CONDITION

Rotator Cuff Repair

What is Rotator Cuff Repair?

Rotator cuff repair is a surgical procedure aimed at treating a torn rotator cuff in the shoulder. The rotator cuff is a group of muscles and tendons that stabilize the shoulder joint and allow a wide range of motion.

Tears in the rotator cuff can result from acute injuries or wear and tear over time, leading to pain, weakness, and limited movement. Surgery is often recommended when conservative treatments such as physical therapy, medication, and rest fail to provide relief.

Types of Rotator Cuff Repair

There are several types of rotator cuff repair procedures, depending on the severity and location of the tear:

  • Arthroscopic Repair – A minimally invasive technique using a small camera (arthroscope) and specialised instruments inserted through tiny incisions. This method reduces recovery time and minimizes tissue damage.
  • Mini-Open Repair – A hybrid approach that combines arthroscopy with a small incision to allow direct visualization of the tear, leading to better precision while maintaining a minimally invasive nature.
  • Open Surgical Repair – A traditional method where a larger incision is made to directly access the rotator cuff. This technique is usually used for large or complex tears requiring tendon grafting.
  • Tendon Transfer – If the rotator cuff tear is irreparable, a tendon from a nearby muscle is transferred to restore function.
  • Reverse Shoulder Replacement – In cases of severe rotator cuff damage with arthritis, a reverse total shoulder replacement may be necessary to regain shoulder mobility.

To find out if a rotator cuff repair may be appropriate for you, please reach out to us today for a detailed evaluation and advice.

Who is a Suitable Candidate for Rotator Cuff Repair?

Candidates for rotator cuff repair typically experience persistent shoulder pain, weakness, and decreased function that does not improve with conservative treatment. Surgery is often recommended for:

  • Individuals with significant pain that interferes with daily activities or sleep
  • Those with moderate to large rotator cuff tears (especially if they are full-thickness tears)
  • Athletes or individuals with physically demanding jobs requiring overhead movements
  • Patients with acute traumatic tears resulting from accidents or falls
  • Younger, active individuals who want to restore full shoulder function
 Who is a Suitable Candidate for Rotator Cuff Repair?

How is Rotator Cuff Repair Performed?

The procedure generally involves the following steps:

  • Anaesthesia: The patient is administered general anesthesia or a regional nerve block for pain control
  • Incision and Visualization: Depending on the surgical approach, small incisions are made for arthroscopy, or a larger incision is used for open surgery
  • Tendon Repair: The torn tendon is reattached to the bone using sutures, anchors, or stitches. If needed, tendon grafts or transfers are performed
  • Closure: The incisions are closed with sutures, and the shoulder is bandaged
  • Postoperative Care: A sling is typically used to protect the shoulder during the initial healing phase

What to Expect Before and After Rotator Cuff Repair

Before Surgery
After Surgery

Before Surgery

  • A thorough medical evaluation and imaging tests (MRI, X-ray) to assess the tear.
  • Discussion about anesthesia options and the surgical procedure.
  • Preoperative instructions, including fasting and medication adjustments.

Risks of Rotator Cuff Repair

Although rare in the hands of an experienced, surgeon, as with any surgical procedure, rotator cuff repair carries certain risks, including:

  • Infection at the surgical site
  • Stiffness or limited range of motion
  • Re-tearing of the repaired tendon, especially in older patients
  • Nerve or blood vessel damage
  • Prolonged pain or weakness in some cases
  • Complications related to anaesthesia
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Frequently Asked Questions

Rotator cuff repair surgery typically takes between 1 to 2 hours, depending on the complexity of the tear and the surgical technique used. Additional time may be needed for preoperative preparation and postoperative recovery in the surgical center.
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