The Remplissage Technique as a Treatment for Shoulder Instability

Patients with a history of shoulder instability commonly experience recurrent shoulder dislocations. Correcting their shoulder instability is vital to preventing recurrence and debilitating injury. Patients presenting with an engaging Hill-Sachs lesion are at a particularly high risk of future dislocations. The remplissage procedure, designed as a supplement to the Bankart repair, prevents the Hill-Sachs lesion from engaging with the glenoid, decreasing the risk of future dislocations when compared with arthroscopic Bankart repair alone. One barrier to its use has been the technical difficulty of the procedure. We present the senior author’s technique for performing remplissage.