Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
October 7, 2026 · via Europe PMC
Improved Outcomes and Low Rate of Medical Discharge at a Minimum 10-Year Follow-Up After Arthroscopic Bankart Repair With Remplissage for "Off-Track" Engaging Hill-Sachs Lesions With Subcritical Glenoid Bone Loss in Active-Duty Servicemembers.
Ben-Ari E, Chung B, Sandler AB, Scanaliato JP, Gilat R, Czajkowski H, Parnes N.
AI summary — for doctors, generated from the abstract only
Arthroscopic Bankart repair with remplissage showed durable results at 10+ years in a small group of active-duty servicemembers.
What was studied
Retrospective review of prospectively collected data on 22 active-duty servicemembers (mean age 25.8) with off-track engaging Hill-Sachs lesions and subcritical glenoid bone loss (mean 5.8%), followed for a mean of 11.7 years.
Key findings
- Patient-reported scores improved, e.g., ASES 40.3 to 88.2, SANE 48.6 to 90.0, Rowe 39.0 to 88.6, VAS 7.65 to 1.6
- Authors report low recurrent instability and relatively high return to active duty and sport (specific rates are cut off in the abstract)
Clinical relevance
Supports remplissage as a durable option for high-demand patients with this lesion pattern.
Who should care
Limitations
Only 22 patients, no comparison group, and parts of the methods and results (recurrence and return rates, P values) are truncated.
Good long-term outcomes in a small military cohort, with details needing the full paper.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Purpose
To evaluate long-term outcomes after arthroscopic Bankart repair with remplissage among active-duty servicemembers under 45 years old with engaging Hill-Sachs lesions (HSLs) and subcritical glenoid bone loss (GBL).
Methods
A retrospective review of prospectively collected data involving consecutive active-duty servicemembers who underwent arthroscopic Bankart repair with remplissage for anterior instability with "off-track" HSL and GBL <13.5% between January 2010 and September 2015 with a minimum 10-year follow-up was performed. Patient-reported outcome measures (PROMs) included the pain visual analog scale, American Shoulder and Elbow Surgeons score, Single Assessment Numeric Evaluation, and Rowe Instability score. Rates of return to duty and subjective return to sport at the prior level were collected. Minimal clinically important difference thresholds were calculated using a distribution method.
Results
Final analysis included 22 patients (age: 25.8 ± 5.8, 86.4% men) with minimum 10 years (mean: 11.7 ± 1.5, range: 10.0-15.3) of follow-up. From preoperative imaging, the mean GBL was 5.8% ± 1.3% (range: 4.1%-8.4%). From intraoperative measurements, the mean HSL width was 12.7 ± 1.3 mm, depth 8.3 ± 2.1 mm, and size 106.0 ± 30.8 mm2. At final follow-up, PROMs improved (visual analog scale: 7.65-1.6, American Shoulder and Elbow Surgeons: 40.3-88.2, Single Assessment Numeric Evaluation: 48.6-90.0, and Rowe: 39.0-88.6, P < .0001), with sustained PROMs between mid- and long-term time points. The minimal clinically important difference was achieved by most patients (76.2%-95.2%). Two patients (9.0%) experienced complications: 1 with recurrent instability prompting Latarjet (4.5%) and 1 with postoperative stiffness (4.5%). At final follow-up, return to duty was achieved by 86.4% (n = 19) and to preinjury level of sport by 90.9% (n = 20). Three patients underwent medical discharge from the military because of the operative shoulder (13.6%).
Conclusions
At a minimum 10-year follow-up after arthroscopic Bankart repair with remplissage for off-track HSL with subcritical GBL, active-duty servicemembers showed sustained improvements in PROMs, low rates of recurrent instability, and relatively high rates of return to active-duty and sport, supporting the durability of this procedure in a high shoulder demand population.
Level of evidence
Level IV, retrospective case series.
DOI
10.1002/arj.70633
PMID
42841742
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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