Shoulder dislocation surgery

Shoulder dislocation surgery

Shoulder dislocation surgery is performed when the joint is severely dislocated, causing damage to one of the tendons or bones surrounding the shoulder. Dislocated shoulder surgery may also help prevent the recurrence of the dislocation in the future.

Some people suffer from the problem of recurrent shoulder joint dislocation, which can be treated by performing surgery to repair the instability of the joint and prevent dislocation recurrence. This surgery is considered a straightforward procedure in Turkey, mainly done through a minimally invasive and low-risk procedure. It does not require a large surgical incision; the patient can go home immediately after the surgery.

Although shoulder dislocation surgery is not very common, it helps improve the quality of life for many patients; in addition, it may be performed as an emergency in some cases of severe shoulder joint dislocation. Learn everything you want about dislocated shoulder surgery.

An overview of shoulder dislocation surgery

The shoulder joint is more susceptible to dislocation than the rest of the joints because it has a lot of movement and flexibility, and its connection mechanism with the head of the humerus bone (upper arm) takes the form of a ball connected to a cavity. This ball can come from its hole, and shoulder dislocation occurs ..

We do not resort to shoulder dislocation surgery in all cases, as the doctor can usually return the joint to its normal position by making a simple maneuver. Still, in the case of severe injuries associated with adjacent damage to the articular structures of the shoulder, such as tendons and ligaments, or damage to blood vessels or nerves, the need for surgery may appear. Shoulder dislocation surgery may be an emergency.

A joint doctor may recommend shoulder dislocation surgery to treat joint instability, especially in young athletes, to reduce the risk of recurrence of future dislocations. The patient's dislocation may cause deformation of the shoulder joint, making him more vulnerable to recurrence of dislocation.

This image compares a typical shoulder joint and a dislocated shoulder.
Note the dislocation of the shoulder joint compared to the normal state of the joint

How to perform shoulder dislocation surgery in Turkey?

Recently, shoulder surgeries have been developed to become more efficient, safer, and less dangerous than they were previously. The use of arthroscopy has made a quantum leap in shoulder operations in general, as most shoulder surgeries are performed using it, and based on the above, Turkey has worked to provide all modern surgical techniques through which shoulder dislocation surgery can be performed, including:

Arthroscopic shoulder dislocation

The Shoulder arthroscopic surgery Is one of the operations that have been commonly used recently in the treatment of recurrent dislocation and other problems that occur at the level of the shoulders, so it is considered the second most common orthopedic surgery after knee arthroscopy.

endoscopy is done by making small surgical incisions so that the surgeon can insert the shoulder arthroscope through these incisions; the shoulder arthroscope allows the surgeon to obtain a clear view of the joint through the camera connected to the endoscope. One of these surgical techniques:

How to perform arthroscopic shoulder dislocation surgery
Shoulder dislocation surgery using arthroscopy

Bankart repair

During this surgery, the ligaments and structures of the shoulder that are out of their usual place in the articular cavity (the glenoid cavity) are repaired, and these parts are returned to their previous location in the shoulder joint through stitches and surgical threads that fix the shoulder labrum in place. This surgery aims to restore the normal function of the joint and restore Articular structures due to their anatomical location, which prevents recurrent dislocations. This method may be performed laparoscopically or through traditional open surgery.

Latarjet bone grafting procedure

Named after the French surgeon who performed it for the first time, this procedure aims to correct instability in the shoulder joint. It is reserved for patients who have had dislocations resulting in loss or fractures of the anterior parts of the bones of the articular cavity.

The surgeon will remove part of the coracoid bone and the surrounding tendon and reimplant these parts at the front edge of the glenoid socket (where the shoulder joins the arm) to replace the missing pieces of the joint. This surgery is either done arthroscopically or by traditional surgery, and the latter is often the best option.

Remplissage procedure

This surgery can be performed along with the Latarget procedure when the glenoid cavity of the shoulder or the humeral head in the arm is severely damaged due to dislocation.

