Our Summary

The main goal of surgery to repair the rotator cuff (a group of muscles and tendons in the shoulder) is to properly reconnect the muscle and tendon units in a way that doesn’t put strain on them and encourages healing. There are many factors that can influence the healing process that a surgeon can’t control. However, there are also many technical aspects of the surgery that the surgeon can control, such as how to deal with tissues that can’t move and new repair techniques. It’s been observed that a certain type of repair technique, called linked double row repairs, are more likely to heal. When a rotator cuff repair heals, it tends to restore the strength of the shoulder, make patients happier with the results, and optimize the shoulder’s function.

FAQs

  1. What is the primary aim of rotator cuff repair surgery?
  2. What factors can affect the healing process after rotator cuff repair surgery?
  3. What benefits can be expected from a successful rotator cuff repair surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about rotator cuff repair is to follow a proper rehabilitation program after surgery. This may include physical therapy exercises to strengthen the shoulder muscles, improve range of motion, and prevent stiffness. It is important to adhere to the prescribed rehabilitation plan to ensure a successful recovery and optimal outcomes.

Suitable For

Patients who are typically recommended for rotator cuff repair surgery include those who have experienced a traumatic injury to the shoulder, have chronic shoulder pain and weakness, have persistent symptoms despite conservative treatment, have a large or complete tear of the rotator cuff, or have failed previous attempts at repair. Additionally, patients who are motivated to participate in postoperative rehabilitation and have realistic expectations for the outcome of surgery are also good candidates for rotator cuff repair. It is important for patients to discuss their individual circumstances with a healthcare provider to determine if rotator cuff repair is the most appropriate treatment option for them.

Timeline

Before rotator cuff repair:

  1. Initial consultation: The patient will meet with an orthopedic surgeon to discuss their symptoms, medical history, and imaging results (such as MRI or ultrasound).

  2. Pre-operative evaluation: The patient may undergo further tests or evaluations to ensure they are healthy enough for surgery.

  3. Surgical planning: The surgeon will determine the best approach for the repair, which may include arthroscopic or open surgery.

  4. Pre-surgery preparation: The patient will receive instructions on how to prepare for surgery, which may include stopping certain medications, fasting before the procedure, and arranging for transportation home.

  5. Surgery: The rotator cuff repair surgery is performed, typically under general anesthesia.

After rotator cuff repair:

  1. Immediate post-operative period: The patient will wake up from anesthesia and be monitored in the recovery room before being discharged home or to a hospital room.

  2. Pain management: The patient will be prescribed pain medication to manage discomfort during the initial healing period.

  3. Physical therapy: The patient will begin physical therapy to regain range of motion and strength in the shoulder. This may start within a few days after surgery.

  4. Follow-up appointments: The patient will have regular follow-up appointments with the surgeon to monitor healing progress and adjust the rehabilitation plan as needed.

  5. Return to normal activities: The patient will gradually increase their activity level as the shoulder heals, with the goal of returning to full function and range of motion.

  6. Long-term follow-up: The patient may continue to have follow-up appointments with the surgeon to monitor the long-term success of the repair and address any persistent symptoms or limitations.

What to Ask Your Doctor

  1. What is the success rate of rotator cuff repair surgery?
  2. What are the potential risks and complications associated with the surgery?
  3. How long is the recovery process and what is the expected timeline for returning to normal activities?
  4. Will physical therapy be necessary after surgery, and if so, for how long?
  5. Are there any restrictions or limitations on activities that should be followed post-surgery?
  6. What type of anesthesia will be used during the surgery?
  7. Are there any alternative treatments or procedures that could be considered instead of surgery?
  8. How experienced is the surgeon in performing rotator cuff repair surgery?
  9. What type of rehabilitation protocol will be followed after surgery?
  10. What can be done to optimize the chances of a successful and speedy recovery?

Reference

Authors: Sheean AJ, Hartzler RU, Burkhart SS. Journal: Arthroscopy. 2019 Sep;35(9):2749-2755. doi: 10.1016/j.arthro.2019.02.048. PMID: 31500765