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Rotator Cuff Repair
Diagnosis and Procedure for Rotator Cuff Repair Surgery
With Krescent Healthcare, you can get a detailed diagnosis and a suitable treatment for rotator cuff repair in India. Consult highly experienced surgeons to get Rotator Cuff Repair Surgery.
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Rotator Cuff Repair
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What is Rotator Cuff Repair?
Rotator cuff surgery is usually performed in patients with torn rotator cuffs. The rotator cuff is composed of muscles and tendons that surround the shoulder joint and hold the upper arm firmly in place. It can either be performed conventionally (with an open incision) or minimally invasively (arthroscopically).
People who frequently perform overhead motions, such as painters, carpenters, etc., are more likely to experience rotator cuff injuries. Rotator cuff injuries usually occur over time and can be treated conservatively if caught in time, but are usually treated surgically when they are severe or occur as a result of a single trauma.
Diagnosis
The doctor usually recommends a few diagnostic tests before treating rotator cuff injuries. Some of the common diagnostic tests include:
Magnetic Resonance Imaging (MRI)
An MRI produces detailed images of the shoulder's internal structures, which aid in diagnosis and treatment planning.
X-rays: Typically, this test is performed to identify the source of pain by identifying bone abnormalities such as bone spurs, joint dislocations, and arthritis.
Ultrasound: By using this imaging technique, the surgeon can assess for tears, sprains, or other abnormalities in soft tissues such as muscles and tendons.
Once the diagnosis is confirmed, the surgeon discusses the appropriate treatment options with the patient. Mild to moderate tears are typically managed conservatively with medications, steroid injections, and physical therapy. In severe cases of rotator cuff tears, surgery is often necessary.
Treatment Options
Rotator Cuff Surgery: Surgical Options
Rotator cuff surgery options include:
Arthroscopic surgery: Through small incisions, the surgeon uses a small camera and specialized instruments to repair the injured rotator cuff. With this minimally invasive procedure, the shoulder joint can be seen clearly on a monitor, enabling precise repairs. In comparison to traditional open repair methods, arthroscopic surgery usually results in a faster recovery, minimal postoperative pain, and fewer scars.
Traditional open surgery: An incision is made on the shoulder to access the torn tendon. A surgeon then uses conventional surgical tools to stitch the torn tendon back into the bone. In contrast to minimally invasive alternatives, this surgical procedure helps with direct visualisation and thorough repair, but often involves a longer recovery period and increased postoperative discomfort.
Mini-open repair: The mini-open repair surgery for rotator cuff involves a smaller incision, usually between 3 and 5 cm. By using arthroscopic guidance, the surgeon can assess the injured tendon and make any necessary repairs through the mini-incision. This method combines the advantages of both arthroscopic and open procedures, resulting in improved visibility and more comprehensive repairs compared to arthroscopy alone. Additionally, it also offers the benefit of less postoperative discomfort and a quicker recovery time than traditional open surgery.
Preparation for Surgery
The following preparation steps should be followed before rotator cuff repair surgery to ensure success and comfort:
1. Talk to your surgery provider about your health condition. Make sure you tell them what medicines, supplements, or herbs you are taking. Before the surgery, you may need to stop taking blood thinners or medicines that might cause anaesthesia-related complications.
2. Your regular care provider may need to approve the surgery if you have pre-existing conditions like diabetes, heart disease, hypertension, etc.
3. In order for the patient to heal properly, tobacco and alcohol consumption, especially smoking, should be stopped a few days before surgery.
4. You should inform your surgery provider if you have a fever, cold, or other infection before surgery.
5. In the event your surgery will be performed under general anaesthesia, you may be hospitalised for 1-2 days after the surgery. Do not eat anything after midnight on the day of the surgery.
Benefits of Surgery
Arthroscopic rotator cuff repair is a highly successful procedure for relieving shoulder pain, restoring strength, and enhancing overall shoulder function. Patients are able to resume daily activities, overhead tasks, and sports without any discomfort. Additionally, many individuals experience better sleep as the persistent nighttime shoulder ache subsides. When combined with appropriate post-operative care and rehabilitation, this surgery allows patients to return to an active lifestyle and greatly improve their quality of life. Some of the general advantages of rotator cuff surgery include:
Advanced surgical techniques: For irreparable posterior rotator cuff tears, knotless double row repairs provide secure fixation and arthroscopic assisted latissimus dorsi transfer.
Less invasive: During arthroscopic rotator cuff surgery, only small incisions are made. As less surrounding tissue is impacted, scarring is reduced, pain is reduced, and recovery time is shortened.
New developments in anchors: New anchors, such as bioabsorbable fully-threaded suture anchors, allow the rotator cuff to be firmly attached to the bone, allowing the shoulder to heal and function properly.
Fewer complications: With a tiny camera, there are fewer chances of complications. Also, with a smaller incision, there is less chance of infection.
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