Technique of the surgical procedure:
The surgery is performed under “conductive” (plexus) anaesthesia or general anaesthesia.
In some cases, surgery can begin with arthroscopy (mirroring) of the shoulder, during which the condition of the joint is assessed, a rupture causing instability is observed, and both sides of the rotator cuff are viewed to clarify for the presence of any other injury. If the clear cause of the instability proves to be the detachment of the ligamental articular cavity, open stabilization surgery is performed.
We open the joint with a 5-8 cm incision made on the anterior side of the shoulder. After preparing the bony edge of the articular cavity, the joint capsule is sutured back to the articular cavity with 2-3 sutures and metal anchors to secure the sutures. At the end of the surgery, a suction-pipe is placed on the surgical site, if necessary, to avoid post-bleeding. After careful haemostasis, the wound is closed with sutures. In some cases, the procedure can be performed in a “covered” way, i.e. arthroscopically, which does not significantly affect the course of post-treatment and recovery.