Open shoulder dislocation surgery

Open surgeries are becoming less common than they used to be due to the advent of new minimally invasive methods and techniques such as arthroscopy. Still, open surgery remains the best option in cases of severe shoulder joint dislocation with adjacent injuries that are difficult to repair using arthroscopic surgery.

The surgeon will assess the severity of the injury and do what is necessary to treat severe or recurrent shoulder dislocation. He may suffice with debridement and repair of the damaged areas, and he may resort to a more complex procedure for more severe injuries.

This image shows the difference between arthroscopic shoulder dislocation surgery and open surgery.
The difference between arthroscopic shoulder dislocation surgery and open surgery

Shoulder dislocation surgery through joint replacement

Total replacement of the joint is one option offered to treat the shoulder joint instability that causes recurring dislocation. The shoulder joint is replaced with an artificial joint consisting of a stainless steel ball that replaces the humeral ball and a polyethylene cup that replaces the glenoid cavity. You can read more about Shoulder joint replacement.

After shoulder dislocation surgery

Most shoulder surgeries are performed in the outpatient clinic. The patient can return home immediately after the procedure, except for complex shoulder surgeries, especially those done by open surgery, which may require a stay in the hospital to rule out any complications and monitor the patient’s condition.

The recovery time after the shoulder joint dislocation surgery depends on the type of surgical work and how it is performed. Still, the recovery period after shoulder surgery is usually estimated at 4 to 6 weeks— avoid bathing, and strenuous arm exercises; during this period, your doctor will share the instruction with you.

If you feel a little pain after the operation, you can take pain-relieving and anti-inflammatory medications, which help relieve these symptoms.

Physiotherapy after shoulder dislocation surgery has a vital role in recovery and speeding up the healing of your shoulder and strengthening the muscles while improving the range of motion; the physical therapist will teach you a set of exercises tailored to your condition.

Complications of shoulder dislocation surgery

Any surgical intervention can have complications, even if they are rare. These complications are very rare when the operation is performed using the latest methods, such as the endoscope. Among the possible complications of shoulder dislocation surgery are the following:

  • Infection
  • A ruptured blood vessel or nerve adjacent to the surgical site
  • Injury to the adjacent shoulder tendons
  • Joint stiffness
  • Problems with anesthesia
  • Surgery fails to provide the desired benefit

The price of shoulder dislocation surgery in Turkey

The price varies according to the surgical technique, the patient’s condition, and the degree of damage caused by the shoulder dislocation. Still, the price of shoulder arthroscopy in Turkey usually starts at $1,500. This cost may be higher in complex surgery cases, such as grafting and other surgical methods to treat recurrent shoulder dislocation.

In the end, shoulder dislocation surgery may be performed as an emergency when a severe dislocation causes serious damage to the structures surrounding the joint. The treated shoulder dislocation may lead to a problem in the joint's stability, making it vulnerable to recurrence of dislocation in the future. Here it is also possible to resort to dislocated shoulder surgery to correct the peace and stability of the joint to avoid repeated dislocation.


Sources:

  1. duke health
  2. NHS
  3. NIH

Frequently Asked Questions:

The operation is not considered dangerous, mainly when it is performed by minimally invasive surgical methods, such as laparoscopy, under the supervision of an experienced surgeon.

There are several types and methods by which dislocated shoulder surgery is performed. One of the best methods currently available is shoulder arthroscopy, which is easy to perform and less risky compared to traditional open surgery.

The surgery often takes one hour to an hour and a half. This period may be longer or shorter depending on the type of surgery and how it is performed, as shoulder arthroscopy takes a shorter time than traditional surgery.

It is difficult to determine a specific time of recovery for all the patients who underwent surgery, as many factors play a role in this matter, such as the method of completing the surgical work with the patient's general health condition. Still, the average period is usually estimated at six weeks.

According to statistics, this surgery has a high success rate of up to 90%, and this percentage increases when the surgery is performed laparoscopically under the supervision of an experienced surgeon.

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