About Remplissage
Key Highlights
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Minimally invasive arthroscopic technique using small incisions.Effectively treats recurrent shoulder instability caused by bony defects (Hill-Sachs lesions).Often performed alongside a Bankart repair for comprehensive stabilization.Preserves the native shoulder joint, avoiding more invasive bone-block procedures.High success rate in preventing recurrent dislocations, especially in active patients.Typically results in less post-operative pain and a quicker initial recovery compared to open surgery./ul
Who is this surgery for?
- Recurrent anterior shoulder instability (dislocations).
- Presence of an engaging Hill-Sachs lesion (a bony defect in the humeral head).
- Patients who have failed conservative management like physical therapy.
- Active individuals, athletes, or young patients at high risk for re-dislocation.
- As an adjunct to an arthroscopic Bankart repair when significant bone loss is present.
- Contraindication or patient preference to avoid a Latarjet procedure (coracoid transfer).
How to prepare
- Complete pre-operative medical evaluation and clearance.
- Discontinuation of blood-thinning medications (e.g., aspirin, ibuprofen, warfarin) as advised by the surgeon.
- Pre-operative imaging, including X-rays and often a CT scan or MRI, to assess the size and engagement of the Hill-Sachs lesion.
- Discussion of anesthesia options (typically general anesthesia).
- Arranging for post-operative assistance at home for daily activities.
- Fasting for 8-12 hours before surgery as instructed.
Risks & possible complications
- Infection at the surgical site or within the joint.
- Bleeding, hematoma, or nerve/vessel injury.
- Stiffness or loss of shoulder range of motion, particularly external rotation.
- Failure of the repair, leading to recurrent instability.
- Complications related to anesthesia.
- Arthrofibrosis (excessive scar tissue formation).
- Persistent pain or weakness.
Recovery & hospital stay
- The arm is placed in a sling for 4-6 weeks to protect the repair.
- Immediate post-operative focus is on pain management and controlling swelling with ice.
- Early passive range-of-motion exercises are started soon after surgery, guided by a physical therapist.
- Active and strengthening exercises are gradually introduced after 6 weeks.
- Full recovery and return to non-contact sports typically take 4-6 months.
- Return to contact or overhead sports may take 6-9 months or longer, based on healing and strength restoration.
- Regular follow-up with the surgeon and therapist is crucial to monitor progress.
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Typical hospital stay: 1-2 days
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Expected recovery time: 4-6 months for full activity
Frequently Asked Questions
If you are considering remplissage in India, these questions and answers can help you make a confident, informed decision.
Popular choices for remplissage in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform remplissage. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for remplissage compare across other countries where we have data.
Top hospitals for Remplissage in India
These partner hospitals in India have dedicated orthopedics teams and experience managing patients undergoing remplissage.
Priya Sharma, a 28-year-old software engineer...
Priya Sharma, a 28-year-old software engineer and avid rock climber, had her life upended during a climbing fall six months ago. She suffered a traumatic anterior shoulder dislocation. Despite initial immobilization and physical therapy, her shoulder continued to dislocate during simple daily activities, like reaching for a coffee mug or turning in bed. An MRI revealed a large Hill-Sachs lesion, a bone defect in the humeral head, coupled with significant damage to her labrum. Her orthopedic surgeon explained that due to the size of the bone defect, a standard labral repair alone had a very high failure rate. He recommended a Remplissage procedure, where the infraspinatus tendon is used to fill the bone defect, creating a 'bumper' to prevent re-dislocation. Priya was terrified of losing her climbing ability but felt she had no choice. The arthroscopic surgery went smoothly. Her recovery was challenging; her arm was in a sling for six weeks, followed by months of diligent physical therapy focused on regaining range of motion before strength. A year later, Priya has regained 95% of her shoulder function. She is back to climbing at an indoor gym, though she approaches outdoor routes with more caution. Emotionally, she transitioned from feeling fragile and defeated by her unstable shoulder to empowered and resilient, grateful for a stable joint that allows her to pursue her passion safely.
Orthopedists for Remplissage
Explore experienced orthopedists who regularly perform remplissage and provide pre- and post-operative care in India.
- 48 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 11 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 14 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 19 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 30 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 28 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 26 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 14 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore