Arthroscopic superior capsular reconstruction
Shoulder, elbow & hand surgery
Shoulder · elbow · hand · 어깨
A rotator cuff tear left for a long time retracts inward and degenerates until it can no longer be sutured; the same is true when the tear is too extensive. In these cases a dermal graft or autograft is introduced arthroscopically to rebuild the superior capsule, supporting the gap between the humeral head and the acromion so that it does not narrow.
Anesthesia, hospital stay and recovery time depend on the extent of injury and your general condition. The operating surgeon explains this after the consultation.
When surgery is indicated
- A long-standing rotator cuff tear that is difficult to suture
- Degenerative change in the tendon that has progressed to a complete tear
- Tendon degeneration from frequent injections making suture difficult
- Re-tear after a previous repair
Arthroscopic superior capsular reconstruction — benefits
- Pain and function of the shoulder joint can be restored.
- Performed through a minimal incision, with little bleeding and quick recovery.
- The patient's remaining ligaments and cartilage are preserved.
- Joint replacement may be avoided, or its timing postponed as far as possible.
Process
How surgery proceeds
This is the shared pathway for the Surgery Center. Details for each procedure are covered in the consultation.
- 01
Precise diagnosis
MRI and CT are taken the same day and read by a radiologist that same day.
- 02
Surgical consultation
The operating surgeon explains in person why surgery is needed, what the alternatives are and how recovery is expected to go.
- 03
Surgery · inpatient care
The operation is performed in the annex theatre, and recovery is managed on the ward as the condition requires.
- 04
Rehabilitation · follow-up
After discharge the same team continues to follow your progress and rehabilitation in the outpatient clinic.