Evaluation of range of motion and functional outcomes after combined remplissage and bankart repair in recurrent anterior shoulder dislocation with off-track Hill-Sachs lesion and glenoid bone loss (
Bibliographic record
Abstract
Purpose: For anterior shoulder instability with off-track Hill-Sachs lesion (HSL) and subcritical loss of glenoid bone (less than 20%), Bankart repair and Remplissage (BRR) has been recommended. The goal of this work was to assess the functional outcomes following BRR among individuals with anterior shoulder instability and off-track HSL with loss of glenoid bone of less than 20%.Methods: BRR was used to manage 41 individuals who had anterior shoulder instability with off-track HSL and loss of glenoid bone under 20%. They were monitored for a median of 23 months after surgery. The Western Ontario Shoulder Instability Index (WOSI) and the American Shoulder & Elbow Surgeons score (ASES) were used to evaluate the functional result. The shoulder range of motion including external rotation at the side (ERs), forward flexion (FF), internal rotation in abduction (IRa) and external rotation in abduction (ERa), was recorded. Results: The postoperative ASES and WOSI scores for each participant significantly improved when compared to their preoperative values, with a mean difference of 46.1%±19.5 and 29.2±13.3 correspondingly. The mean decrease in ERa, ERs, FF, and IRa were (13.09%±8.2), (22.5%±16.18), (2.46%±1.92), and (10.12%±6) respectively. There was no correlation between functional scores and limitation of ER.Conclusion: In anterior shoulder instability patients with loss of glenoid bone of less than 20% and off-track HSL, combined arthroscopic Bankart repair and remplissage results in satisfactory functional outcomes. Over the duration of the trial, the rate of recurrence was 2.5 percent. There was a statistically significant limitation of range of motion of shoulder mainly in external rotation. However, this was functionally insignificant.Level of evidence: Therapeutic Level IV, case series study
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".