Arthroscopic Shoulder Stabilisation Surgery
A minimally invasive procedure to stabilise the shoulder and prevent recurrent dislocations
Arthroscopic shoulder stabilisation surgery involves the use of a tiny camera (arthroscope) and specialised instruments to repair and tighten damaged ligaments or tissues in the shoulder joint.
Common Reasons for Surgery
- Recurrent shoulder dislocations.
- Shoulder instability following trauma or injury.
- Weakness or pain caused by loosened ligaments or damaged cartilage.
Goals of the Procedure:
- Stabilise the shoulder joint.
- Prevent further dislocations.
- Improve overall shoulder strength and function.
Preparation for Surgery
Proper preparation can optimise surgical outcomes and recovery.
Steps in Preparation:
- Consultations and Imaging:
- Dr Ben McGrath may recommend imaging, such as X-rays or MRIs, to assess the condition of the joint and soft tissues.
- Pre-Surgical Instructions:
- Follow fasting guidelines provided by Dr McGrath’s team.
- Review your current medications; certain drugs may need to be paused or adjusted.
- Lifestyle Adjustments:
- Consider physiotherapy to strengthen the shoulder muscles before surgery.
- Smoking cessation and weight management may be advised to support healing.
What Happens During the Surgery?
Arthroscopic shoulder stabilisation surgery is a minimally invasive procedure performed under general anaesthesia.
Surgical Steps:
- Anaesthesia:
- General anaesthesia ensures you remain comfortable throughout the procedure.
- Arthroscopic Technique:
- Small incisions are made to insert the arthroscope and specialised instruments.
- The damaged tissue is repaired, and loose ligaments may be tightened or reattached to the bone.
- Completion:
- The incisions are closed with sutures, and a sterile dressing is applied.
The procedure typically takes 1–2 hours, depending on the complexity of the repair.
Understanding the Risks
While arthroscopic shoulder stabilisation surgery is generally considered safe, there are some associated risks.
Common Risks:
- Temporary pain, swelling, or stiffness in the shoulder.
- Bruising or tenderness around the incision sites.
Rare but Serious Risks:
- Infection at the surgical site.
- Nerve or blood vessel damage.
- Persistent instability or recurrence of dislocations.
Dr McGrath will discuss these risks and the measures taken to minimise them during your consultation.
What to Expect After Surgery
Immediate Post-Operative Care:
- The arm will be placed in a sling to protect the shoulder during the initial healing phase.
- Pain management will involve medications and possibly icing the shoulder.
Discharge Instructions:
- Follow guidelines for sling use and wound care.
- Avoid activities that place strain on the shoulder during early recovery.
Rehabilitation and Recovery
A structured rehabilitation program is essential for recovery.
Recovery Timeline:
- Weeks 0–6:
- Wear the sling as instructed.
- Start passive range-of-motion exercises under the guidance of a physiotherapist.
- Weeks 6–12:
- Gradually transition to active movement and strengthening exercises.
- Months 3–6:
- Resume daily activities, with sports and heavy lifting delayed until cleared by Dr McGrath.
Restrictions:
- Avoid overhead activities and sudden movements early in recovery.
- Adhere to physiotherapy guidelines to support gradual improvement.
Long-Term Outcomes
Arthroscopic shoulder stabilisation surgery may provide long-term stability and functional improvement for patients with shoulder instability.
Expected Improvements:
- Reduced risk of further dislocations.
- Enhanced joint stability and strength.
- Improved shoulder mobility for daily and athletic activities.
Maintenance of Results:
- Continue strengthening exercises as recommended by your physiotherapist.
- Avoid high-risk activities that could strain the repaired shoulder.
- Regular follow-ups with Dr McGrath ensure optimal recovery and long-term success.