Goal of Surgery
Rotator cuff tear involves a full thickness tear of the rotator cuff tendon that attaches to the upper arm. Depending on the size of the tear it may be very painful and movement limiting and is indicated for surgical repair.
The goal of arthroscopic rotator cuff repair surgery is to clear up the area around the rotator cuff (subacromial decompression), and locate and repair the torn end of the rotator cuff tendon back to the upper arm from where it was torn.
Depending on the size of your rotator cuff tear, Dr Gupta will choose between a single row, double row or augmented repair.
- Single row repair
- Double row repair
- Augmented rotator cuff repair
Single Row Rotator Cuff Repair
Hemi (half) arthroplasty (joint replacement) is the least traumatic of shoulder replacements, where only the joint surface of the upper arm is replaced with a small prosthesis. Bone quality of the upper arm and shoulder is generally very good and removing only the worse surface of the joint spares additional trauma from surgery.
Double Row Rotator Cuff Repair
Requires the surgeon to take away both sides of the shoulder joint, in preparation for the new prostheses. A total shoulder is a preferred procedure in patients with arthritis who still have an intact rotator cuff, however, it is quickly becoming less popular over reverse total shoulder replacements, which are achieving quicker recovery times and better longer term results.
Augmented Rotator Cuff Repair
Requires the surgeon to take away both sides of the shoulder joint, in preparation for a prosthesis which reverses the mechanism of the shoulder so that the ball becomes the socket and the socket becomes the ball. Patients do not require a rotator cuff for a reverse prosthesis and so in aging populations where rotator cuff injury is common, this is a good choice of prosthesis.
If you think you may have a rotator cuff tear and don't know what to do, Dr Gupta can offer advice or a second opinion if you are uncertain. Contact Dr Gupta on 02 9687 8344 or make an online booking here.
You should expect the following after surgery;
- Drowsy and swollen
- Strong pain, decreasing over 6 weeks after the operation
- You will see Dr Gupta again about 2 weeks after your operation
- You will be in a sling for 6 weeks
- You should complete rehab with a Physiotherapist following Dr Gupta's Rotator Cuff Repair Protocol
- You will see Dr Gupta again about 3 months after your operation
Dr Gupta has a proven track record of successful surgical outcome and will talk to you further about your condition at your initial consultation. To book an appointment with Dr Gupta, call 02 9687 8344 or make a priority booking online here.