When a dislocation occurs, the humeral head of the upper arm is forced out of the shoulder socket, although the shoulder is typically simple to straighten. Shoulder instability and dislocations can be prevented with surgery or non-surgical treatment.
- Some conditions demand immediate surgery.
- Rest, ice, and physical therapy can prevent shoulder instability from requiring surgery. But sometimes, surgery is the only solution.
Regarding young athletes who dislocated their shoulders for the first time, medical professionals have varying opinions about the best orthopaedic hospital in Gurgaon.
Typical Surgical Procedure
Shoulder instability can be fixed with surgery, but the best procedure or procedures depend on several things.
- Where the change will take place.
- Injury to the tendon, ligament, cartilage, or bone of the shoulder
- Age and activity level are important considerations for this patient.
Shoulder replacement, arthroscopic surgery, latarjet, capsular shift, Bankart repair, and latarjet treatment are all possible types of dislocated shoulder surgery.
When a shoulder protrudes in front of the body, the cartilage ring that surrounds the socket (the labrum) may detach. A Bankart lesion is an example of this. Bankart repair aims to heal the labrum rupture and restore the labrum to the socket. A ruptured Bankart ligament can be repaired using both arthroscopic and open procedures.
After repeated movements, the ligaments that support the shoulder joint may swell and lose their tenacity. Capsular shifts tighten ligaments by removing excess tissue, repositioning it, and resewing it.
The Latarjet method, also known as the Bristow or Bristow-Latarjet treatment, is used to repair fragmented bone along the rim of the socket following a dislocation. During this surgery, bone is transferred from the front of the socket to the coracoid process of the shoulder blade. Latarjet surgery may be performed openly or by arthroscopy.
The best orthopaedic in Gurgaon can also utilise bone from a deceased person (often the tip of the tibia bone) or bone from the patient’s pelvis to repair bone loss in the shoulder socket. This bone graft helps to restore the shoulder’s stability. Sometimes, a cadaver transplant can be utilised to treat bone loss in the round portion of the humerus (often the femoral head).
This procedure can be performed concurrently with the filling phase. Shoulder dislocation can result in a condition known as the Hill-Sachs lesion. This illness causes significant injury to the shoulder’s head (the humeral head). During this dislocated shoulder surgery, the problem is fixed by resurfacing the head or fusing a piece of the rotator cuff into it.
For the treatment of unstable shoulders, it may be necessary to replace the ball and socket (total arthroplasty) or simply the ball (hemiarthroplasty) (total shoulder arthroplasty). A bone transplant may not be possible if the bones on the ball side are in poor condition. In such a scenario, hemiarthroplasty may be required.
Shoulder instability has been linked to serious rotator cuff injuries in the elderly, which are sometimes irreparable. The best treatment for these people is often a reverse shoulder replacement, in which a ball is put in the socket, and a plastic socket is attached to the ball through a stem in the humerus.
Selection of a Surgical Procedure
We have already demonstrated that the majority of shoulder instability procedures can be performed either openly or with a small camera called an arthroscope.
In addition to open and arthroscopic techniques, a mix of the two is occasionally employed. The process of slowly letting more people use a product or service is called a “mini-opening.”
Every method has advantages and disadvantages. Any treatment decision should be made in consultation with the patient’s surgeon.
People should inquire about the surgeon’s level of experience. The success of the procedure depends on the surgeon’s knowledge of the technique employed.
Shoulder surgery for dislocation may be performed on an outpatient basis or with an overnight stay in the best orthopaedics hospital in Gurgaon. The patient may then return home the next day. Before leaving jail, individuals should arrange for a friend or relative to drive them home.
After surgery, the wounded arm will require a sling for four to six weeks. The sling must be worn constantly, save for cleaning, dressing, or performing arm exercises. People are instructed to immediately begin light wrist, hand, and elbow exercises following surgery.
How to Obtain a Restful Night’s Sleep After Surgery?
It may be difficult to obtain sufficient rest after surgery to correct a shoulder dislocation. Numerous individuals claim that sleeping on a chair with a pillow under an aching arm makes them feel better. By constructing a pillow fort with several pillows, you can sleep with your shoulder in its natural position. People frequently sleep with a sling for three to four weeks after surgery.
Managing Post Surgery Pain
An interscalene peripheral nerve block, which numbs the shoulder and arm, may be used to reduce pain right away after surgery. Opioid narcotic drugs may be utilised to help patients manage their post-operative pain. Opioids have severe negative effects and a high risk of addiction. Therefore they should only be used as needed. As a person weans off opioids, NSAIDs like ibuprofen and naproxen can be used to alleviate pain effectively and safely.
There are other ways to relieve post-surgical pain without using medication.
- Every day, apply a cold treatment for 10 to 15 minutes. As inflammation decreases, pain signals in the brain become less intense.
- When instructed, patients should immediately begin their therapeutic exercises.
- Even though it sounds contradictory, moving the injured shoulder through physical therapy or other approved exercises helps reduce stiffness and scar formation.
Shoulder surgery for dislocation carries the same risk of complications as other surgical procedures. After surgery, there is a potential for infection at the incision site.
Keep an eye out for the following symptoms of infection:
- The surgery wasn’t successful if there was swelling, redness, and heat at the site of the surgery.
- A large amount of blood or pus is oozing from the wound.
- Having a temperature of at least 101 degrees is a serious symptom.
If you suspect you have an infection, you should contact your physician immediately.