{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:51:58Z","timestamp":1791381118930,"version":"4.3.3"},"reference-count":27,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate long\u2010term outcomes after arthroscopic Bankart repair with remplissage among active\u2010duty servicemembers under 45\u2009years old with engaging Hill\u2010Sachs lesions (HSLs) and subcritical glenoid bone loss (GBL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of prospectively collected data involving consecutive active\u2010duty servicemembers who underwent arthroscopic Bankart repair with remplissage for anterior instability with \u201coff\u2010track\u201d HSL and GBL &lt;13.5% between January 2010 and September 2015 with a minimum 10\u2010year follow\u2010up was performed. Patient\u2010reported outcome measures (PROMs) included the pain visual analog scale, American Shoulder and Elbow Surgeons score, Single Assessment Numeric Evaluation, and Rowe Instability score. Rates of return to duty and subjective return to sport at the prior level were collected. Minimal clinically important difference thresholds were calculated using a distribution method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Final analysis included 22 patients (age: 25.8\u2009\u00b1\u20095.8, 86.4% men) with minimum 10\u2009years (mean: 11.7\u2009\u00b1\u20091.5, range: 10.0\u201015.3) of follow\u2010up. From preoperative imaging, the mean GBL was 5.8%\u2009\u00b1\u20091.3% (range: 4.1%\u20108.4%). From intraoperative measurements, the mean HSL width was 12.7\u2009\u00b1\u20091.3\u2009mm, depth 8.3\u2009\u00b1\u20092.1\u2009mm, and size 106.0\u2009\u00b1\u200930.8\u2009mm\n                      <jats:sup>2<\/jats:sup>\n                      . At final follow\u2010up, PROMs improved (visual analog scale: 7.65\u20101.6, American Shoulder and Elbow Surgeons: 40.3\u201088.2, Single Assessment Numeric Evaluation: 48.6\u201090.0, and Rowe: 39.0\u201088.6,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.0001), with sustained PROMs between mid\u2010 and long\u2010term time points. The minimal clinically important difference was achieved by most patients (76.2%\u201095.2%). Two patients (9.0%) experienced complications: 1 with recurrent instability prompting Latarjet (4.5%) and 1 with postoperative stiffness (4.5%). At final follow\u2010up, return to duty was achieved by 86.4% (n\u2009=\u200919) and to preinjury level of sport by 90.9% (n\u2009=\u200920). Three patients underwent medical discharge from the military because of the operative shoulder (13.6%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At a minimum 10\u2010year follow\u2010up after arthroscopic Bankart repair with remplissage for off\u2010track HSL with subcritical GBL, active\u2010duty servicemembers showed sustained improvements in PROMs, low rates of recurrent instability, and relatively high rates of return to active\u2010duty and sport, supporting the durability of this procedure in a high shoulder demand population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/arj.70633","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T12:58:47Z","timestamp":1791377927000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improved Outcomes and Low Rate of Medical Discharge at a Minimum 10\u2010Year Follow\u2010Up After Arthroscopic Bankart Repair With Remplissage for \u201cOff\u2010Track\u201d Engaging Hill\u2010Sachs Lesions With Subcritical Glenoid Bone Loss in Active\u2010Duty Servicemembers"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6290-1483","authenticated-orcid":false,"given":"Erel","family":"Ben\u2010Ari","sequence":"first","affiliation":[{"name":"The University of Colorado Anschutz Medical Campus  Aurora Colorado U.S.A."},{"name":"Sackler School of Medicine Tel\u2010Aviv University  Ramat Gan Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-7075-123X","authenticated-orcid":false,"given":"Brandon","family":"Chung","sequence":"additional","affiliation":[{"name":"William Beaumont Army Medical Center Texas Tech University Health Sciences Center El Paso  El Paso Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5784-9473","authenticated-orcid":false,"given":"Alexis B.","family":"Sandler","sequence":"additional","affiliation":[{"name":"William Beaumont Army Medical Center Texas Tech University Health Sciences Center El Paso  El Paso Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3400-5857","authenticated-orcid":false,"given":"John P.","family":"Scanaliato","sequence":"additional","affiliation":[{"name":"William Beaumont Army Medical Center Texas Tech University Health Sciences Center El Paso  El Paso Texas 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