Shoulder, Impingement Syndrome, Anterior Acromioplasty with Rotation

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Procedure Description

Shoulder impingement syndrome is a common condition that affects the rotator cuff, leading to pain and restricted movement. It occurs when the tendons of the rotator cuff become trapped and compressed as they pass through the subacromial space, leading to irritation and inflammation. Activities that require repetitive shoulder movement, such as swimming or weightlifting, can exacerbate this condition, making it painful to lift the arm or perform overhead tasks.

Anterior acromioplasty with rotation is a surgical technique used to treat shoulder impingement syndrome. The surgery involves reshaping the acromion, a bony structure on the top of the shoulder blade. The goal is to create more space for the tendons of the rotator cuff, reducing friction and allowing the tendons to move freely without impingement. By addressing the structural cause of the impingement, this procedure can relieve pain, restore shoulder function, and prevent further damage to the rotator cuff.

During the procedure, the surgeon makes a small incision near the front of the shoulder to access the acromion. Specialized surgical instruments are used to shave down or remove a portion of the acromion, creating a smoother surface that provides additional space for the rotator cuff tendons. In some cases, the surgeon may also perform a rotation of the acromion, which adjusts the angle of the bone to further enhance the available space in the shoulder joint. This dual approach ensures optimal long-term results for patients experiencing chronic shoulder pain due to impingement.

Procedure Duration

The duration of anterior acromioplasty with rotation can vary depending on the complexity of the case, but the surgery itself typically takes between 45 minutes to 2 hours. The procedure is generally performed under general anesthesia, and most patients can return home on the same day as the surgery, depending on their overall health and the specific surgical setting.

The recovery process is gradual and usually divided into phases. Immediately after surgery, the patient’s arm will be placed in a sling to immobilize the shoulder and promote healing. This initial phase lasts for about 1-2 weeks, during which patients are advised to avoid strenuous activity. After this period, the sling is removed, and the patient begins physical therapy to restore strength and range of motion to the shoulder.

Full recovery from anterior acromioplasty with rotation typically takes 3 to 6 months, although this timeline can vary based on the patient's age, overall health, and adherence to physical therapy. Physical therapy plays a crucial role in the rehabilitation process, as it helps patients regain shoulder mobility and strength while minimizing the risk of complications or re-injury.

Benefits

  • Pain Relief: Alleviates chronic shoulder pain caused by impingement, improving the patient's quality of life.
  • Improved Range of Motion: Restores shoulder movement, allowing patients to perform daily tasks and engage in physical activities without restriction.
  • Minimally Invasive: The procedure is often performed arthroscopically, leading to smaller incisions, less scarring, and faster recovery times.
  • Prevention of Further Damage: By addressing the underlying cause of impingement, the surgery helps prevent further deterioration of the rotator cuff.
  • High Success Rate: Most patients experience significant pain relief and improved shoulder function after the surgery.

Potential Destinations

  • Germany
    Germany is renowned for its advanced medical technology and highly specialized orthopedic surgeons. With its world-class healthcare infrastructure, Germany offers top-tier shoulder surgeries, including anterior acromioplasty, in a well-regulated and patient-centered environment.
  • South Korea
    South Korea is a leading destination for medical tourists seeking orthopedic surgery. Its hospitals are equipped with cutting-edge technology, and the country is known for its expertise in minimally invasive surgical techniques, making it an ideal choice for anterior acromioplasty.
  • United States
    The United States has some of the best orthopedic care in the world, with numerous hospitals offering state-of-the-art treatment for shoulder impingement syndrome. Patients can benefit from a wide range of specialists and facilities tailored to their specific needs.
  • India
    India has emerged as a popular destination for affordable, high-quality orthopedic procedures. Indian hospitals offer anterior acromioplasty at a fraction of the cost compared to Western countries, while maintaining excellent standards of care.
  • Spain
    Spain boasts a strong reputation for orthopedic surgery, with its hospitals offering comprehensive care and post-surgery rehabilitation programs. Patients are drawn to Spain not only for the quality of its healthcare but also for the opportunity to recover in a warm and relaxing environment.

Risks & Considerations

  • Infection: As with any surgical procedure, there is a risk of infection at the incision site. Proper post-operative care is essential to minimize this risk.
  • Nerve Damage: There is a small risk of nerve injury during the surgery, which could lead to temporary or permanent weakness or numbness in the shoulder.
  • Shoulder Stiffness: Some patients may experience stiffness or a limited range of motion after surgery, particularly if physical therapy is not followed rigorously.
  • Incomplete Pain Relief: While most patients experience significant pain relief, some may continue to have residual pain after surgery.
  • Recurrent Impingement: In rare cases, the impingement can recur if the underlying causes are not fully addressed, leading to the need for additional treatment.

How to Choose the Right Doctor and Hospital

When considering anterior acromioplasty with rotation, it is crucial to select a highly qualified and experienced orthopedic surgeon who specializes in shoulder surgeries. Look for a surgeon who has extensive experience performing this procedure, ideally in a hospital known for its expertise in orthopedic care. Research the surgeon's credentials, including board certifications, training, and patient reviews.

The hospital where the surgery is performed is equally important. Choose a hospital with a strong reputation for orthopedic surgeries, particularly in shoulder procedures. Consider factors such as the hospital's accreditation, available technology, and the quality of its post-operative care and rehabilitation programs. It is also advisable to consult with the surgeon beforehand to understand the surgical plan, potential risks, and expected outcomes.

By thoroughly researching both the surgeon and the hospital, patients can ensure they receive the highest quality of care, leading to the best possible outcomes for their shoulder impingement surgery.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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