Rotator Cuff Repair (Arthroscopic)
A minimally invasive procedure to repair a torn rotator cuff and restore shoulder function
The rotator cuff is a group of tendons and muscles that stabilise the shoulder and enable a wide range of movements. Damage to the rotator cuff can lead to significant discomfort, reduced strength, and limited mobility.
Common Reasons for Surgery
- Partial or full-thickness rotator cuff tears.
- Persistent shoulder pain that has not responded to non-surgical treatments.
- Difficulty lifting the arm or performing overhead activities.
- Shoulder weakness or instability.
Goals of the Procedure:
- Relieve shoulder pain and discomfort.
- Restore strength and function in the shoulder.
- Enhance the ability to perform daily tasks and physical activities.
Preparation for Surgery
Proper preparation ensures a smoother surgical experience and optimised recovery.
Steps in Preparation:
- Pre-Surgical Consultation: Dr Ben McGrath will assess your shoulder condition using imaging techniques such as X-rays or MRIs to confirm the diagnosis and plan the surgery.
- Medication Review: You may be advised to adjust or temporarily stop certain medications, such as blood thinners, prior to surgery.
- Fasting Instructions: Avoid eating or drinking for a specified period before the procedure.
- Optimising Health: Engaging in gentle shoulder exercises, smoking cessation, and maintaining a healthy weight may improve surgical outcomes.
What Happens During the Surgery?
Rotator cuff repair is performed using arthroscopic techniques to minimise tissue damage and promote faster recovery.
Surgical Steps:
- Anaesthesia: General anaesthesia or a regional nerve block is administered for comfort.
- Arthroscopic Access: Small incisions are made to insert a camera and specialised surgical instruments.
- Tendon Repair: Torn or damaged tendons are reattached to the bone using sutures and, in some cases, anchors.
- Closure: The incisions are closed with sutures or surgical tape, and a sterile dressing is applied.
The procedure typically takes 1 to 2 hours, depending on the complexity of the tear.
Understanding the Risks
As with any surgical procedure, rotator cuff repair carries potential risks.
Common Risks:
- Temporary shoulder stiffness or discomfort.
- Minor swelling or bruising at the surgical site.
Rare but Serious Risks:
- Nerve or blood vessel injury.
- Re-tear of the repaired tendon.
Steps are taken during the procedure to minimise these risks, and Dr McGrath will discuss them with you in detail.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain management with medications and cold therapy.
- A sling may be used to immobilise the shoulder and protect the repair.
- Detailed instructions on wound care and activity restrictions will be provided.
Discharge Instructions:
- Follow specific guidelines for showering, dressing changes, and resuming medications.
- Schedule follow-up appointments to monitor progress.
Rehabilitation and Recovery
Recovery from rotator cuff repair involves a phased rehabilitation program to gradually restore strength and mobility.
Phase 1: Early Recovery (Weeks 0–6):
- Focus: Protecting the repair and managing pain.
- Activities: Wearing a sling and performing gentle passive movements under guidance.
Phase 2: Intermediate Recovery (Weeks 6–12):
- Focus: Regaining range of motion.
- Activities: Assisted and active shoulder exercises supervised by a physiotherapist.
Phase 3: Advanced Recovery (Months 3–6):
- Focus: Strengthening and functional restoration.
- Activities: Progressive resistance exercises and resumption of daily activities.
Long-Term Outcomes
Rotator cuff repair aims to provide lasting pain relief and improved shoulder function.
Expected Improvements:
- Reduced or eliminated shoulder pain.
- Enhanced mobility and range of motion.
- Increased strength and stability in the shoulder joint.
Maintenance of Results:
- Regular physiotherapy and adherence to rehabilitation protocols.
- Avoiding excessive strain on the shoulder during recovery.
- Attending follow-up appointments for ongoing assessment and support.