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  3. D. G. Ferrari
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Contributions

ACB contributed to conceptualization, data curation, funding acquisition, methodology, project administration, writing—original draft, writing—review and editing; MCF contributed to data curation, formal analysis, methodology, writing—original draft, writing—review and editing; DGF contributed to data curation, formal analysis, methodology, writing—original draft, writing—review and editing; AGPG contributed to formal analysis, methodology, writing—original draft, writing—review and editing; BS contributed to conceptualization, investigation, methodology, project administration, writing—review and editing; FOZ contributed to data curation, formal analysis, methodology, writing—review and editing; MN contributed to conceptualization, supervision, writing—review and editing, ARHS contributed to data curation, formal analysis, methodology, writing—original draft, writing—review and editing; WC contributed to conceptualization, investigation, project administration, supervision, validation, writing—review and editing.

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Correspondence to A. C. Bitar.

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Bitar, A.C., Fabiani, M.C., Ferrari, D.G. et al. Clinical and functional outcomes of the remplissage technique to repair anterior shoulder dislocation: average 7 years of follow-up. Musculoskelet Surg 105, 61–67 (2021). https://doi.org/10.1007/s12306-019-00630-1

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