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The OJSM Hot Corner

Jan 18, 2023

The right surgery for an unstable shoulder remains a topic of controversy. What is the right approach? If performing a soft tissue stabilization, is Bankart repair alone sufficient? What is the amount of critical bone loss that would tip the scales towards a Laterjet? World-renowned shoulder specialist Dr. Patrick Denard of the Oregon Shoulder Institute joins us to discuss his recent study, “Arthroscopic Bankart Repair with Remplissage as an Alternative to Laterjet for Anterior Glenohumeral Instability with More Than 15% Glenoid Bone Loss,” published in OJSM in December. 15% glenoid bone loss has commonly been referred to as the threshold beyond which a soft tissue only procedure should not be performed. Dr. Denard shares his wisdom with us and why the addition of Remplissage may change the decision-making when dealing with bone loss above this limit.