Rotator Cuff Repair Recovery Surgery in Delhi

Key Points about Rotator Cuff Repair Surgery

Indications:

• Persistent shoulder pain and weakness that do not improve with conservative treatments (e.g., physical therapy, medications, corticosteroid injections).
• Acute, traumatic tears, particularly in younger or more active individuals.
• Loss of shoulder function affecting daily activities.
• Full-thickness or high-grade partial-thickness tears confirmed by imaging (MRI or ultrasound).

Types of Rotator Cuff Repair Surgery:

• Arthroscopic Repair: A minimally invasive technique using small incisions and an arthroscope to visualize and repair the torn tendon.
• Open Repair: A traditional method involving a larger incision to access and repair the torn tendon directly. Often used for complex or large tears.
• Mini-Open Repair: Combines arthroscopic and open techniques, starting with arthroscopy and transitioning to a small open incision for repair.

Preoperative Preparation:

• Comprehensive evaluation by an orthopedic surgeon, including a physical examination and imaging studies.
• Discussion of surgical options, risks, and expected outcomes.
• Preoperative instructions regarding fasting, medications, and postoperative care.
• Prehabilitation (pre-surgery physical therapy) may be recommended to strengthen the shoulder and improve outcomes.

Surgical Procedure:

• Performed under general anesthesia or regional anesthesia (nerve block).
• Torn tendon edges are mobilized and reattached to the bone using sutures and anchors.
• The procedure typically lasts 1-2 hours and may be done on an outpatient basis.

Postoperative Care:

• Pain management with medications.
• Use of a shoulder sling or immobilizer for several weeks to protect the repair.
• Application of ice to reduce swelling and discomfort.
• Gradual initiation of physical therapy to restore range of motion, followed by strengthening exercises.

Recovery:

• Initial recovery period involves limited shoulder movement, typically 4-6 weeks.
• Physical therapy progresses from passive range of motion exercises to active strengthening exercises over several months.
• Full recovery, including return to normal activities and sports, may take 6-12 months, depending on the severity of the tear and individual progress.

Risks and Complications:

• Infection, bleeding, and blood clots.
• Nerve or blood vessel injury.
• Stiffness or loss of shoulder range of motion.
• Re-tearing of the repaired tendon.
• Adhesive capsulitis (frozen shoulder).

Outcomes:

• Most patients experience significant improvement in shoulder pain and function.
• High success rates with proper surgical technique and adherence to postoperative rehabilitation.
• Long-term outcomes are generally favorable, although recovery may be slower in older patients or those with larger tears.

Conclusion

Rotator cuff repair surgery is an effective treatment for restoring shoulder function and alleviating pain associated with rotator cuff tears. Advances in surgical techniques, particularly arthroscopy, have improved outcomes and reduced recovery times. Successful recovery depends on a combination of skilled surgical intervention, diligent postoperative care, and commitment to a structured rehabilitation program.