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Bankart repair combined with remplissage can better restore shoulder stability versus isolated Bankart repair when treating a combined Bankart lesion and off\u2010track HSL. However, remplissage may be nonanatomic and associated with limitation of shoulder external rotation (ER), especially when the arm is in a 90\u00b0 shoulder abduction position. Excessive medial placement of remplissage anchors is associated with postoperative ER loss and increased glenohumeral cartilage degeneration. The use of 2 medial anchors results in lower articular forces. Thus, in patients with shoulder instability, we recommend using 2 remplissage anchors in those with a Bankart lesion plus an off\u2010track HSL. The anchors should be placed medially to achieve stability\u2014but not so medial as to result in postoperative stiffness and significant ER loss.<\/jats:p>","DOI":"10.1016\/j.arthro.2022.08.025","type":"journal-article","created":{"date-parts":[[2022,11,4]],"date-time":"2022-11-04T03:04:49Z","timestamp":1667531089000},"page":"2984-2986","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["<i>Editorial Commentary:<\/i>\n                    For Shoulder Hill\u2010Sachs Lesion Remplissage, Medial Anchor Position Must Be Optimized to Achieve Stability Yet Minimize External Rotation Loss"],"prefix":"10.1002","volume":"38","author":[{"given":"Phob","family":"Ganokroj","sequence":"first","affiliation":[{"name":"Mahidol University (P.G.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan J.","family":"Whalen","sequence":"additional","affiliation":[{"name":"Vail Colorado (R.W.)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"CAPT. 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