Rotator Cuff Repair

Rotator Cuff Repair is a surgical procedure performed to treat a torn or damaged rotator cuff in the shoulder. The rotator cuff is a group of four tendons and associated muscles that surround the shoulder joint, providing stability and enabling various shoulder movements. When one or more of these tendons are torn or damaged, it can result in pain, weakness, and limited range of motion in the shoulder. The primary goals of rotator cuff repair surgery are to alleviate pain, improve shoulder function, and prevent further degeneration of the rotator cuff tendons.

Here is an overview of the rotator cuff repair procedure:

Preoperative Evaluation: Before the surgery, the patient undergoes a thorough evaluation, which may include physical examinations, imaging studies (such as MRI), and a discussion of the patient's medical history and goals for the surgery.

 

Anesthesia: Rotator cuff repair surgery is typically performed under general anesthesia, which means the patient is asleep and pain-free during the procedure.

 

Surgical Approach: The surgeon can choose between open surgery and arthroscopic surgery. Arthroscopic surgery is less invasive and involves using a small camera (arthroscope) and specialized instruments inserted through tiny incisions, while open surgery involves a larger incision to access the shoulder joint. The choice of approach depends on the size and location of the rotator cuff tear and the surgeon's judgment.

 

Tendon Repair: The torn or damaged rotator cuff tendon(s) is repaired by stitching it back to the bone using sutures and/or anchors. The surgeon may remove any damaged tissue or spurs that contribute to the problem.

 

Grafts and Augmentation: In some cases, the surgeon may use graft tissue or other materials to reinforce the repair and promote healing. This is especially common in large or complex tears.

 

Glenohumeral Joint Examination: The surgeon may assess the health of the glenohumeral joint (the shoulder joint) and address any additional issues, such as labral tears or arthritis, during the same surgery if needed.

 

Incision Closure: After the repair is complete, the incisions are closed with sutures or staples, and a sterile dressing is applied.

After the surgery, patients typically undergo a rehabilitation program that includes physical therapy. The specific post-operative rehabilitation program will be tailored to the patient's needs and the extent of the rotator cuff repair. The goal of rehabilitation is to promote healing, restore strength and mobility, and prevent re-injury.

Recovery time varies depending on the extent of the repair and the patient's adherence to the rehabilitation program. It may take several months to regain full shoulder function. While the success rate of rotator cuff repair is generally high, the outcome can vary depending on factors such as tear size, age, and overall health.

Patients should follow their surgeon's post-operative instructions carefully and commit to the rehabilitation process to optimize the chances of a successful outcome.Top of Form

 

Rotator Cuff Repair