An arthroscopic rotator cuff repair is the most modern approach to torn rotator cuff surgery. In place of utilising a scalpel to access the shoulder joint a surgeon can use an arthroscope to enable him / her to see into the joint.

An arthroscope is in effect is a very small, very specialist camera. It is fitted with an extremely bright light and it is inserted straight into the joint.

What can be expected from an arthroscopic repair?

Aneasthetic

As with any surgery an arthroscopic repair will require an anaesthetic. There are two options a regional "nerve block" affecting just the shoulder area or a general anaesthetic, knocking you out completely for the duration of the procedure.

Repair procedure

An arthroscopic repair is performed through portals. Portals are miniature incisions, each aroundan inch long. Plastic tubes, known as cannulas, are then inserted into the portals. The cannulas allow easy access into the joint for the various surgical instruments.

The surgical instruments used will vary depending upon which specific procedure is being performed. All of the instruments have been specifically designed to be used during an arthroscopic repair. The types of procedures the surgeon may carry out will include several or possibly all of the following

€ Remove bursa
€ Remove inflamed tissue
€ Repair tears in tendons
€ Remove pieces of bone
€ Attach sutures to bones

Advantages of an arthroscopic repair

An arthroscopic rotator cuff repair is a minimally invasive procedure. That is, there is no need to open up the whole joint. For example, in the case of a torn rotator cuff repair, the large deltoid muscle can be left in place. This means there is significantly reduced disturbance or damage to the surrounding tissues and therefore a greater chance of a quick and uncomplicated recovery.

Perhaps the greatest benefit comes after the procedure. The essential rotator cuff repair rehab program that must follow any torn rotator cuff surgery can be started more or less immediately. This will considerably speed up overall recovery time and help to prevent scarring within the wound.

Is an arthroscopic repair for everyone?

No, is the very simple answer. As with most things in the medical world, not everyone agrees. Some surgeons are not as experienced in using an arthroscope and some simple prefer the open or mini open approach. The major dispute seems to be that direct sight of the rotator cuff can lead to a better repair.

If it is for you and your surgeon, then an arthroscopic arthroscopic rotator cuff repair certainly appears to have advantages.