7 Iconography
Access to the text (HTML) Access to the text (HTML)
PDF Access to the PDF text

Access to the full text of this article requires a subscription.
  • If you are a subscriber, please sign in 'My Account' at the top right of the screen.

  • If you want to subscribe to this journal, see our rates


Orthopaedics & Traumatology: Surgery & Research
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le mardi 21 août 2018
Doi : 10.1016/j.otsr.2018.05.011
Received : 19 December 2017 ;  accepted : 22 May 2018
Isolated arthroscopic Bankart repair vs. Bankart repair with “remplissage” for anterior shoulder instability with engaging Hill-Sachs lesion: A meta-analysis

Dimitri Camus a, , Peter Domos b, Emilie Berard c, Julien Toulemonde b, Pierre Mansat b, Nicolas Bonnevialle b
a Laveran Militarian Hospital, 13, boulevard Laveran, 13013 Marseille, France 
b Department of Orthopaedic Surgery, Centre Hospitalier Universitaire de Purpan, place du Dr Baylac, 31059 Toulouse, France 
c UMR1027 Inserm, Department of Epidemiology, Health Economics and Public Health, Toulouse University, Toulouse University Hospital (CHU), 31059 Toulouse, France 

Corresponding author.

Arthroscopic “remplissage” of a Hill-Sachs lesion (HSL) associated with a Bankart repair (BR) has been recently introduced as a surgical option to treat chronic anterior shoulder instability. The purpose of this study was to analyze the current literature comparing results of isolated BR versus BR+remplissage in the treatment of anterior shoulder instability with engaging HSL.


BR+remplissage are superior to isolated BR in the management of anterior shoulder instability with engaging HSL.

Material and methods

Four electronic databases were searched for original, English-language studies comparing BR vs. BR+remplissage procedures. During the inclusion process we used international Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) guidelines and the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist. Our data were extracted from the text, tables and figures of the selected studies.


Three comparative studies were identified, which included 146 patients; 74 of them underwent isolated BR, and 72 BR+remplissage procedure. The isolated BR results in significantly higher risk of recurrence and redislocation. There was no significant difference in the rates of reoperation and time to return to sport between the two procedures. Rowe and UCLA scores were lower in the isolated BR group compared with the BR+remplissage group.


This meta-analysis demonstrates the superiority of BR+remplissage procedure vs. isolated BR in the management of anterior shoulder instability with engaging HSL and with up to 25% glenoid bone loss regarding redislocation rate, recurrent instability and functional scores. A comparison between postoperative range of motion and particularly external rotation was not able to be formally assessed in this study.

Level of evidence


The full text of this article is available in PDF format.

Keywords : Bankart, Hill-Sachs “remplissage”, Meta-analysis, Shoulder instability

© 2018  Published by Elsevier Masson SAS.
EM-CONSULTE.COM is registrered at the CNIL, déclaration n° 1286925.
As per the Law relating to information storage and personal integrity, you have the right to oppose (art 26 of that law), access (art 34 of that law) and rectify (art 36 of that law) your personal data. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.
Personal information regarding our website's visitors, including their identity, is confidential.
The owners of this website hereby guarantee to respect the legal confidentiality conditions, applicable in France, and not to disclose this data to third parties.
Article Outline