Dr. Dinesh Kumar is a renowned Orthopaedic Surgeon in Rewa, specializing in sports injuries, arthroscopy, and joint replacement surgery. With expertise in diagnosing and treating musculoskeletal conditions, he offers personalized care and advanced surgical techniques to restore mobility and enhance the quality of life for his patients.

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Remplissage Surgery

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Remplissage Surgery in rewa

Remplissage Surgery

Remplissage surgery is a surgical procedure performed to address shoulder instability and prevent recurrent dislocations. In this procedure, the surgeon fills in and repairs the defect in the shoulder joint capsule by transferring and suturing a portion of the infraspinatus tendon into the humeral head defect. This technique acts as a “soft tissue block,” stabilizing the shoulder joint and preventing the humeral head from dislocating during certain movements. Remplissage surgery is often recommended for individuals with shoulder instability, particularly those with engaging Hill-Sachs lesions, where the humeral head has been damaged due to recurrent dislocations. It is commonly performed alongside Bankart repair or Latarjet surgery for comprehensive stabilization.

Symptoms:

Remplissage surgery is typically recommended for individuals experiencing symptoms of shoulder instability, particularly recurrent dislocations. Common symptoms include a sensation of the shoulder “slipping out” of place, pain with shoulder movement, weakness in the affected arm, and difficulty performing overhead activities. These symptoms can significantly impact daily activities and quality of life, prompting the need for surgical intervention to address the underlying instability.

Causes:

Shoulder instability leading to the need for remplissage surgery can result from various factors, including traumatic injury, repetitive overuse, anatomical abnormalities, or previous unsuccessful shoulder stabilization procedures. Recurrent dislocations may occur due to damage to the ligaments, labrum, or bone structures in the shoulder joint, compromising its stability and increasing the risk of further instability episodes.

Treatment:

Remplissage surgery is a surgical procedure aimed at addressing shoulder instability and preventing recurrent dislocations. During the surgery, the surgeon fills in and repairs the defect in the shoulder joint capsule by transferring and suturing a portion of the infraspinatus tendon into the humeral head defect. This technique acts as a “soft tissue block,” stabilizing the shoulder joint and preventing the humeral head from dislocating during certain movements.

Rehabilitation:

Rehabilitation following remplissage surgery is essential for optimizing outcomes and restoring shoulder function. Physical therapy typically begins soon after surgery and focuses on gradually increasing range of motion, strengthening the shoulder muscles, and improving overall joint stability. The rehabilitation program is tailored to the individual’s specific surgical procedure, extent of the instability, and overall health. It may involve a combination of passive and active exercises, along with modalities such as heat, cold, and electrical stimulation to aid in healing and recovery. Close monitoring by a healthcare professional is essential to ensure proper rehabilitation and minimize the risk of complications.

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Remplissage Surgery

Remplissage surgery is a procedure used to address shoulder instability by stabilizing the joint through the transfer and suturing of a portion of the infraspinatus tendon into the humeral head defect. This technique acts as a “soft tissue block,” preventing the humeral head from dislocating during certain movements.

Common symptoms of shoulder instability, such as recurrent dislocations, a sensation of the shoulder “slipping out” of place, pain with shoulder movement, weakness in the affected arm, and difficulty performing overhead activities, may indicate the need for remplissage surgery.

 Shoulder instability leading to the need for remplissage surgery can result from various factors, including traumatic injury, repetitive overuse, anatomical abnormalities, or previous unsuccessful shoulder stabilization procedures. Recurrent dislocations may occur due to damage to the ligaments, labrum, or bone structures in the shoulder joint.

During remplissage surgery, the surgeon fills in and repairs the defect in the shoulder joint capsule by transferring and suturing a portion of the infraspinatus tendon into the humeral head defect. This technique stabilizes the shoulder joint and prevents the humeral head from dislocating during certain movements.

Recovery after remplissage surgery involves a period of immobilization followed by physical therapy to restore strength, range of motion, and function in the shoulder joint. The rehabilitation program is tailored to the individual’s specific surgical procedure, extent of the instability, and overall health.

The success rate of remplissage surgery in treating shoulder instability is generally high, with many patients experiencing significant improvement in symptoms and reduced risk of recurrent dislocations. However, the success of the surgery depends on various factors, including the severity of the instability, the surgeon’s experience, and adherence to postoperative rehabilitation protocols.