Rotator Cuff Repair Surgery: Rotator cuff surgery refers to a procedure that is performed to repair a group of torn tendons that are responsible for the major functions and movements of the shoulder joint. Because the rotator cuff is basically a group of tendons that comes together to form the covering of, and are attached to, the upper portion of the humerus, they cannot heal by themselves when significantly torn or detached.
Rotator Cuff Repair Surgery Success Rate: Depending on several factors, conservative treatment has a 40-90% success rate at fixing the problem. Surgery often has good results, with some studies citing a 94% success rate with the surgery, resulting in lasting pain relief and improved function. Very extensive tears often have a poor surgical outcome; however this injury is thankfully quite rare.
Rotator Cuff Tear Diagnosis:
A physician diagnoses rotator cuff disease by reviewing the patient's history, performing a thorough physical examination of the joint, taking the proper X-rays, and obtaining confirming imaging studies (such as a shoulder ultrasound or MRI).
X-rays of the shoulder are usually normal in the presence of cuff disease--they are taken to exclude other problems. Rotator cuff tendons do not show on ordinary X-ray examinations of the shoulder.
One method for diagnosis is ultrasound. By reflecting sound waves off the tendons, sonographic images are created as the tendons move. Defects in the tendons may be revealed on these images.
Magnetic resonance imaging (MRI) is another method for imaging the rotator cuff tendons.
A third method that has been used to evaluate the integrity of cuff tendons is shoulder arthrography. In this technique, dye is injected into the joint so that leaks through the cuff can be seen on X-rays.
It is essential that the shoulder surgeon establish the diagnosis of rotator cuff before surgical treatment is considered.
Rotator Cuff Repair Surgery Candidates:
Persons who have tears to the rotator cuff tendon that don't respond to treatment are candidates for surgery.
Surgery is usually needed if there is a complete tear in the tendon.
A complete tear results in a person being unable to raise the arm. Surgery may also be needed for a partial tear of the tendon, if the tear causes continued pain and weakness.
In a complete tear, repair is usually done within 3 months of the injury.
There are two typical types of people who suffer from a rotator cuff tear.
Younger, athletic people often have an injury that tears the rotator cuff. Middle-aged or elderly people usually have repeated stress of the shoulder muscles over time that eventually causes the tendon to tear.
Rotator Cuff Repair Surgery Preparations:
Before your departure your records will be reviewed thoroughly by your orthopedic surgeon. This may include X-rays, MRIs, sometimes an arthrogram and a complete medical and surgical history as well as your specific issues.
The doctor will perform a variety of tests to make sure you are healthy and fit for surgery. These usually include blood tests, chest x-rays, an EKG (electrocardiogram), and urinalysis.
The doctor will also go through you medical and surgical issues with you.
During this visit, your surgeon will also review your rotator cuff repair procedure and answer any questions.
The anesthesiologist visits the patient before surgery to discuss the type of anesthetic that will be used.
The choice of anesthetic is based on the type of surgery that is planned, as well as the patient’s health and personal preferences.
Rotator Cuff Repair Surgery Procedure:
These are some of the Rotator Cuff Repair Surgery procedures:
Open Surgical Rotator Cuff Repair:
Prior to the development of arthroscopic surgery, all rotator cuff tears were repaired by looking directly at the torn tendon through an incision about 6 to 10 centimeters in length. The advantage of open rotator cuff repairs is the rotator cuff tendons are easily seen by this method. It is straightforward to repair the tendons down to the bone, and many surgeons find this a more secure repair. The downside is that the incision is large, and the recovery can be longer and more painful.
Mini-Open Rotator Cuff Repair:
The mini-open method of repairing a rotator cuff involves an arthroscopic portion of the surgery, and a short incision to get direct access to the torn rotator cuff tendon. By using the arthroscope, the surgeon can also look into the shoulder joint to clean out any damaged tissue or bone spurs. Preparation for the rotator cuff repair can be performed arthroscopically. Once the arthroscopic portion is complete, a shorter incision is made to repair the tendon back to the bone. The incision used in a mini-open rotator cuff repair is about 3 cm, and the recovery may be less painful than the open cuff repair.
All-Arthroscopic Rotator Cuff Repair:
An arthroscopic rotator cuff repair is done through small incisions, and the repair is done with the surgeon looking through a small camera to see the torn rotator cuff tendons and their repair on a television monitor. This is a more recent development in treatment of rotator cuff tears, and not all types of tears can be treated by this method. Furthermore, arthroscopic rotator cuff repairs can be technically difficult and require experience in this method of repair. Not all surgeons are convinced the repair done arthroscopically is as strong as repair done through an open incision.
Shoulder Replacement Surgery:
In large rotator cuff tears that have been neglected for a number of years, the cartilage of the shoulder joint may eventually wear out. This is a problem called rotator cuff tear arthropathy, and is a dual problem of shoulder arthritis and a large rotator cuff tear. Because the rotator cuff is no longer intact, a standard shoulder replacement is usually not adequate. Special implants help accommodate for the fact that the rotator cuff does not work normally. One of these special implants is called a reverse shoulder replacement.
Recovery after Rotator Cuff Repair Surgery Procedure:
Following the procedure, the patient will typically spend several hours in the recovery room.
Generally, an ice pack will be applied to the affected shoulder joint for a period up to 48 hours.
The patient will usually be given either prescription or non-prescription pain medication.
The dressing is usually removed the day after surgery and is replaced by adhesive strips.
