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Last Updated: Oct 23, 2019
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An Overview Of Arthroscopic Rotator Cuff Repair!

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Dr. Sanjib Kumar BeheraOrthopedic Doctor • 36 Years Exp.MS - Orthopaedics, MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics & Orthopedic Surgery
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Rotator cuff constitutes the muscles and tendons that hold the shoulder in position. It is a crucial component of the shoulder as it helps in lifting the arm to complete any task. Repetitive actions, deterioration with age or an outstretched hand can lead to a sudden tear.

4 Important Things To Know About Rotator Cuff Repair
An injured rotator cuff can be repaired surgically. Arthroscopy and open surgery are among the techniques used to fix a tear of the rotator cuff surgically. An arthroscope is a tube-shaped apparatus made of a system of lenses, a light and a small video camera. The camera is linked with a monitoring system to view a joint via a tiny incision.

1. Before the surgery:

Blood tests and other diagnostic tests might be carried out by a healthcare provider to ensure that the patient is in good health prior to the procedure.

2. Things to inform the healthcare provider before the surgery-

The healthcare provider must be informed of a few things prior to the surgery:

  • Details of allergy or reaction to latex, any medicines, tape or anaesthetic agents
  • Information related to bleeding disorders or the intake of anticoagulant or blood-thinning medicines

3. Details of the procedure:
During the rotator cuff repair procedure, anaesthesia is administered as per the patient`s requirement. The details of the procedure are mentioned below:

  • The patient is made to wear a gown.
  • An intravenous (IV) line is started on the arm of one of the hands.
  • The anaesthesiologist monitors various aspects such as the blood pressure, heart rate and blood oxygen level of the patient throughout the procedure.
  • The skin above the surgical site is then cleansed, using an antiseptic solution.
  • An incision is made in the shoulder area as per the kind of surgical procedure required such as open surgery or an arthroscopy.
  • The arthroscope is then inserted via the incision.
  • A graft tendon will be taken from another part of the patient’s body to repair the wounded tendons and muscles.
  • Stitches or surgical staples are used to close the incisions after which a sterile bandage or dressing is applied.

4. After the procedure:

  1. The sensation on the arm is monitored after the procedure. The patient can go home once his/her pulse, blood pressure and breathing are stable.
  2. The surgical area must be kept dirt-free and dry after the procedure. A pain reliever is usually prescribed for soreness.
  3. Arthroscopic rotator cuff repair is an effective treatment if a patient is not satisfied with alternative medical treatments, such as anti-inflammatory medicines and steroid injections. The procedure is usually done as part of the patient’s stay in a hospital or on an outpatient basis.
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