Rotator Cuff Repair (Open)
A surgical procedure to repair large or complex rotator cuff tears and restore shoulder function
Open rotator cuff repair involves surgically repairing torn or damaged tendons in the shoulder to restore normal function and reduce discomfort.
Common Reasons for Surgery
- Large or complex rotator cuff tears.
- Persistent shoulder pain and weakness not responding to non-surgical treatments.
- Difficulty with overhead activities or lifting objects.
- Shoulder instability caused by chronic tendon damage.
Goals of the Procedure:
- Reattach torn tendons to the bone.
- Restore shoulder stability and strength.
- Relieve pain and improve daily function.
Preparation for Surgery
Preparing for open rotator cuff repair is important for a smoother recovery and optimal outcomes.
Steps in Preparation:
- Pre-Surgical Consultations and Imaging:
- Dr Ben McGrath will assess the severity of your rotator cuff tear through physical examination and imaging such as X-rays or MRIs.
- Health Optimisation:
- Maintaining a healthy weight, stopping smoking, and engaging in prehabilitation exercises may improve recovery.
- Fasting Instructions:
- You will be provided with guidelines on fasting before the procedure.
- Medication Review:
- Certain medications, such as blood thinners, may need to be paused or adjusted before surgery.
What Happens During the Surgery?
Open rotator cuff repair is performed under general anaesthesia and involves direct access to the shoulder through an incision.
Surgical Steps:
- Anaesthesia:
- General anaesthesia ensures patient comfort during the procedure.
- Surgical Access:
- A small incision is made to allow direct visualisation and access to the rotator cuff.
- Repairing the Rotator Cuff:
- Torn tendons are reattached to the shoulder bone using sutures or anchors.
- Closing the Incision:
- The incision is closed with sutures or staples, and a sterile dressing is applied.
The procedure typically takes 2 to 3 hours, depending on the complexity of the repair.
Understanding the Risks
As with any surgical procedure, open rotator cuff repair carries potential risks.
Common Risks:
- Temporary stiffness or discomfort in the shoulder.
- Minor swelling or bruising.
Rare but Serious Risks:
- Infection at the surgical site.
- Nerve or blood vessel injury.
- Failure of the repaired tendon to heal properly.
Dr McGrath takes all necessary precautions to minimise these risks and will discuss them with you prior to surgery.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with prescribed medications.
- The use of a sling to immobilise and protect the shoulder.
- Instructions on caring for the surgical site and restricted activities.
Discharge Instructions:
- Specific guidelines for wound care, showering, and resuming regular medications.
Details of follow-up appointments to monitor recovery progress.
Rehabilitation and Recovery
Recovery after open rotator cuff repair involves a carefully planned rehabilitation program.
Phase 1: Early Recovery (Weeks 0–6):
- Focus: Protecting the repair and managing pain.
- Activities: Passive range-of-motion exercises under the guidance of a physiotherapist.
Phase 2: Intermediate Recovery (Weeks 6–12):
- Focus: Gradual return of mobility and light strengthening exercises.
- Activities: Assisted and active movements to improve flexibility.
Phase 3: Advanced Recovery (Months 3–6):
- Focus: Building strength and restoring function.
- Activities: Progressive resistance training and return to everyday activities.
Long-Term Outcomes
Open rotator cuff repair is often recommended to improve shoulder function and reduce pain over the long term.
Expected Improvements:
- Relief from shoulder pain.
- Enhanced strength and stability in the shoulder.
- Improved ability to perform overhead and lifting activities.
Maintenance of Results:
- Adherence to physiotherapy and rehabilitation programs.
- Avoidance of heavy lifting or straining the shoulder during recovery.
- Attending follow-up appointments for ongoing assessment.