Rotator Cuff Repair Surgery

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Rotator Cuff Repair Surgery

Overview

Rotator cuff repair surgery is performed to fix a torn tendon in the shoulder. The rotator cuff consists of a group of four muscles and tendons that help lift and rotate the arm. Tears can occur due to injury, overuse, or age-related degeneration. This surgery aims to reattach the torn tendon to the humeral head (the ball of the upper arm bone).

Symptoms Indicating Rotator Cuff Repair Surgery

Persistent shoulder pain, especially with overhead activities.
Weakness in the arm, making it difficult to lift objects or perform daily tasks.
Limited range of motion in the shoulder.
Pain that worsens at night or during sleep.
A feeling of instability or clicking in the shoulder joint.

Preparation for Surgery

Pre-Surgical Imaging: MRI or ultrasound to assess the tear and shoulder condition.
Physical Examination: A thorough assessment to ensure the tear is the primary cause of symptoms.
Medication Adjustments: If you take blood thinners or other medications, adjustments may be necessary.
Lifestyle Preparation: You may be advised to stop smoking to promote better healing and recovery.
Post-Surgery Planning: Arranging support for the first few days post-surgery, as you will have limited mobility in the shoulder.

Risk Factors

Risk Factors Leading to Rotator Cuff Tears:

Age (most tears occur in people over 40).
Repetitive overhead motions (e.g., sports, lifting).
Shoulder injuries or accidents (e.g., falls).
Poor posture or weak shoulder muscles.
Genetic factors or a history of rotator cuff issues.

Risks Involved with Rotator Cuff Repair Surgery:

Infection: As with any surgery, infection at the incision site is a risk.
Nerve Injury: Rare but can lead to numbness or weakness in the shoulder or arm.
Stiffness: Post-surgery stiffness in the shoulder, which may affect mobility.
Re-tear of the Rotator Cuff: In some cases, the tendon may re-tear despite surgery.
Blood Clots: Rare, but there is a small risk of blood clots forming in the arm or lungs.

Procedure:

Anesthesia: General anesthesia or regional anesthesia to numb the shoulder.
Incision: A small incision (or several small incisions for arthroscopic surgery) is made near the shoulder.
Repair: The surgeon reattaches the torn tendon to the bone, often using sutures, anchors, or tacks. In some cases, the surgeon may use tissue grafts or other techniques to promote healing.
Closure: The incision is closed with stitches or surgical tape, and a sterile bandage is applied.
Duration: The procedure typically takes 1-2 hours, depending on the severity of the tear and the surgical approach (open vs. arthroscopic).

Post-procedure Care:

Immobilization: A sling or brace is usually worn for 4-6 weeks to protect the repaired tendon and prevent movement.
Pain Management: Ice packs and prescribed pain medications help manage post-surgery pain.
Physical Therapy: After the initial healing period (around 4-6 weeks), physical therapy is essential to restore strength, flexibility, and motion.
Activity Restrictions: Avoid heavy lifting, overhead motions, or activities that stress the shoulder for 3-6 months.
Follow-up Appointments: Regular follow-ups are necessary to monitor healing progress and ensure the repair is successful.

Success Rate:

The success rate for rotator cuff repair surgery is typically 85-95%, with the majority of patients experiencing significant pain relief and improved function.
The success of the surgery largely depends on the size and severity of the tear, the patient’s age, and how well they follow post-operative instructions, particularly regarding rehabilitation.
Rehabilitation is crucial to regaining full function and strength in the shoulder, and adhering to the prescribed physical therapy protocol increases the chances of a successful outcome.

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Rotator Cuff Repair Surgery

Overview

Symptoms Indicating Rotator Cuff Repair Surgery

Preparation for Surgery

Risk Factors

Procedure:

Post-procedure Care:

Success Rate:

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