Why would I need a Revision Rotator Cuff Repair and SCR?
Revision rotator cuff repair and superior capsular reconstruction is needed for patients who experience the following:
- Failure of the tendon to heal – This can be common depending on the size of the tear, the age of the tear, and the quality of the rotator cuff tissue requiring repair. In some studies for large or massive tears 20% – 50% may require revision repair or reconstructive surgery.
- Initial treatment performed incorrectly – In some cases the original rotator cuff injury may have been misdiagnosed, or the original repair left residual symptoms.
- Re-tear of the tendon – Also common and can happen from a fall, returning to activities too quickly, or chronic shoulder overuse.
- Inadequate strength of the initial repair construct.
Revision rotator cuff repair and superior capsular reconstruction can be a more difficult procedure, mainly because a repair has been previously performed. If the tendon has proven to be prone to tearing, it can lead to scar tissue formation which can add a level of difficulty to the surgery.
How is a revision repair performed?
The orthopedic specialists at The Shoulder Clinic of Idaho prefer using arthroscopic surgery for revision rotator cuff repairs and superior capsular reconstruction. Patients in Boise, Meridian, Nampa, and the surrounding communities of the Treasure Valley can experience quicker healing, less pain and stiffness as well as less risk of infection. In many cases, patients can expect pain relief, increased shoulder function and a high success rate of the revision surgery if proper rotator cuff repair protocols are followed.
What happens after revision rotator cuff repair and SCR?
The protocol following a revision rotator cuff repair, either with or without a superior capsular reconstruction is the same. The surgeons at The Shoulder Clinic of Idaho will immobilize the shoulder by placing it in a shoulder sling; this will protect the tendon repair for approximately 6 weeks. A specialized and detailed physical therapy program will be prescribed for patients to begin directly following surgery. Physical therapy progression varies for each patient and depends on type of revision rotator cuff repair performed, the patient’s age, and the patient’s overall health. Therapy typically involves passive range of motion moves, followed by active motion, strengthening, and a slow, steady return to activities.
For additional resources on revision rotator cuff repair and superior capsular reconstruction, or to determine if you are a candidate for this type of arthroscopic surgery, please contact The Shoulder Clinic of Idaho, serving patients in Boise, Meridian, Nampa, and the surrounding communities of the Treasure Valley.