Ganokroj P.Whalen R.J.Provencher C.M.T.Mahidol University2023-06-182023-06-182022-11-01Arthroscopy - Journal of Arthroscopic and Related Surgery Vol.38 No.11 (2022) , 2984-298607498063https://repository.li.mahidol.ac.th/handle/20.500.14594/85411An off-track Hill-Sachs lesion (HSL) is a significant risk factor for recurrent shoulder instability after arthroscopic Bankart repair. Bankart repair combined with remplissage can better restore shoulder stability versus isolated Bankart repair when treating a combined Bankart lesion and off-track HSL. However, remplissage may be nonanatomic and associated with limitation of shoulder external rotation (ER), especially when the arm is in a 90° 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-track HSL. The anchors should be placed medially to achieve stability—but not so medial as to result in postoperative stiffness and significant ER loss.MedicineEditorialSCOPUS10.1016/j.arthro.2022.08.0252-s2.0-851407145341526323136344057