Recurrent Shoulder Dislocation Surgery

When a shoulder has dislocated more than once, the torn rim of cartilage (labrum) and stretched ligaments at the front of the socket no longer hold the ball in place. Stabilisation surgery reattaches them, or adds a block of bone when the socket edge has worn away.

It greatly reduces the chance of further dislocations and the apprehension that the shoulder will slip. Some outward rotation is usually lost, and no technique fully removes the risk in contact athletes.

What Recurrent Shoulder Dislocation Surgery involves

For an arthroscopic Bankart repair you are positioned sitting up or on your side. Through three small portals, the surgeon frees the labrum, which has usually healed in the wrong place on the neck of the socket, and roughens the bone. Three to five small suture anchors are placed along the front rim and their threads are passed through the labrum and capsule, pulling the tissue up to recreate a bumper. A large dent in the back of the ball (Hill-Sachs lesion) can be filled by stitching the tendon behind into it, called remplissage. In a Latarjet procedure, through a 5 to 7 cm incision at the front, the tip of the coracoid bone with its attached tendon is cut, passed through a split in the subscapularis muscle and fixed with two screws to the front of the socket.

Who is a good candidate for Recurrent Shoulder Dislocation Surgery?

Surgery is advised after repeated dislocations, or after a first dislocation in a young contact athlete, once scans have measured bone loss.

• Two or more dislocations or frequent partial slips
• Age under 25 at first dislocation, where recurrence without surgery is very likely
• Throwing, climbing or collision sport
• Work where a dislocation would be dangerous, such as at height
• Socket bone loss above roughly 15 to 20 percent, pointing towards Latarjet

Es ist normalerweise nicht die richtige Wahl, wenn:

• Loose jointed people who can dislocate the shoulder at will, who do better with physiotherapy
• Uncontrolled epilepsy, until seizures are managed
• Older patients whose main problem after dislocation is a rotator cuff tear
• Established arthritis of the shoulder

Technikoptionen

• Arthroscopic Bankart repair: Keyhole soft tissue repair when bone loss is minimal.
• Bankart with remplissage: Adds filling of the humeral head dent to stop it engaging on the socket rim.
• Latarjet procedure: Coracoid bone transfer for significant bone loss, failed repairs and collision athletes.
• Bone block from the pelvis or donor bone: Alternative when the coracoid is unsuitable or for revision.
• Posterior stabilisation: For the less common backward instability.

Was passiert während Ihrer Behandlung

Surgery takes 60 to 120 minutes under general anaesthetic with an interscalene nerve block that numbs the arm for up to a day. Stay is day case or one night. You wake in a sling with the arm against your body.

Vorbereitung auf Ihre Reise

Planen Sie 7 bis 10 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

The sling stays for 3 to 6 weeks, with pendulum and elbow exercises from the start. Active movement builds from 6 weeks and strengthening from 12 weeks. Driving returns at 6 to 8 weeks. Non contact sport is possible at 3 to 4 months, contact sport and overhead lifting at 5 to 6 months.

• Back to everyday activity: 3 to 6 weeks in a sling
• When results show: Stability felt from 3 months
• How long they last: Durable in about 9 in 10 people

Sicherheit, Risiken und Revisionspolitik

Risks differ between keyhole repair and bone transfer.

• Recurrent instability, about 1 in 10 after arthroscopic repair in young athletes and lower after Latarjet
• Stiffness, especially loss of external rotation
• Nerve injury to the axillary or musculocutaneous nerve, more relevant to Latarjet
• Non-union of the bone block or screw problems
• Anchor pull out or cartilage damage from prominent anchors
• Infektion
• Later arthritis, linked both to dislocations and to over tight repairs

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of Recurrent Shoulder Dislocation Surgery in Türkiye

Clinic-Y does not publish a single price for Recurrent Shoulder Dislocation Surgery, because the honest figure depends on your case. What moves it:

• Arthroscopic repair versus open bone transfer
• Number of anchors or screws
• CT scan with 3D reconstruction to measure bone loss
• Sling and physiotherapy during your stay

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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