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Bony changes such as glenoid bone defects and Hill-Sachs lesions are responsible for recurrent anterior shoulder dislocations. With the development of arthroscopic techniques as well as arthroscopic surgical instruments, arthroscopic repair of bony structures has become an important surgical procedure for the treatment of recurrent shoulder dislocation. In this Technical Note, we used screws to fill Hill-Sachs lesions and autologous iliac bone grafts combined with soft tissue to repair the glenoid bone defects. In the surgical procedures within the shoulder, all operations are done arthroscopically, are minimally invasive, and achieve the goal of repairing composite shoulder injuries., Competing Interests: The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: This work was supported by the 10.13039/501100001809National Natural Science Foundation of China (No. 81672225, 81601941); the National Clinical Research Center for Geriatric Disorders, 10.13039/501100011790Xiangya Hospital, Central South University (2021KFJJ06); and Hunan Provincial Natural Foundation of China (2021JJ30040). All authors (Y-M.W., Y-F.X., J-H.M., Y-L.X., H.T., S-G.G.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Arthroscopic repair of Bankart injury is the first choice for the treatment of anterior shoulder instability. How to avoid recurring shoulder joint dislocation is a challenge, especially when combined with Hill-Sachs lesions. The arthroscopy technology allows for broader vision and less surgical trauma but is limited by a smaller operating space. At present, extensive descriptions about the surgical procedure of arthroscopic Bankart repair have been published. In this Technical Note, we describe the use of remplissage filling with Hill-Sachs lesion combined with Bankart repair to further improve the surgical accuracy and clinical efficacy. In particular, the application of single needle-assisted outside-in remplissage technique and Bankart repair is introduced in detail., Competing Interests: The authors report the following potential conflicts of interest or sources of funding: This work was supported by the 10.13039/501100001809National Natural Science Foundation of China (No. 81672225, 81601941), the National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, 10.13039/501100002822Central South University (2021KFJJ06), and Hunan Provincial Natural Foundation of China (2021JJ30040). All authors (Y.-M.W., Y.-F.X., H.T., Y.-L.X., W.-J.L., J.-H.M., S.-G.G.) declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Full ICMJE author disclosure forms are available for this article online, as supplementary material., (© 2024 The Authors.)

Massive rotator cuff tears are a huge challenge for orthopaedic surgeons, as the patients may be in need of multiple operations, even including reverse total shoulder arthroplasty. The various repair methods for the rotator cuff, such as partial rotator cuff repair, patch-augmented rotator cuff repair, bridging rotator cuff reconstruction with graft interposition, tendon transfer, and superior capsular reconstruction, have always been the focus of research. During surgical intervention for failed rotator cuff repairs, complexity of tears, poor tissue quality, retained hardware, and adhesions are the problems routinely encountered. In this Technical Note, we describe the technique of interposition grafting using fascia lata autograft to reconstruct the rotator cuff after failed primary repair., (© 2023 The Authors.)