Irreparable rotator cuff tears can make conservative treatment options difficult or ineffective. For severe lacerations, doctors may recommend epicapsular reconstruction surgery.
The rotator cuff keeps the arm attached to the ball and socket joint of the shoulder. It consists of four muscles that converge on tendons around the head of the humerus. Helps lift and rotate the arm.
Rotator cuff injuries are a common cause of shoulder pain and disability. Good capsule reconstruction surgery is helpful when conservative treatment options are ineffective.
In this article, we will discuss good sac reconstruction, if necessary, what the procedure is, and more.
Supracapsular reconstruction is a surgical procedure to treat irreparable tears in the rotator cuff.
This procedure uses tissue from the human body to reconnect a torn rotator cuff. The procedure depends on several factors, including the type of graft used, whether it is open or endoscopic surgery, and where the doctor inserts the anchor into the shoulder.
Doctors may recommend epicapsular reconstruction surgery for people who
- severe bone deformity
- Vigorous movement outward or upward from the socket of the humeral head
- Nerve or deltoid dysfunction
This procedure may not be suitable for some older people.
Physicians treating patients with rotator cuff tears can discuss surgical suitability and other recommended treatment options.
Learn more about torn rotator cuffs here.
The deltoids are shoulder muscles that help move the arm in different directions on the shoulder.the subscapularis muscle
Excellent Capsule Reconstruction Surgery
Open surgery requires a larger incision and usually requires a longer recovery period.
Arthroscopic surgery is a type of keyhole surgery. This is a minimally invasive technique that involves making several small incisions. This type of surgery may have a shorter recovery time than open surgery.
During the procedure, the surgeon places anchors in the shoulder bone. They use cadaveric or autologous tendon tissue to bridge the damaged rotator cuff to the original bone attachment.
The surgeon then uses sutures or stitches to pull the graft into place. Sutures and grafts are attached to anchors at the ends of the shoulder bone and humerus to fix the torn rotator cuff.
Learn more about rotator cuff surgery here.
The person should discuss preparation with the surgical team or facility where the team will perform the procedure. They can answer specific questions about when the procedure will occur, what medications need to be stopped beforehand, and when to stop eating and drinking.
Eating and drinking immediately before surgery is generally not recommended. Food in the stomach increases the risk of vomiting before, during, and after anesthesia. Most facilities recommend stopping eating the night before an early morning surgery, or at least 6 hours before an evening surgery.
- Quit smoking if the person currently smokes
- Discuss pre-existing conditions with the surgical team
- avoid shaving near the shoulders
- It is recommended that the area be cleaned by the surgical team using soap
Recovery times may vary. All recommendations from the surgical team regarding periods of inactivity, when to initiate rehabilitation, and other instructions should be followed.
In general, you can expect to wear a sling or other support for about a month.
About 8 to 12 weeks after surgery, doctors often recommend physical therapy to help restore movement and range of motion in the shoulder.
Information on success rates is relatively limited due to few long-term studies. However, short-term success rates indicate that it is generally effective in restoring range of motion and reducing pain.
Several studies to determine improvement
As with all surgeries, supracapsular reconstruction has risks, including:
- response to anesthesia
- Surgical site infection
- shoulder reinjury
Certain factors can increase the risk of reactions to anesthesia. They include:
- Elderly (65 and over)
- live with an underlying disease
- sleep apnea
Prior to the day of surgery, the risk of reaction to anesthesia should be discussed with the surgical team. This can reduce the risk of complications.
A person can also take steps to prevent infection at the surgical incision site.
- follow all instructions from your doctor
- keep the area clean and dry
- change clothes regularly
- Call your doctor if an infection may be present
Superior capsular reconstruction surgery uses a tissue graft to correct the rotator cuff tear.
reverse shoulder replacement
Your doctor may recommend a reverse shoulder replacement for several different conditions that affect your shoulder. They may include:
- rotator cuff arthrosis
- Chronic irreversible shoulder dislocation
- Pseudo shoulder paralysis due to irreparable large-scale rotator cuff tear
- Reoperation for failed proximal humeral hemiarthroplasty
Health care professionals perform supracapsular reconstruction surgery to repair a severely torn rotator cuff in the shoulder.
The procedure may be open surgery or arthroscopic surgery. In both cases, recovery takes weeks and requires physical therapy to regain strength and mobility.