Before the surgery begins, you'll receive anesthesia to keep you comfortable and pain-free during the procedure. Your surgeon will discuss your options with you and help you decide which type of anesthesia is best for you. You may receive general anesthesia, which puts you to sleep, or regional anesthesia, which numbs only your shoulder and arm.
Incisions
Once you're under anesthesia, your surgeon will make several small incisions in your shoulder. The number and size of the incisions will depend on the type of repair technique used and the extent of the injury. The surgeon will then insert a small camera called an arthroscope through one of the incisions to see inside your shoulder joint.
Repair Techniques
After the surgeon has a clear view inside your shoulder joint, they will use specialized instruments to repair the damaged rotator cuff. There are several different techniques that your surgeon may use, including:
Tendon-to-bone repair: This technique involves reattaching the torn tendon to the bone using small anchors or screws.
Tendon-to-tendon repair: If the tendon has torn away from the muscle, the surgeon may reattach it using sutures to anchor it back in place.
Graft repair: In severe cases where the tendon is severely damaged, the surgeon may use a graft to replace the damaged tissue.
Your surgeon will choose the best technique for your specific injury and anatomy.
Closure
Once the repair is complete, your surgeon will close the incisions with stitches or surgical staples. They may also apply a sterile dressing to the incisions.
Recovery
After the surgery, you'll spend some time in the recovery room before being discharged. You'll need someone to drive you home and stay with you for the first few days. You'll likely need to wear a sling to support your arm and limit movement for several weeks after surgery.
Your surgeon will provide specific instructions on how to care for your incisions, manage pain, and begin physical therapy. You'll need to attend follow-up appointments with your surgeon and physical therapist to monitor your progress and adjust your treatment plan as needed.
In conclusion, rotator cuff repair surgery is a common procedure used to treat a torn rotator cuff. During the surgery, your surgeon will make small incisions, use specialized instruments to repair the damaged rotator cuff, and close the incisions with stitches or staples. Following surgery, you'll need to follow specific instructions for recovery and attend follow-up appointments to monitor your progress. If you have any questions or concerns, be sure to discuss them with your surgeon.