{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T23:23:21Z","timestamp":1789255401569,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T00:00:00Z","timestamp":1468540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T00:00:00Z","timestamp":1468540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2016,7,15]],"date-time":"2016-07-15T00:00:00Z","timestamp":1468540800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","arthroscopyjournal.org","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To validate the glenoid track concept in a cadaveric bipolar bone loss model and to test whether \u201con\u2010track\u201d and \u201coff\u2010track\u201d lesions can be stabilized with Bankart repair (BR) with or without Hill\u2010Sachs remplissage (HSR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eight fresh\u2010frozen cadaveric shoulders were tested in a custom apparatus with passive axial rotation and then progressive translational loading (10 to 40\u00a0N) at mid\u2010range (60\u00b0) and end\u2010range external rotation (90\u00b0). Injury conditions included glenoid bone loss of 15% with on\u2010track (15%) and off\u2010track (30%) Hill\u2010Sachs lesions. Repair conditions included BR with HSR and BR without HSR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      For on\u2010track lesions, engagement occurred with translation testing in one shoulder (12.5%) at end\u2010range rotation. After BR, engagement was prevented for this shoulder. For off\u2010track lesions, engagement with translation testing occurred in 8 shoulders (100%) at end\u2010range rotation and in 6 (75%) at mid\u2010range rotation. After\u00a0BR, engagement was prevented in 4 of 6 engaging shoulders (67%) at mid\u2010range rotation but was prevented in\u00a0zero of 8 (0%) at end\u2010range rotation. Adding HSR prevented engagement in all 14 engaging shoulders with off\u2010track lesions (100%). BR with HSR resulted in supraphysiological stiffness for off\u2010track lesions at mid\u2010 and end\u2010range rotation\u00a0(13.3\u00a0N\/m vs 7.0\u00a0N\/m and 10.0\u00a0N\/m vs 5.0\u00a0N\/m,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0002) and for on\u2010track lesions at end\u2010range rotation (10.1\u00a0N\/m vs 5.0\u00a0N\/m,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .0002). Stiffness of BR with HSR was not different from the intact shoulder for on\u2010track lesions at mid\u2010range rotation (7.2\u00a0N\/m vs 7.0\u00a0N\/m,\n                      <jats:italic>P<\/jats:italic>\n                      &gt; .99).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The patterns of engagement of Hill\u2010Sachs lesions with a 15% glenoid defect in this model give support to the glenoid track concept. BR plus remplissage resulted in supraphysiological shoulder stiffness but was necessary to prevent engagement of off\u2010track bipolar bone lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>This biomechanical study provides evidence to aid in surgical decision making by examining the effects of bipolar bone loss and soft\u2010tissue reconstruction on shoulder stability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2016.04.030","type":"journal-article","created":{"date-parts":[[2016,7,17]],"date-time":"2016-07-17T05:26:10Z","timestamp":1468733170000},"page":"2466-2476","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":74,"title":["Remplissage of an Off\u2010track Hill\u2010Sachs Lesion Is Necessary to Restore Biomechanical Glenohumeral Joint Stability in a Bipolar Bone Loss Model"],"prefix":"10.1002","volume":"32","author":[{"given":"Robert U.","family":"Hartzler","sequence":"first","affiliation":[{"name":"Burkhart Research Institute for Orthopaedics and The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher N.H.","family":"Bui","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Woong K.","family":"Jeong","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaki","family":"Akeda","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Peterson","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"McGarry","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Denard","sequence":"additional","affiliation":[{"name":"Southern Oregon Orthopedics Medford Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen S.","family":"Burkhart","sequence":"additional","affiliation":[{"name":"Burkhart Research Institute for Orthopaedics and The San Antonio Orthopaedic Group San Antonio Texas U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thay Q.","family":"Lee","sequence":"additional","affiliation":[{"name":"Orthopaedic Biomechanics Laboratory VA Long Beach Healthcare System, and University of California Irvine Irvine California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,15]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17715"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.10.004"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00261"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-04-242"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.09.009"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.02.015"},{"key":"e_1_2_2_8_2","volume-title":"The 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