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Shoulder Arthroscopy

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      Shoulder Arthroscopy

      Shoulder arthroscopy is a minimally invasive surgical procedure that involves the use of a small camera, known as an arthroscope, to inspect or repair tissues within or surrounding the shoulder joint. This advanced procedure allows surgeons to diagnose and repair damaged tissues with precision, often leading to quicker recovery and less post-operative discomfort compared to traditional surgery.

      The shoulder is a complex joint, offering the widest range of motion in the human body. It is formed by three key bones: the humerus (upper arm bone), scapula (shoulder blade), and clavicle (collarbone). Surrounding this joint is the rotator cuff, a group of four tendons, which form a supportive cuff around the joint. These tendons anchor the arm bone to the shoulder blade and help maintain the arm’s position within the socket while allowing a wide array of movements. However, repetitive overuse or acute injury can strain these tendons, leading to tears that compromise shoulder function.

      Who are the eligible candidates for shoulder arthroscopy?

      Shoulder arthroscopy is deemed  suitable for individuals with painful shoulder conditions that do not improve with non-surgical treatments like rest, physical therapy, or anti-inflammatory medications. This procedure addresses problems caused by injury, overuse, or age-related wear and tear. Candidates for shoulder arthroscopy include those with rotator cuff tears, labrum injuries, ligament issues, inflamed tissues, or chronic shoulder instability. Arthroscopy is also used for less common issues like nerve release, fracture repair, and cyst excision, providing relief and improving shoulder function. Patients with shoulder impingement syndrome, where the shoulder movement is restricted due to limited space, are also eligible candidates.

      How is shoulder arthroscopy performed?

      Shoulder arthroscopy is performed to treat a range of conditions affecting the shoulder joint. The procedure is performed under regional anaesthesia and takes about 2 hours depending on the specific findings and repairs needed during the procedure.

      Pre-Surgical Preparation

      Your orthopaedic surgeon may advise you to consult with your primary doctor to assess your overall health and ensure there are no specific pre-existing conditions that could interfere with the surgery. Depending on your medical history and age, your primary doctor might conduct blood tests, an electrocardiogram (EKG) to check your heart’s rhythm, or a chest X-ray to evaluate your lungs and heart, all of which are crucial to safely performing the procedure.

      Before undergoing shoulder arthroscopy surgery, it’s crucial to inform your surgeon of all medications you’re taking, including prescription, over-the-counter drugs, supplements, and herbs. You may need to stop certain medications, like blood thinners such as aspirin, ibuprofen, or naproxen, to prevent complications.

      If you have underlying health conditions, such as diabetes or heart disease, your surgeon may ask you to consult with your treating physician. If you consume alcohol regularly, exceeding 1 or 2 drinks per day, or if you smoke, be sure to inform your provider, as both habits can interfere with healing.

      Types of Anaesthesia

      Before your shoulder arthroscopy, the anaesthesia team will discuss with you your options with the anaesthesia. A regional nerve block is commonly used to numb the shoulder and arm, and is usually injected at the base or your neck or near the shoulder, targeting the nerves responsible for sensation in the area. This nerve block not only serves as an anaesthetic during the surgery but also provides significant pain relief for several hours post-surgery. In many cases, surgeons combine the nerve block with a light general anaesthetic to keep you relaxed, as staying in a single position for the duration of the surgery could be uncomfortable.

      Techniques for the Operation

      During shoulder arthroscopy, the surgeon begins by making a small incision through which an arthroscope, a tiny camera, is inserted into the shoulder joint. To improve visibility during shoulder arthroscopy, your surgeon will inject fluid into the joint. This helps inflate the shoulder, providing a better view of the structures inside through the arthroscope. The arthroscope is connected to a video monitor, allowing the surgeon to closely examine all the structure within the joint, including the cartilage, bones, tendons, and ligaments for damage. If there is any damage, the surgeon makes 1 to 3 additional small incisions to introduce specialized instruments to repair the injury.

      Your surgeon may perform several procedures during the operation, depending on the issues present. For a rotator cuff repair, the surgeon brings the edges of the torn tendon together and attaches it to the bone using sutures or suture anchors. These anchors, made of metal, plastic, or suture material, secure the tendon to the bone and don't need removal after surgery. For impingement syndrome, the surgeon will clean out damaged tissues above the shoulder joint, possibly cutting the coracoacromial ligament and shaving the underside of the acromion to remove bone spurs causing pain.

      If you suffer from shoulder instability, the surgeon will repair a torn labrum and ligaments. For a Bankart lesion, which affects the lower part of the labrum, the surgeon may also address damage to the glenoid bone. A SLAP lesion involves repairs to the top part of the shoulder joint. After the procedure, the incisions are closed with stitches and covered with a dressing. In some cases, open surgery, involving a larger incision, may be required to access and repair more extensive damage.

