Orthopedic Center
Friday, November 22, 2019

Audio Presentation

Rotator Cuff Repair

Arthroscopic Surgery


Your Procedure
  Your Body
  Alternatives
  Medical Record
  Anesthesia
  Before Surgery
  Your Procedure
  Recovery
This information is not intended to replace the advice of your doctor. MedSelfEd, Inc. disclaims any liability for the decisions you make based on this information.
Now it's time to talk about the actual procedure your doctor has recommended for you.

On the day of your operation,
On the day of your operation,
... you will be asked to put on a surgical gown.
... you will be asked to put on a surgical gown.
You may receive a sedative by mouth ...
You may receive a sedative by mouth ...
... and an intravenous line may be put in.
... and an intravenous line may be put in.
You will then be transferred to the operating table.
You will then be transferred to the operating table.
In the operating room, a nurse will begin preparation by clipping or shaving your shoulder.
In the operating room, a nurse will begin preparation by clipping or shaving your shoulder.
If you are receiving general anesthesia, the anesthesiologist will administer it by injection and using an inhalation mask.
If you are receiving general anesthesia, the anesthesiologist will administer it by injection and using an inhalation mask.
The surgeon will then apply an antiseptic solution to the skin...
The surgeon will then apply an antiseptic solution to the skin...
... and place a sterile drape around the operative site.
... and place a sterile drape around the operative site.
To perform arthroscopic surgery your doctor will make three small, button-hole sized incisions in the area around the shoulder.
To perform arthroscopic surgery your doctor will make three small, button-hole sized incisions in the area around the shoulder.
An arthroscope is essentially a very small video camera that your doctor will use to guide the surgery.  Before your doctor can insert the arthroscope, the surgical team will inject a clear fluid into the joint.  This fluid will inflate the interior space around the surgical site and will help your doctor by providing an unobstructed view and enough room in which to work.
An arthroscope is essentially a very small video camera that your doctor will use to guide the surgery. Before your doctor can insert the arthroscope, the surgical team will inject a clear fluid into the joint. This fluid will inflate the interior space around the surgical site and will help your doctor by providing an unobstructed view and enough room in which to work.
Your doctor will insert the arthroscope and inspect the surgical site.
Your doctor will insert the arthroscope and inspect the surgical site.
If he or she decides that the team can proceed with the arthroscopic procedure, other small surgical instruments will be inserted through the other small openings.
If he or she decides that the team can proceed with the arthroscopic procedure, other small surgical instruments will be inserted through the other small openings.
First, your doctor will use a burr file to file away any rough edges on upper part of the shoulder bone called the acromion.
First, your doctor will use a burr file to file away any rough edges on upper part of the shoulder bone called the acromion.
Under the deltoid muscle lies the bursa, a protective sac that prevents the rotator cuff tendons and the shoulder muscles from rubbing against each  other.
Under the deltoid muscle lies the bursa, a protective sac that prevents the rotator cuff tendons and the shoulder muscles from rubbing against each other.
Using a shaving instrument, you doctor will cut away the bursa to gain access to the damaged tendons.
Using a shaving instrument, you doctor will cut away the bursa to gain access to the damaged tendons.
Next, the surgeon will cut away any scar tissue or unhealthy tissue around the torn area.
Next, the surgeon will cut away any scar tissue or unhealthy tissue around the torn area.
Using sutures, the tear can now be repaired.  One instrument places the sutures.
Using sutures, the tear can now be repaired. One instrument places the sutures.
And then a second instrument fixes them in place.
And then a second instrument fixes them in place.
When your doctor is satisfied that all possible repair has been completed,
When your doctor is satisfied that all possible repair has been completed,
... the instruments are removed and the clear fluid is allowed to drain from the shoulder.
... the instruments are removed and the clear fluid is allowed to drain from the shoulder.
Finally, a sterile bandage is applied.  In order to keep the shoulder muscle immobile while it heals, you will be given a sling to wear.
Finally, a sterile bandage is applied. In order to keep the shoulder muscle immobile while it heals, you will be given a sling to wear.

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