One of the most common injuries to the shoulder involves the rotator cuff. There are even times when some types of surgery or physical therapy can’t relieve the pain you are having. For instances such as this, JOI is able to offer patients another option. Our surgeons are trained in what is known as superior capsular reconstruction, which was developed in Japan. Rather than using the old method of replacing the ball and socket joint of the shoulder, this technique is able to reconstruct the rotator cuff. This procedure is much like knee reconstruction procedures. This is done through the use of donated allograft or cadaver tissue.
Even though rotator cuff tears can generally be fixed, there are some instances that the area has become too retracted and cannot be repaired. This can be compared to when a rubber band loses its elasticity and can no longer retract. The process of this surgery begins with drilling holes in the top of the glenoid and the head of the humerus. Two suture anchors are then placed at the medial glenoid, which are then inserted into the greater tuberosity of the humerus. Sutures are extracted through the incision and threaded through the drilled holes. This is followed by passing the graft through the incision. Once the sutures are lined up properly, they are tied together with fiber tape to stabilize the graft to the top of the glenoid and laterally to the greater tuberosity of the humerus head.
As with many surgeries, the rehabilitation process will begin soon after the surgery is complete. By working together with your physical therapist you will regain much of your strength and flexibility. Some of the restrictions for the first few weeks after surgery include:
Lifting heavy objects
Excessive work on the computer
Your therapist will help you through the process to ensure that you do not re-injure yourself.
If you would like to know more about superior capsular reconstruction or if you would like to book an appointment with one of our shoulder specialists you may call JOI-2000 or click BOOK APPOINTMENT below.
By: Matt Paulus, ATC, MS