Background: The present study aimed to determine whether arthroscopic remplissage with Bankart repair (bipolar repair) is an effective treatment for improving outcomes for the young patient with Bankart and Hill-Sachs lesions

Materials and Methods: The study consisted of patients diagnosed with anterior shoulder instability treated with arthroscopic bipolar fixation (arthroscopic remplissage with Bankart repair) at BIRRD (T) hospital Tirupati. The study was a Prospective, Observational study with a minimum follow-up of 1 year. The study will be from October 2021 to November 2022 with a minimum sample size of 60 patients.

Follow-up included subjective evaluation of pain, return to sports activity and limitation of work etc. Physical examination included range of movements, instability testing including apprehension test. Functional outcome was evaluated with Walch-Duplay score at 3 months, 6 months and at 1 year and UCLA SCORE (the University of California at Los Angeles Shoulder Score) were done at 1 year of follow-up.

Results: The mean age was 28.9 years with a mean follow-up of 12 months. Predominately males, involving right side with 1-2 episodes of dislocations after 1st. All mean scores improved, 66.6% and 23.8 of patients had excellent and good ULCA score respectively. 95.2% of patients had Good to Excellent Walch-Dupley's Score. There was a mean deficit in external rotation at the side of 10. One patient had residual posterior discomfort but no apprehension. One patient had supraspinatus tear after 8 months of surgery following a traumatic episode.

Conclusions: This bipolar fixation technique demonstrated good outcomes, with lower recurrence rates. The slight restriction in external rotation does not significantly affect any clinical outcomes and return to play and daily routine.