Arthroscopic Surgery

What is Arthroscopic Rotator Cuff Repair?

Arthroscopic surgery is meant to fix a torn rotator cuff. A rotator cuff is a group of tendons and muscles which enclose the shoulder joint, it helps you lift and rotate your arm. It also helps keep your shoulder joint in place. But occasionally, the rotator cuff tendons tear or get strained by the bones around them. Any injury, like falling on your arm, may cause this to occur. But wear and tear over time can take its toll on your shoulder, too.

A rotator cuff injury may give a dull pain at the front side of your shoulder or upper arm, which mostly worsens when you try to sleep on the affected side. The pain may be accompanied by arm weakness. Rotator cuff injuries mostly occur in people who repetitively perform overhead motions in their works or sports, like painters, carpenters, and people who play baseball or tennis. The risk of rotator cuff injury may increase with age. Sometimes, people get better from rotator cuff disease with physical therapy exercises which improve flexibility and strength of the muscles surrounding the shoulder joint. If rotator cuff tears occur as a result of a single injury, medical care must be provided as soon as possible. Extensive rotator cuff tears may need surgical repair, transfer of alternative tendons or joint replacement.

Without proper treatment, rotator cuff diseases may lead to permanent loss of movement or weakness and can result in progressive degeneration of the shoulder joint. Though resting your shoulder is required for your recovery, keeping your shoulder immobilized for an extended time may cause the connective tissue enclosing the joint to turn into thickened and tight (known as frozen shoulder).

There are numerous different arthroscopic techniques that can be used to mend a torn rotator cuff. Treatments for rotator cuff tears may vary according to the severity of symptoms and signs. The person with a rotator cuff tear may have an acute or chronic onset of shoulder ache with or without weakness. Though tears may occur as a result of a traumatic injury, many tears happen steadily and no specific injury can be recalled.

Generally, patients improve with appropriate therapy of the rotator cuff. However, some patients will have persistent symptoms in spite of adequate rehabilitation and may need surgery. Arthroscopic shoulder surgery is supposed to be used to both define and diagnose the exact nature of the tears. Often, the problem can be treated using specially-designed devices working through very small incisions with a minimum of discomfort and without any need for a hospital stay.

An experienced doctor may identify the signs of rotator cuff problems. While the rotator cuff cannot be directly visualized on X-rays, there may be subtle signs on the bones of the shoulder joint that may hint a problem. If supposed, the diagnosis can be confirmed using Magnetic Resonance Imaging techniques (MRI). Arthroscopic shoulder surgery is a valuable tool to treat rotator cuff tears. During an arthroscopic rotator cuff repair, the surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon can use these images to guide miniature surgical devices.

Arthroscopic repair is generally performed as an outpatient procedure and is the invasive method used to fix a torn rotator cuff. The procedure is generally performed within a few hours under general anesthesia and the patient may be discharged to home with minimum discomfort.

What are the Types of Rotator Cuff Tears?

  • Partial tear: The tendon of the rotator cuff is damaged, however not completely detached.
  • Complete tear: The soft tissue is torn into two divided pieces. The tendons often tear away from the place they are attached at the humerus
  • Acute tear: These tears are made by injury like a fall or lifting anything too weighty too promptly.
  • Degenerative tear: the majority of rotator cuff tears is multifactorial in origin and takes place from a gradual wearing down of the tendon over time, genetics, and other medical conditions like diabetes or high cholesterol. Due to this, tears are more common in the dominant arm because of the higher level of recurring stress it experiences. Degeneration also happens naturally as we age, rising a possibility of injury over time

How to prepare for Arthroscopic rotator cuff Repair surgery?

You may help your chances of getting a successful procedure and speedy recovery by being prepared for the surgery

  • Verify about the medication you take: You’ll require stopping medicines like blood thinners two weeks prior to surgery.
  • Arrange for help: You won’t be able to drive for a few weeks after the procedure and you’ll need some help around the house, so make the arrangement according to that.
  • Collect proper clothing: Purchase some loose-fitting shirts that open in the front. The aim is to avoid shirts you have to pull over your head.
  • Stock up on easy-to-prepare meals: It will be useful after surgery as you won’t be able to cook for some time.
  • Stock up on pillows: Some extra number of pillows will be helpful to support your shoulder while sitting or lying down.

