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  • Is rotator cuff surgery arthroscopic?

    肱骨 关节镜 手术

    Questioner:Amelia Lee 2023-06-15 05:01:26
The most authoritative answer in 2024
  • Ethan Davis——Works at the World Health Organization, Lives in Geneva, Switzerland.

    As an expert in the field of orthopedic surgery, I can provide you with a comprehensive understanding of rotator cuff surgery and whether it is typically performed arthroscopically.
    Rotator cuff injuries are common among individuals who engage in repetitive overhead movements or those who have experienced a traumatic injury to the shoulder. The rotator cuff is a group of four muscles and their tendons that surround the shoulder joint, providing stability and allowing for a wide range of motion. When a tear occurs in the rotator cuff, it can lead to pain, weakness, and a significant loss of function in the affected shoulder.
    Arthroscopic Rotator Cuff Repair is a minimally invasive surgical procedure that has become increasingly popular due to its numerous benefits over traditional open surgery. To understand why this might be the case, let's delve into the details of both approaches.
    ### Arthroscopic Surgery
    Arthroscopic surgery is performed by making small incisions in the skin and inserting a small camera, called an arthroscope, into the shoulder joint. This allows the surgeon to view the structures within the joint on a monitor and perform the repair using specialized instruments. The benefits of arthroscopic surgery include:
    - Minimally Invasive: Small incisions mean less damage to the surrounding tissues, leading to less pain and a quicker recovery.
    - Improved Visualization: The arthroscope provides a clear, magnified view of the joint, allowing for precise placement of sutures and bone anchors.
    - Less Risk of Infection: Smaller incisions reduce the risk of postoperative infection.
    - Shorter Hospital Stay: Patients often spend less time in the hospital following arthroscopic surgery compared to open surgery.
    - Faster Return to Daily Activities: With less soft tissue disruption, patients can often return to their daily activities sooner.
    ### Open Surgery
    Open surgery, on the other hand, involves a larger incision and direct visualization of the rotator cuff. While this approach can be necessary in certain cases, such as massive tears or when the surgeon prefers direct access, it generally comes with a longer recovery time and higher risk of complications, such as infection and scarring.
    ### When is Arthroscopic Surgery Preferred?
    Arthroscopic rotator cuff repair is typically preferred for the following reasons:
    - Small to Medium Tears: Arthroscopic surgery is often the first choice for repairing small to medium-sized tears because it can be done with less trauma to the surrounding tissues.
    - Patient Factors: Patients who are in good health and have good tissue quality may be better candidates for arthroscopic surgery.
    - Surgical Experience: Surgeons who are experienced in arthroscopic techniques may prefer this approach due to their familiarity and comfort with the procedure.
    ### Considerations and Limitations
    It's important to note that not all rotator cuff tears can be repaired arthroscopically. There are certain situations where open surgery may be necessary:
    - Large or Massive Tears: In cases where the tear is very large or has retracted significantly, open surgery may provide better access and repair options.
    - Complex Injuries: When there are additional injuries within the shoulder, such as a fracture or a significant labral tear, open surgery might be more appropriate.
    - Revision Surgery: If a patient has had previous surgery and there is significant scarring, open surgery may be required to fully address the issue.
    ### Conclusion
    In summary, while arthroscopic rotator cuff repair is a preferred method for many patients due to its minimally invasive nature and numerous benefits, it is not suitable for every case. The decision to perform arthroscopic surgery versus open surgery is based on a variety of factors, including the size and complexity of the tear, the patient's overall health, and the surgeon's expertise and preference.
    As with any surgical procedure, it is crucial to have a thorough discussion with your surgeon to understand the best treatment option for your specific situation. They will evaluate your condition, discuss the risks and benefits of each approach, and help you make an informed decision about the most appropriate course of action for your rotator cuff repair.

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    +149932024-05-12 08:16:02
  • Charlotte Robinson——Studied at the University of Lagos, Lives in Lagos, Nigeria.

    Arthroscopic Rotator Cuff Repair. A complete rotator cuff tear will not heal. ... A rotator cuff repair involves stitching the torn tendon back onto its attachment to the arm bone (Humerus). This may be performed either through keyhole surgery (Arthroscopy) or open surgery, using sutures and bone anchors.read more >>
    +119962023-06-25 05:01:26

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