Are you searching for an expert in “failed shoulder surgeries”? Dr. Peter Howard is here to assist with unhealed rotator cuff repairs, underperforming shoulder replacements, and many other types of shoulder revision surgeries.
Shoulder surgeries are usually classified as failed when they fall short of the anticipated outcomes of the patient and the surgeon. Failures may include persistent stiffness, weakness, instability, or pain, as well as an inability of the surgical repair to heal properly. Complications like infection or nerve damage can also contribute to failed surgeries.
Given that every surgical procedure carries an inherent risk of not yielding the desired results, this is a reality for operations addressing issues such as dislocations, rotator cuff tears, arthritis, or fractures. Commonly conducted procedures like fracture fixations, Bankart repairs, rotator cuff repairs, shoulder joint replacements, and reverse total shoulder surgeries mean that many patients can face these types of failures.
Are you searching for an expert in “failed shoulder surgeries”? Dr. Peter Howard is here to assist with unhealed rotator cuff repairs, underperforming shoulder replacements, and many other types of shoulder revision surgeries.
Shoulder surgeries are usually classified as failed when they fall short of the anticipated outcomes of the patient and the surgeon. Failures may include persistent stiffness, weakness, instability, or pain, as well as an inability of the surgical repair to heal properly. Complications like infection or nerve damage can also contribute to failed surgeries.
Given that every surgical procedure carries an inherent risk of not yielding the desired results, this is a reality for operations addressing issues such as dislocations, rotator cuff tears, arthritis, or fractures. Commonly conducted procedures like fracture fixations, Bankart repairs, rotator cuff repairs, shoulder joint replacements, and reverse total shoulder surgeries mean that many patients can face these types of failures.
Causes of Persistent Symptoms After Rotator Cuff Surgery
Persistent pain post-rotator cuff surgery typically stems from two factors:
- Ongoing recovery from the surgery itself.
- Stiffness due to limited movement.
Rotator cuff surgery is a complex procedure where the tendons are reattached to the humerus. Following surgery, it’s not uncommon for the shoulder to become stiff, as immobilization is necessary for healing. The expected degree of stiffness should be monitored and can often be managed to reduce associated discomfort.
Healing times can range from six weeks for initial tendon-bone healing, three months for a stronger bond, and up to six to nine months for complete healing. Full-strength recovery might not occur until nine months after surgery. Hence, some pain and soreness can be expected during this period.
Managing Stiffness After Rotator Cuff Surgery
Ice, pain medications, and controlled physical therapy are generally recommended after surgery. Initially, treatment usually focuses on regaining motion rather than strength. Persistent shoulder stiffness should be addressed, as it can cause pain long after the operation.
Treatment may vary based on the size of the tendon tear, with more significant repairs typically requiring a slower progression. Overdoing therapy can be detrimental, leading to considerable pain. The standard protocol is to engage in physical therapy twice weekly, with daily stretching exercises at home. Strengthening exercises should be approached with caution, particularly at angles above 60 degrees of shoulder elevation if they cause pain.
Should pain, limited movement, or any other complication arise from your rotator cuff surgery, revision surgery can enhance your day-to-day well-being. With Dr. Howard’s specialized skills and extensive track record, you’re in capable hands for an optimal surgical result.
Embark on your journey to renewed activity and freedom of movement; reach out to us now to arrange a consultation.
Shoulder Instability Revisions
Should your initial surgical intervention for shoulder instability prove unsuccessful and the instability recurs, considering a revision surgery could be the next step. Specializing in shoulder instability revisions, Dr. Howard offers revision procedures for individuals facing repeated shoulder instability after their surgery.
Dr. Howard excels at identifying factors such as excessive capsular laxity or significant glenohumeral bone deficits before revision surgery to minimize recurring instability. His systematic approach includes a detailed medical history review, a thorough physical exam, and diagnostic imaging like X-rays and MRI to assess each patient’s potential for repair success. For those who have experienced a failed shoulder instability surgery, Dr. Howard uses an intelligent intraoperative decision-making process to reduce the likelihood of further issues.
Get in touch with our office to explore your options for treatment.
Total and Reverse Shoulder Replacement Revision
When your shoulder replacement no longer functions as it should, a revision total shoulder replacement becomes necessary. This procedure involves carefully removing your existing shoulder joint and the placement of a new, functional joint.
Over time, several factors can contribute to the need for such a revision, including:
- Wear and Tear: The artificial components may wear down, much like natural joints, leading to a decrease in function.
- Infection: If an infection develops around the joint, it can compromise the integrity and stability of the replacement.
- Dislocation: The joint may become unstable and dislocate, causing pain and dysfunction.
- Fracture: Any breakage around the prosthetic joint will need revision surgery to restore stability and function.
The main goal of total and reverse shoulder replacement revision surgery is to restore your shoulder’s functionality, allowing you to move with less pain and return to the daily activities you enjoy. Revision surgery is the only definitive solution when faced with a failing shoulder replacement.
If you are experiencing discomfort, reduced mobility, or any dysfunction related to your current shoulder replacement, consider that revision surgery could significantly improve your quality of life. Dr. Howard has the expertise and experience to ensure the best possible outcome.
Take the first step towards reclaiming your active lifestyle; contact us today to schedule a consultation. Explore how revision total and reverse shoulder replacement can help you move forward on your path to recovery. Our dedicated staff is ready to assist you through the process, from pre-operative education to post-surgery rehabilitation, ensuring a seamless journey back to comfort and mobility.
Identifying Re-tears and Addressing Non-healing Tendons
Tendon tears are clinically classified by their depth—partial or full thickness—and further described by the extent of the tear. The probability of healing post-surgery is closely linked to the initial size of the tear, with larger tears presenting a higher risk of non-healing.
Distinguishing a re-torn tendon can be challenging. Pain or strength loss is common during healing, and minor setbacks are expected. Advanced imaging, like arthrogram-MRI, can be used but is more informative after the initial three-month healing period.
Not all tendons fully heal after surgery due to factors such as extensive damage or natural wear and tear. Tendons weaken with age, making complete healing post-surgery less likely, especially for large or attritional tears.
Studies show that healing rates vary depending on the tear size, with larger tears having a higher failure rate.
Options if Surgery Fails
If the tendon doesn’t heal after an attempted repair, options may be limited, especially for larger tears. Non-surgical management or second surgeries are potential paths, with the choice heavily influenced by the specific condition and tear size.
Despite common misconceptions, functionality can be preserved in shoulders with unhealed tendon tears through careful activity management and targeted exercises.
Attempts at patching tendon holes or transferring tendons have shown limited success and are generally not recommended. Shoulder replacements can be an option for patients with concurrent arthritis and tendon tears.
Revision Surgery: Symptom-Specific Approaches
The type of revision surgery is dependent on the symptoms. Is there stiffness, weakness, unwanted bone/overstuffing, humeral fracture, glenoid component failure, superior instability, or infection?
Other Types of Shoulder Revision Surgery
Dr. Howard specializes in all types of shoulder revision surgeries, including shoulder fracture revisions, ACL revisions, and meniscus revisions. His skill set and experience help provide better outcomes most of the time. If you are in pain and don’t know what to do, contact our office for an evaluation.
Expertise in Revision Surgery Decision-Making
When a shoulder surgery fails to meet expected outcomes, an assessment by a seasoned revision specialist like Dr. Peter Howard is crucial. A thorough evaluation will guide the discussion on revision surgery options.
Revision surgery is usually not urgent and requires careful consideration of its advantages, drawbacks, timing, and setting. Dr. Peter Howard dedicates himself to these complex decisions, ensuring each patient receives a tailored approach to their unique situation.