Surgical rotator cuff repair is usually considered for healthy individuals in whom shoulder pain and weakness interfere with daily activities. The rotator cuff, which helps the shoulder move and rotate, can become damaged by injury, normal wear and tear or arthritis. When the cuff tears, the tough cartilage that covers and protects bone surfaces no longer can be smooth and moves unevenly against other bones when the arm is moved. Injuries and arthritis can also damage the rotator cuff tendon, which is a critical part of the muscle group that helps control movement and keep the shoulder in place.어깨필러시술
In a standard total shoulder replacement, the surgeon replaces the arthritic joint surfaces with metal and plastic parts. The surgeon inserts a metal stem into the head of the humerus and a plastic socket (glenoid fossa) into the shoulder blade (scapula). The surgeon cements these parts into place.
Some patients with a humeral head with good cartilage may benefit from a procedure called hemiarthroplasty. In this procedure, the surgeon removes only the damaged humeral head and preserves the remaining socket surface. He or she might use a smaller sized glenoid component in order to improve the motion of the shoulder.
Hemiarthroplasty is sometimes performed in combination with a rotator cuff repair. The surgeon may recommend this approach for patients who have a large rotator cuff tear and some bone deterioration of the glenoid socket. This type of repair is less invasive than a complete replacement, but it can also provide improved shoulder motion and prevent future arthritis.
The surgery is generally done on an outpatient basis, and the patient goes home in a sling. Most patients return to their jobs within a few weeks, and the shoulder heals very quickly. However, it is important to understand that physical therapy is necessary to regain strength and flexibility in the shoulder and avoid stiffness.
After the surgery, you should try to avoid sleeping on your affected side. This will help keep the new shoulder in place and prevent further damage to the repair tissue. You should also avoid lifting anything heavy with the affected shoulder and avoid activities that require repetitive movements or overhead activity.
Before your surgery, ask the doctor about pre-surgery instructions and what to expect during recovery. Your doctor will explain how to care for the shoulder after surgery and what outcomes to expect.
A successful shoulder replacement requires proper rehabilitation and a well-planned follow up program. Your surgeon can suggest an appropriate therapist and give you a detailed plan for the rehabilitation process.
The surgical risks associated with shoulder replacement include infection, temporary or permanent injury to the nerves and blood vessels around the joint, loss of range of motion, stiffness of the shoulder and a need for additional surgery. The experienced and cautious surgical team uses techniques that can minimize these risks. If you have questions about shoulder plastic surgery, please contact Prairie Orthopaedic & Plastic Surgery serving Lincoln, NE.닥터케빈의원