Rotator Cuff Repair

The most successful surgical procedure of all time, performed at SWLEOC by
leading UK surgeons.
treatment-consultation

Introduction

A rotator cuff repair is performed when the patient has pain and loses power and movement in their shoulder after the rotator cuff tendons are torn.

Why would I need a rotator cuff repair?

1.
Torn rotator cuff tendon with

 

2.
Pain not controlled by non-surgical measures

3.
Loss of function of the shoulder

What happens during the procedure?

1. You will be fully assessed to check you are physically well enough for surgery

This starts with the consultation with your surgeon in clinic.  You will then attend a pre-assessment clinic where you are assessed by a specialist nurse and sometimes an anaesthetist if you have other medical problems. You may require some additional blood tests and investigations before your surgery. You will have a chance to ask questions about your anaesthetic and what happens before and after surgery.

What happens during the procedure?

2. A general anaesthetic and usually a regional anaesthetic are used so you do not feel the surgery 

This is the preferred method to ensure you do not feel any pain after the surgery but still breathe for yourself which helps you to recover more quickly after the surgery. You will have a chance to discuss the anaesthetic before the surgery.

What happens during the procedure?

3. An Arthroscope (keyhole camera) is inserted into the shoulder

What happens during the procedure?

4. 3-4 additional 1/2cm incisions are made round the shoulder

What happens during the procedure?

5. The damaged tendon is prepared and stitched back to the bone

What happens during the procedure?

6. The incision will be closed and waterproof dressings applied

What happens during the procedure?

7. The arm will be placed in a sling

What happens during the procedure?

8. You return to the ward and are helped to manage the sling by the physios

You will spend some time in recovery after the operation. As soon as you are well enough you will be transferred to the ward. On the ward you will be seen by the physios and nurses and as soon as possible. Most people are able to go home the same day.

Risks

All surgical procedures have risks associated with them, some of the specific ones are listed below. You will have a detailed discussion with your surgeon and there is a video to watch here....

  • Failure to relieve symptoms (less than 10%)
  • Stiffness (frozen shoulder) (1 in 100)
  • Infection (less than 1 in 1000)
  • Nerve damage (less than 1 in 1000)

Recovery time

4-6 weeks
4-6 weeks in a sling

8 weeks

8 weeks basic range of motion work with the physiotherapist

3 months

3 months strengthening

Information videos