1. Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion
Thomas C. Alexander, M.D., Clint Beicker, M.D., John M. Tokish, M.D. 
Arthroscopy Techniques 
Volume 5, Issue 5, Pages e975-e979 (October 2016)
DOI: /j.eats
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

2. Fig 1
Left shoulder visualization of Hill-Sachs posterior humeral defect through anterior superior portal. (HH, humeral head; HS, Hill-Sachs.)
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

3. Fig 2
First percutaneous anchor through capsule and infraspinatus into posterior-inferior aspect of humeral defect. (HS, Hill-Sachs; IS, infraspinatus.)
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

4. Fig 3
Second percutaneous anchor placed through same incision in skin and deltoid, but piercing cuff tendon 15-20 mm anterior-superior to first anchor. (HS, Hill-Sachs; IS, infraspinatus.)
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

5. Fig 4
The 4 suture strands exit the percutaneous portal. One strand from each suture anchor is tied together over a switching stick, and the 2 remaining free ends (one from each anchor) are pulled, thereby using the anchor eyelets as pulleys and sliding the knot down onto the bursal side of the infraspinatus for the double pulley technique.
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

6. Fig 5
Complete fill of posterior humeral defect with rotator cuff tendon through double pulley remplissage technique. (HH, humeral head.)
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

7. Fig 6
Anterior inferior Bankart repair completed before the final tying of remplissage sutures to maximize visualization during Bankart repair and prevent stress on remplissage. (G, glenoid; HH, humeral head.)
Arthroscopy Techniques 2016 5, e975-e979DOI: ( /j.eats )
Copyright © 2016 Arthroscopy Association of North America Terms and Conditions