      Once the procedure is complete, your surgeon will close the incisions using either stitches or steri-strips, and the cover the area with a soft bandage for protection.

      Recovery Facts with Shoulder Arthroscopy

      After your shoulder arthroscopy, it’s important to follow all discharge and self-care instructions provided by your healthcare provider to ensure proper healing.

      • Recovery from shoulder arthroscopy can take anywhere from 1 to 6 months, depending on the nature of the surgery and the extent of the repairs.
      • You’ll likely need to wear a sling to protect and support the shoulder for the first 2 to 4 weeks after surgery. If a more extensive repair was performed, it may be necessary to wear the sling for a longer period.
      • During this period, perform small exercises, such as elbow flexions and extensions, and move your fingers, as instructed by your specialist.
      • Keep the incisions dry until the stitches are removed, which typically happens 5 to 10 days after surgery.
      • Following stitch removal, a rehabilitation phase of up to 8 weeks will be necessary to regain full function.
      • As you progress through rehabilitation, you’ll be able to resume activities like driving and gradually return to more strenuous exercises over the course of 2 to 4 months.

      Post-operative Key Points with Shoulder Arthroscopy

      • Discomfort and swelling are common during the first few days after surgery. Managing pain post-surgery is important, and your surgeon may prescribe medications to help control discomfort during the initial recovery phase
      • The timeline for returning to normal activities, including work or sports, depends on the complexity of your surgery, and this could range from just one week to several months.
      • Physical therapy is a key part of the recovery process and will help improve the strength and flexibility of your shoulder, with the duration varying based on the type of surgery.
      • As a part of our commitment to obtain high success rate from our surgical treatments, we keep tabs on our patients’ recovery for 6 months up to 12 months, even after they’ve returned to their home countries. Any issues or complications should be reported directly to our clinic as soon as possible, before turning to outside specialists.

      Benefits of having shoulder arthroscopy surgery In Turkey

      Turkey has emerged as a global leader in medical tourism, offering high-quality healthcare services at affordable prices. It has become a preferred destination for patients seeking advanced surgical solutions, such as shoulder arthroscopy surgery. Combining world-class expertise with affordable options, Turkey provides an unmatched value proposition for those seeking medical treatment abroad.

      • Turkish surgeons are globally recognized for their skills, often trained at leading international institutions, ensuring precision in every procedure even for shoulder arthroscopy surgery.
      • Hospitals in Turkey are equipped with the latest technology, providing cutting-edge diagnostic tools, advanced imaging systems, and minimally invasive surgical options.
      • One of Turkey’s strongest appeals is its cost-effectiveness. Surgical procedures are affordable without compromising on quality.
      • Post-surgery, patients are provided with tailored recovery plans and constant medical supervision. The warmth of Turkish hospitality makes the healing process comfortable and reassuring.
      • Turkey’s stunning landscapes from the pristine beaches of Antalya to the thermal springs in Pamukkale serve as perfect recovery backdrops. These environments provide peace, relaxation, and an opportunity to combine recovery with cultural exploration.

      How much does shoulder arthroscopy surgery cost In Turkey?

      There are important factors to consider when selecting the right clinic for your shoulder arthroscopy surgery. Amid the frenzy of commercial advertisement campaigns and social media sales spiels, it can feel like an uphill battle to find a clinic that checks all the boxes for your needs and expectations. To make an informed choice, focus on the guiding factors:

      • Look for a clinic that delivers accurate, unbiased medical guidance that is free from commercial influence.
      • Choose a clinic that fosters a strong patient-doctor relationship by showing empathy and genuinely address your concerns, and works to align treatment plans with your expectations.
      • Ensure the clinic is committed to your safety and well-being, placing these principles at the heart of their care.

      A realistic price appraisal of shoulder arthroscopy involves the following key elements:

      • The professional standing of the clinic.
      • The nature and complexity of the procedure.
      • The surgeon’s credentials and the quality of post-surgery care, including physical therapy, follow-up visits, and recovery support.
      • Clinics that clearly outline their liabilities and terms of service in an impartial, legally compliant manner build trust.

      The cost of shoulder arthroscopy surgery in Turkey can vary depending on the factors above. While affordability often motivates patients to seek treatment abroad, focusing solely on price without ensuring the clinic meets essential standards can result in costly and sometimes irreversible complications. At Prospero medical, we embrace a transparent pricing approach, detailing every service component to help patients make informed choices. Our pricing is thoughtfully calculated to align with the level of medical care, the credentials of our surgeons, and the exceptional after-care services we provide. With a wealth of experience and a long-standing presence in the industry, we are dedicated to offering high-quality medical services at a price that balances quality and value.