{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T03:25:19Z","timestamp":1792812319748,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to compare the results of arthroscopic isolated Bankart repair (B) with Bankart repair plus Remplissage (B\u2009+\u2009R) procedure in contact overhead athletes with on\u2010track anterior shoulder instability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 64 athletes playing basketball, volleyball and handball in elite professional level who underwent arthroscopic isolated Bankart repair (34 patients) or Bankart repair plus Remplissage procedure (30 patients) with the diagnosis of recurrent anterior shoulder instability between 2017 and 2020, were retrospectively reviewed. Radiologically all patients had on\u2010track Hill\u2010Sachs defects and minimal or subcritical glenoid bone loss (&lt;\u200913.5%). Patients were evaluated using pre\u2010 and postoperative pVAS, SANE, ASES, ROWE, WOSI scores and postoperative active ROM assessment. Patients were also asked for the frequency of any subjective apprehension and satisfaction with the surgery in four grades.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean ages of the groups B and B\u2009+\u2009R were 26.8 and 26\u00a0years (SD\u2009=\u20093.22), respectively; the mean follow\u2010up times were 37.8 and 36.2\u00a0months (SD\u2009=\u200911.19). Compared with the preoperative status, there was a statistically significant improvement of all 5 postoperative outcome scores in both groups (P\u2009&lt;\u20090.001). However, significant difference between the improvement of the groups were only found for the SANE (B: 22.3\u2009\u00b1\u20094.1, B\u2009+\u2009R: 26.3\u2009\u00b1\u20094.3; P\u2009=\u20090.0004), ASES (B: 26.1\u2009\u00b1\u20092.6, B\u2009+\u2009R: 30.2\u2009\u00b1\u20093.6; P\u2009&lt;\u20090.001) and ROWE (B: 42\u2009\u00b1\u20093.7, B\u2009+\u2009R: 47.7\u2009\u00b1\u20092.8; P\u2009&lt;\u20090.001) scores in favor of the group B\u2009+\u2009R. The loss of internal and external rotation of the adducted arm in group B\u2009+\u2009R was found to be approximately 5 degrees compared to the group B (P\u2009&lt;\u20090.001). More than 80% of group B\u2009+\u2009R showed no apprehension in sports activities and almost completely returned to pre\u2010injury athletic level, depicting statistically significant improvement compared to group B athletes (P\u2009=\u20090.002 and 0.036, respectively). 3 patients developed re\u2010dislocation after isolated Bankart repair, whereas no re\u2010dislocation occurred in the B\u2009+\u2009R group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adding Remplissage procedure to the Bankart repair provided an advantage in terms of both return to sport at preinjury level and the frequency of apprehension sensation during sports activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>III.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00167-023-07631-5","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T07:03:21Z","timestamp":1698390201000},"page":"5979-5986","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Remplissage reduced sense of apprehension and increased the rate of return to sports at preinjury level of elite overhead athletes with on\u2010track anterior shoulder instability"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5615-7087","authenticated-orcid":false,"given":"Muge","family":"Kirac","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology Acibadem Mehmet Ali Aydinlar University Faculty of Medicine Kay\u0131\u015fda\u011f\u0131 St. No:32 Atasehir Istanbul 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May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 October 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All authors are declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All authors in this study were fully involved in the study and preparation of the manuscript and that the material within has not been and will not be submitted for publication elsewhere. All authors in this study, their immediate family, and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article. Ethical Committee approval was also obtained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}