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Dr. Harpreet s Gill
Shoulder joint problems are a neglected lot in India. The lack of awareness of the general population is the key factor. In reality, people accept disability and do not accept treatment. Correct orientation and treatment at various stages of the disease can help the patient regain all the movements of his shoulder and he / she can be pain free.
The success of hip and knee replacement is known to all; However, people are not aware of the success of shoulder replacements. Although replacement of half of the shoulder and total shoulder replacement are performed for various shoulder conditions, the new treatment consists of a total shoulder prosthesis inverted. This is what is called the reverse shoulder replacement as far as the normal ball-socket relationship of the shoulder joint is reversed, which creates a more stable articulation with a fixed point of support. The metal bullet is attached to the bone of the scapula and the plastic cup with a metal rod is attached to the arm bone (humerus).
Candidates for surgery:
The indications for the total inverted replacements of the shoulder are:
- Management of patients with irreparable loss of rotator cuff (muscles around the shoulder) and severe arthritis of the shoulder, badociated with significant loss of movement and function of the shoulder. ;shoulder.
- A rotator cuff completely torn (muscles around the shoulder) that can not be repaired
- Proximal fractures of the humerus (shoulder) in the elderly.
- In case of fracture of the shoulder that has not united or is not well united, that is to say that is not united in the right position.
- A previous shoulder replacement without success
- Strong shoulder pain and difficulty lifting your arm away from your side or over your head
- A complex fracture, a chronic dislocation of the shoulder or a tumor of the shoulder joint
- Failed treatments, such as rest, medications, steroid injections and physical therapy, not relieving shoulder pain
Rehabilitation after surgery
This replacement was made for the first time in India in 2011. Success rates for surgery have increased and patients no longer have to live with pain. In general, individuals can perform gentle activities of daily living with the arm operated from four weeks after surgery. The driving must wait six weeks if the operation was performed on the left shoulder due to the increased demands placed on the left shoulder for shifting. And the patient would be able to do activities that he / she was not able to do before the six-week surgery.
(Gill is an orthopedic surgeon based in Ludhiana)
As said to Poonam Bindra
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