SHOULDER REPLACEMENT
Uncommonly the shoulder can develop arthritis especially if the supporting muscles, the rotator cuff, have been torn.
A unique shoulder replacement is a Reverse Total Shoulder Replacement Here the ball and socket are swopped in position hence reverse. This allows increased post replacement shoulder function in a deficient rotator cuff muscle shoulder.
Humelock 11 Reverse Shoulder Replacement
Average 3 day admission
One and half hour surgery
Post-op:
- In a sling for 2-4 weeks
- Can mobilize arm immediately post-operatively
- Avoid external rotation of shoulder for 6 weeks to allow muscle to grow back on
Risks (x<2%)
- Dislocation
- Infection
- Nerve injury
SHOULDER SURGERIES
Dr Bond sees many shoulder patients. These include:
- rotator cuff pathology –
- tears
- impingement
- calcific tendinitis
- Shoulder dislocations and Bankart tears
- Slap tears
- Frozen shoulders
- Shoulder and AC arthritis
He is well versed in both arthroscopic and open procedures.
2 common shoulder surgeries
ROTATOR CUFF PATHOLOGY
They say grey hair = rotator cuff tear. Unfortunately a common cause of shoulder pain in the middle aged and elderly is a rotator cuff tear. Many times patients cannot recollect a traumatic event. Often these cuffs need repair. Dr Bond performs arthroscopic and open rotator cuff repairs.
Operating time 1 hour 30 min
Overnight admission
Post-operative
Sling for 4-6 weeks
Supervised physio with limited shoulder mobility
Risks (x<2%)
- Infection
- Stiff shoulder
- Retear
SHOULDER DISLOCATIONS
This injury occurs often in active patinets. The youngerand the more active the patient, the greater chance the shoulder will redislocate.
For recurrent dislocation, a Bankart repair can be performed but for the moer active sportman a ALterjet procedure is performed. Here a boe block (coracoid) and a sling (attached biceps) is fixed on the anterior glenoid to block /prevernt dilocations
Operating time : 1 hour 30 min
Overnight admission
