{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:25:03Z","timestamp":1791419103756,"version":"4.3.3"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T00:00:00Z","timestamp":1540771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T00:00:00Z","timestamp":1540771200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2019,1,30]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The evaluation of the long\u2010term outcome of the arthroscopic remplissage performed in addition to the classic Bankart repair for the primary management of recurrent anterior shoulder instability with engaging Hill\u2013Sachs lesion without inverted pear appearance of the glenoid during arthroscopy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>During a 6\u2010year period, from 2007 to 2012, 65 patients whose average age was 30.1\u2009\u00b1\u20097.6 years were operated on in our department and satisfied the inclusion criteria of this study. They all had a positive apprehension sign preoperatively. Among them, 51 patients (82%) were available for long\u2010term evaluation. The mean follow\u2010up period was 8.1\u2009\u00b1\u20091.8 years (range 5.6\u201310.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three patients (5.6%) had suffered a new dislocation. The remaining patients (94.4%) were satisfied with the surgical result and returned to their previous daily activities, whereas 71% continued to participate in sports without restrictions. The ASES score increased from 72.5 (range 18\u2013100) preoperatively to 100 (range 85\u2013100) postoperatively (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). The modified Rowe score increased from 40 (range 15\u201370) to 100 (range 70\u2013100) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and the Oxford Instability score from 29 (range 9\u201347) to 48 (range 36\u201348) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). No significant restriction in the shoulder range of motion was documented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The combination of the arthroscopic remplissage with the classic Bankart repair was proven to be a safe and effective procedure for the treatment of \u201cengaging\u201d Hill\u2013Sachs lesions without inverted pear appearance of the glenoid. This combination has long\u2010term outcomes in terms of the recurrence rate and does not significantly influence the range of motion of the shoulder.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Therapeutic Study\u2014Case series with no comparison group, Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-018-5261-3","type":"journal-article","created":{"date-parts":[[2018,10,29]],"date-time":"2018-10-29T05:10:49Z","timestamp":1540789849000},"page":"305-313","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Long\u2010term outcome of arthroscopic remplissage in addition to the classic Bankart repair for the management of recurrent anterior shoulder instability with engaging Hill\u2013Sachs lesions"],"prefix":"10.1002","volume":"27","author":[{"given":"Emmanouil","family":"Brilakis","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> 3rd Orthopaedic Department Hygeia General Hospital 30A Str. 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April 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 October 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 October 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"Emmanouil Brilakis; Grigoris Avramidis; Michael-Alexander Malahias; Apostolos Stathellis; Anastasios Deligeorgis; Ioannis Chiotis; Elias Mataragas; Efstathios Chronopoulos and Emmanouil Antonogiannakis declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval was obtained from the Institutional Review Board (IRB) of IASO General Hospital of Athens (ID number: 96\/2013) according to 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