The Triple-Double Technique of Arthroscopic Hill-Sachs Remplissage

Surgeons are increasingly treating Hill-Sachs lesions arthroscopically by suturing the posterior rotator cuff and capsule into the defect, a procedure known as “remplissage.” A number of remplissage techniques have been described in the literature, and these often vary by the number and location of suture anchors. The “triple-double” technique of arthroscopic Hill-Sachs remplissage can be used for larger lesions. This technique utilizes a three-anchor configuration secured by interconnected double-mattress sutures to provide durable fixation through a large contact area between the capsulotenodesis tissue and the prepared bone bed to theoretically optimize healing.