The patient should contact a physician if there are any significant changes in the affected area once the patient goes home. These changes can include increased swelling, pain, bleeding and drainage in the affected area, nausea, vomiting, or signs of infection. Signs of infection include fever, dizziness, headache, and muscle aches.
It often takes several days for the arthroscopic puncture wounds to heal, and the joint usually takes several weeks to recover.
Most patients can resume normal daily activities, with the permission of a physician, within a few days following the procedure.
Most patients are advised to undergo a rehabilitation program that includes physical therapy. Such a program can facilitate recovery and improve the functioning of the joint in the future.
Rotator Cuff Repair Surgery Advantages:
When combined with a good rehabilitation effort, rotator cuff surgery allows people to regain much of the lost comfort and function in shoulders with cuff disease.
If the quantity and quality of the tissue is good, surgery can help repair the tendon back to the bone from which it has been torn. This is most likely to succeed soon after a cuff tear in otherwise healthy shoulders of non-smokers who have not had multiple cortisone injections.
Rotator cuff surgery will improve the mechanics of the shoulder.
When performed by an experienced surgeon, rotator cuff surgery usually leads to improved shoulder comfort and function.
The greatest improvements are in the ability of the patient to sleep, perform activities of daily living, and engage in non-contact recreational activities.
Rotator Cuff Repair Surgery Risks:
The risks of rotator cuff surgery include:
Stiffness of the joint
The need for additional surgeries
Alternative to Rotator Cuff Repair Surgery:
The tendon cannot repair itself. In some people, after many months, the pain can diminish without surgery. If your shoulder is weak, this will not improve and there is no satisfactory alternative treatment.
Rotator Cuff Repair Surgery India:
India offers a low cost Rotator cuff repair surgery for international patients.
India's favorable exchange rate and the cost of healthcare services are at an extensively lower cost than that of other countries. If you're coming from a Western country such as the United States or Britain, medical procedures in India will generally cost a fraction of the price as compared to prices back home.
Prices in India are reasonable and affordable, be it accommodation, food or even shopping.
From comfortable and affordable hotels to five-star accommodations, India provides you with a choice to budget or splurge. Hotel prices are affordable and if your family is accompanying you for treatment, there is also an option to rent a serviced apartment.
Rotator cuff repair surgery in India is available in following cities:
Rotator Cuff Repair Surgery Cost:
In the US, rotator cuff surgery can cost you upwards of $25,000, depending on the complexity of the tear and where you get the repair done. This cost usually does not cover the physical therapy costs.
Patients with rotator cuff disorders from the US, UK and other developed countries go to India because the cost of rotator cuff surgery in this country is phenomenally low. The price difference between India developed countries is sometimes more than 50%.
The drop in cost does not come with a drop in quality. Quite the contrary. Top providers of medical tourism in India are either accredited by JCI (which means they are as good as American hospitals) or have an ongoing collaboration with recognized medical institutions in the US.
Rotator cuff injury can be very painful and often take you away from your active life. But with the cost of medical care skyrocketing, many patients hesitate before going for surgery, as sometimes the co-pay is very high. With the advent of medical tourism, thankfully, finances will no longer stop you from getting back your healthy, pain-free shoulder.
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Some of the common countries from which patients travel to India for surgery are:
Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.
Mumbai - Mumbai, formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. This port city (India's largest and busiest) accounts for a major share of the government's revenue, and has one of the world's largest harbour. There are many things to love about Mumbai. One is simply the geographical names, like The Queen's Necklace and Elephanta Island, all with roots in the British Empire.
Hyderabad - Also known as City of Nizams. The city of Hyderabad has its own individual character, which is evident in the beautiful, ancient palaces and the equally modern, and state-of-the-art offices and buildings. Medical tourism at hospitals in Hyderabad combines care for your health with international tourism. The primary reason
behind its surging popularity is better healthcare services at an affordable budget.
Goa - Popularly known as the ‘Rome of the East’, Goa boost of natural, magnificent churches and exquisite works of man. Plunge into the clear blue water of the large pool, or soak in the blissful sunshine on the picturesque island. Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for procedures, hospital services and medicines.
Bangalore - The progressive and modern city of Bangalore is the state capital, being located within India's Karnataka state. Bangalore is often referred to as the country 'Garden City', due to its high concentration of parks and green spaces. Bangalore has few of the world’s best doctors and medical practitioners, who have been trained by the rigorous Indian medical education system as well as in countries like UK and USA.
Nagpur - Nagpur City has many distinctions. It is also the second greenest in India and is located at the very center of the heartland, almost equidistant from Kolkata, Chennai and New Delhi and Mumbai. The present city was founded in the early 18th century by Bhakt Buland, a Gond prince of the kingdom of Deogad in the Chhindwara district. The Nagpur District has a varied culture, as well as being in the central part of India, the market in Nagpur is flooded with products from all over India. Nagpur has few of the world’s best doctors and medical practitioners, who have been trained in countries like UK and USA.
Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.
Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
Pune - Once referred to as the Oxford of the east, Punecontinues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.
Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.
Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.
Gurgaon - Located in the National Capital Region, Gurgaon is one of the most rapidly growing cities in Greater Delhi. In the last few years Gurgaon has boomed as the hub of IT and other new-age businesses. Gurgoan is the latest destination for Medical Tourism in India as it is the latest modern upcoming city near Delhi.
Chandigarh - Located near the foothills of Shivalik range of the Himalayas, Chandigarh is one of the most beautiful and happening cities of India. Chandigarh has great potential for Medical tourism as the unpolluted and excellent environs give many opportunities to patients to recover from their illness.
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