As surgery is never fun, with a little preparation in advance and commitment to rehabilitation later, you can be on your way to shoulder recovery with lesser pain and better function.

What is The Procedure of Arthroscopic rotator cuff Repair surgery?

The procedure is used to examine and reattach torn tendons in the shoulder’s rotator cuff. The first part of the surgery is performed arthroscopically via small tubes.

  • Your surgeon inserts a small video camera known as an arthroscope through small incisions in the shoulder to check the damaged joint.
  • Your surgeon eliminates any loose fragments of the tendon or other debris from the damaged cuff tendon in the joint. This method, known as debridement, is generally done arthroscopically. After that, your surgeon will examine the tissue damage in the joint and find out if more surgery is required.
  • When bone spurs have formed on the bottom of the acromion, your surgeon uses a rasp-like device to smooth the area. This is known as subacromial decompression or smoothing, that will keep the acromion from pinching down on the supraspinatus tendon. It is generally done arthroscopically.
  • When no tear is found in the rotator cuff area, the process may end here. If your surgeon discovers a torn rotator cuff tendon, the kind of repair required is based on the size and severity of the tear. Small to modest tears can be repaired arthroscopically. Open surgery may be required to fix large tears
  • Your surgeon makes use of a frill or sharp instrument to make one or more small holes in the bone. Anchors are then positioned into the holes. The anchors help to hold stitches in place on the arm bone. The tear in the tendon is stitched jointly. The stitches are pulled tightly against the anchors, reattaching the tendon to the humerus.
  • After the procedure, your arm is generally placed in a sling. Physical therapy will be required to regain full range of motion and improved shoulder strength. With time, the tendon will naturally reattach itself to the humerus bone.

How to Recover Afer Arthroscopic Rotator Cuff Repair Surgery?

Recovery from arthroscopic surgery is normally faster than open tendon repair. No matter which surgery you have, a full recovery will take time. You can expect to be in a sling for about 6 weeks. This guards your shoulder and offers your rotator cuff time to repair. Driving a vehicle will be off-limits for at least 6 weeks.

Generally, people don’t get immediate pain release from a surgical procedure. It may take a few months prior to your shoulder starts feeling better. Till then, your doctor will recommend you to take over-the-counter pain relievers.

Physical therapy will be the main part of your recovery. Your doctor will suggest you exercises to do every day or you may work with a physical therapist. This will help you regain your shoulder strength and range of activity.

While the recovery from rotator cuff surgery may be a challenge, the majority of people are back to their normal routine within 6 months after surgery.

What are the Risks associated with the Arthroscopic rotator cuff Repair surgery?

Unfavorable happening following shoulder surgery is very rare, but it may occur. The risks of arthroscopic rotator cuff repair may include:

  • The risk associated with anesthesia
  • Infection
  • Pain
  • Temporary or permanent injury to the nerves and blood vessels around your shoulder
  • Joint stiffness
  • Recurrent tears of the rotator cuff
  • Allergic reactions to any implants or suture materials used
  • Need for additional surgeries.
How can UPHI Surgical Centre help you?
  • UPHI Follows all the diagnostic measurements to check for the actual cause of shoulder pain.
  • Medical Representatives will regularly follow up with the patients to book their appointment, report results, and other admission procedures.
  • Dedicated medical staff will be appointed to care for the patients.
  • Only experienced and well-qualified surgeons will perform Arthroscopic Rotator Cuff Tear repair surgery.
  • 2-3 days of hospital stay is required for better recovery.
  • No waiting time for billing and TPA, Book an appointment Now with our specialist surgeon and book your day of Treatment at the earliest.
  • Cost of the Arthroscopic Rotator Cuff Tear surgery is Comparatively less and the treatment is effective.

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