{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:32:49Z","timestamp":1790901169045,"version":"4.1.0"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["arthroscopyjournal.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To assess the cost\u2010effectiveness of performing a remplissage procedure at the time of primary arthroscopic labral repair (ALR) for shoulder dislocations with on\u2010 and off\u2010track Hill\u2010Sachs lesions (HSLs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Baseline costs for ALR, remplissage, and revision surgery, as well as initial failure rate, were collected from the literature for both on\u2010 and off\u2010track HSLs. All referenced studies included patients with subcritical glenoid bone loss (&lt;15%). The initial failure rate was defined as the rate of revision surgery for shoulder redislocation. Break\u2010even economic analysis was used to assess the cost\u2010effectiveness of adding remplissage to a primary ALR. To account for the variability in costs and initial failure rates, in addition to procedural differences, across institutions, a wide range of values were used to calculate the absolute risk reduction and number needed to treat to achieve cost\u2010effectiveness. To provide alternate scenarios, sub\u2010analyses with revision remplissage and revision Latarjet procedures were also performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Primary remplissage is cost\u2010effective for off\u2010track HSLs if it prevents 1 revision for every 15 primary ALRs (absolute risk reduction, 6.8%; number needed to treat, 15), assuming primary remplissage costs of $982 and revision surgery costs of $14,498. With an initial failure rate of 14.0%, primary remplissage is cost\u2010effective for off\u2010track HSLs when the cost of revision surgery exceeds $7,000 or when primary remplissage costs less than $2,750. For on\u2010track lesions, remplissage is cost\u2010effective at revision surgery costs exceeding $9,632 or when remplissage costs less than $2,000. Sub\u2010analysis of the revision Latarjet procedure similarly showed cost\u2010effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Remplissage is a highly cost\u2010effective intervention for off\u2010track HSLs for a wide range of primary and revision surgery costs according to this break\u2010even economic analysis. Remplissage is cost\u2010effective for on\u2010track lesions when the cost of revision surgery is greater than $9,632 or when remplissage costs less than $2,000.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, economic analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2025.06.021","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T15:18:26Z","timestamp":1752592706000},"page":"4483","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Remplissage During Primary Arthroscopic Bankart Repair Is Highly Cost\u2010Effective for Off\u2010Track Hill\u2010Sachs Lesions and Variably Cost\u2010Effective for On\u2010Track Hill\u2010Sachs Lesions With Glenoid Bone Loss Below 15%"],"prefix":"10.1002","volume":"41","author":[{"given":"Gabriella","family":"Schreiner","sequence":"first","affiliation":[{"name":"Tufts University School of Medicine Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Fucaloro","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madison","family":"Hayes\u2010Lattin","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Oregon Health &amp; Science University Portland Oregon U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Bragg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tufts Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Salzler","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery Tufts Medical Center Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000718"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.03.005"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.03.011"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-021-06847-7"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2006.12.012"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.04.004"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.04.032"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518767850"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01956"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.08.015"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.11.050"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.07.017"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.11.013"},{"key":"e_1_2_4_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465241254063"},{"key":"e_1_2_4_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.06.021"},{"key":"e_1_2_4_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2022.07.025"},{"key":"e_1_2_4_18_1","doi-asserted-by":"publisher","DOI":"10.1053\/jars.2000.17715"},{"key":"e_1_2_4_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.02.011"},{"key":"e_1_2_4_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2019.07.020"},{"key":"e_1_2_4_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.10.013"},{"key":"e_1_2_4_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-023-07631-5"},{"key":"e_1_2_4_23_1","doi-asserted-by":"publisher","DOI":"10.35366\/112806"},{"key":"e_1_2_4_24_1","doi-asserted-by":"publisher","DOI":"10.1177\/1758573217728414"},{"key":"e_1_2_4_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2019.06.005"},{"key":"e_1_2_4_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2016.07.071"},{"key":"e_1_2_4_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jseint.2022.01.001"},{"key":"e_1_2_4_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/23259671211001775"},{"key":"e_1_2_4_29_1","unstructured":"Medicare.Procedure price lookup for outpatient serviceshttps:\/\/www.medicare.gov\/procedure\u2010price\u2010lookup\/. 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